Completely anecdotally it seems to be much, much more effective for GAD than depression. I did have a panic attack on the 3rd or 4th day of taking it (and inter

Completely anecdotally it seems to be much, much more effective for GAD than depression. I did have a panic attack on the 3rd or 4th day of taking it (and interestingly the only one I've ever had), but I kept going. 10mg to 20mg was the light-switch for me: I was on 10mg for about 3 months with no noticeable difference, and then 15mg (climbing to 20mg) was exceptional. I have a graph from the time when I was recording my mood 10-30 times a day, and it goes from being all over the place to just being in a relaxed state. Also: "Escitalopram was well tolerated and only 7% patients withdrew, due to adverse events in the escitalopram group, versus 8% in the placebo group" -- people with anxiety disorders have panic attacks when they start lexapro at about the same rate as people who think they're on lexapro but aren't! Also I do recommend trying any/all of the others things I mentioned as an adjunct, they've all got some decent science behind them, and defense in depth seems like a good idea to me.