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It's important to consult with your doctor or a healthcare professional regarding your specific situation.

When starting a medication like Lexapro (escitalopram) for anxiety, some individuals may experience an initial worsening of their symptoms before noticing improvement. This phenomenon is known as "activation syndrome" or "paradoxical reaction." It can include increased anxiety, restlessness, irritability, or trouble sleeping.

Activation syndrome typically occurs in the first few weeks of starting an antidepressant, including Lexapro. It may be caused by the brain adjusting to the medication's effects. In many cases, these symptoms improve as your body adapts to the medication, and the therapeutic effects take hold.

However, if your anxiety has worsened significantly, you should not discontinue the medication without consulting your healthcare provider. Abruptly stopping antidepressants can lead to withdrawal symptoms and may not provide an accurate assessment of the medication's efficacy.

Instead, contact your prescribing doctor as soon as possible and share your concerns about the worsening anxiety. They will be able to evaluate your individual response to the medication, adjust the dosage if needed, or explore alternative treatment options. Sometimes, a lower starting dose can help mitigate side effects until your body adjusts.

In addition to medication, therapy or counseling can be an essential part of treating anxiety. Cognitive-behavioral therapy (CBT) and other therapeutic approaches have shown to be effective in managing anxiety and are often used in conjunction with medication.

Remember, every individual's response to medication is different, and it's essential to work closely with a healthcare professional to find the most suitable treatment plan for you. They can monitor your progress, make adjustments as needed, and ensure your safety throughout the process.

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