I have inner restlessness, constant worry about past and future, sticking to anxious thought and ruminating about it, brain fog, somatic complaints, sleep disturbances since 5 years, was on escitalopram 20 mg and clonazepam 0.25 mg for 3 months for social anxiety in the year 2020, then after tapering escitalopram 20 mg -10-5-2.5 and clonazepam 0.25-0.125 with gap of 2 weeks in each step in the year 2020, above symptoms appeared suddenly.i started medicines again in may 2025
Now i am on escitalopram 25 mg, and before that i have tried augmenting escitalopram 20 mg with clomipramine 50 mg, quetiapine 25 mg, risperidone 0.5 mg, aripiprazole 2 mg, all these caused side effects so discontinued after trying for 1 week, now on escitalopram 25 mg, apart from intrusive anxious thoughts and somatic complaints nothing else has improved, everything else has worsened.
I mean what is this is this something like protracted withdrawal from benzo or escitalopram or something like chronic akathisia.
Answers (3)
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Your symptoms suggest relapse of anxiety disorder, not permanent damage. It is common when medication is restarted after a gap. Escitalopram 20 mg may take 4–6 weeks to show full benefit.
Instead of switching many medicines quickly, a slow and planned approach is needed.
Please consult your psychiatrist for:
Next Steps
Dose adjustment or a low-dose add-on gradually
CBT therapy to manage intrusive thoughts
Lifestyle routine (sleep, exercise, reducing screen time)
Health Tips
You will improve with consistent treatment. Avoid experimenting or stopping medicines suddenly.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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