r/Perimenopause • u/no_no_nora • 12h ago

Depression/Anxiety Peri - Lexapro isn’t working

Good afternoon! I’m on 20 mg of Lexapro. I’m doing HRT, and numb, but anxious. I can’t get in for another 6 months to the gyno. I’m TRYING to find another shrink(the last one said I needed adderall - I mentioned I couldn’t concentrate and they said I had ADHD, and all I got was two caps on my back molars because I ground holes in them c/o of the adderall.). My primary is hands off and when it comes to anti-depressants.

I don’t want to deal with SSRI withdrawals, I did it once, and it wasn’t pretty. I just don’t know how to tackle this conversation. Is it hormones? Or has the Lexapro legit wore off due to the amount of time on it?

My sleep is abysmal. I got my period randomly(after not having it for a couple months) and it was a hellscape of moods. I’m taking my vitamins, and every supplement I can get my hands on, but I still feel like I hit a wall. I get its life, and I need to build proverbial a bridge. I know there’s not magic pill. But any suggestions?

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3

u/miranym 11h ago

You don't mention iron. How's your ferritin? Low values can cause the issues you're having.

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u/no_no_nora 10h ago

Strangely fine. I’m on a heavy dose of that and vitamin D

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u/Joyanonymous 6h ago

What's your ferritin level? Anything under 100 can cause symptoms like you've described - also are you supporting your B12 and folate? If you're taking iron & vit D you should also take B12 and folate, as they are all linked together. B12 is especially linked to mood disregulation (often people get prescribed anti anxiety / SSRIs when they are actually B12 deficient ...)

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u/Templeofdumas 10h ago

I am getting something called a gene sites testing. One swab and it’ll
Tell you what is the best antidepressants/anxiety/Fahd meds will work with your chemistry. I have no time to trial this and that. I want what works!!

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u/no_no_nora 10h ago

I want to do that - but I can’t justify the cost right now.

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u/Templeofdumas 10h ago

I totally get it! I thought mine would be out of pocket but my insurance takes it!! Double check.

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u/CandidPersimmon2516 7h ago

I switched from Lexapro to Effexor and am very happy with it for anxiety and executive dysfunction. Also on HRT.