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How Can I Get Rid Of This Feeling Of Dizziness And Disorientation After Increasing Dosage Of Lexapro?

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Posted on Fri, 19 Apr 2024
Question: "Call someone, talk with someone, meet with someone. Go for a walk. Listen to music. Take a shower. Go for a run. Exercise. You need to stay engaged."

Okay, done all that yesterday, except go for a run. Avoided alcohol. My prescibing psychiatrist is responding to me more often to see how I am doing. I told her that I think I am improving, and that I hope to continue improving.


Question: As prescribed, I now have a licensed online therapist working with me, one who is also a RN with considerable past experience with people like me. She tends to focus on what's happened in my life a long time ago. But as you have noted, generalized anxiety doesn't need a trigger based on specific worries or fears. Shouldn't she spend more time teaching me CBT techniques on how to manage my anxiety spells, like how you have been?

Bless her soul, she's working hard to convince me that I don't actualy have brain damage. At times, I feel like I've yet to be convinced.

Okay, I know that I'm asking another question right now before the other one has been answered, but for some reason, I seem to be experiencing much more feeling of dizziness and disorientation than I had been in days before, even yesterday. I have not been taking anything else except the 10 mg Lexapro this morning. I've heard that this can be a side effect of Lexapro. How long will I have to put up with this? I increased my dosage from 5 mg to 10 mg last Tuesday, and it seems like every day since is different. This question is much more important than my previous one, as it has a very direct impact on my daily living. It's noon, and I'm still feeling it.
doctor
Answered by Dr. Alexander H. Sheppe (1 hour later)
Brief Answer:
Followup

Detailed Answer:
1. CBT involves examining both the present and the past, so I would continue your work with her as-is.

2. Anxiety is much more likely to cause dizziness and disorientation than Lexapro is. I would continue with the Lexapro as-is.

Let me know if I can assist you further.

Dr. Sheppe


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Alexander H. Sheppe (3 hours later)
Seriously, you are the only with with expertise that I can talk to you about what's happening to me. My prescribing psychiatrist is probably not going to respond until Monday or after. I am committed to staying on Lexapro, because I do not see any realistic alternative. I do believe Lexapro is working for me, although not so quickly or brilliantly. I'll wait. But the feeling I have is persistent, like feeling drunk all the time, even though I have not been drinking. This has lasted all day so far, and it's driving me batty. Maybe it's just another manifestation of anxiety, I don't know, but I thought anxiety kind of comes and goes. The usual methods of quelling it doens't seem to work now. Yesterday had been pretty good, last night I felt calm and even normal, like my old self. Now I have this, and have no idea at all how to handle this. This is a tough, tough situation for me, it's discouraging and demoralizing. Please talk to me about this.
doctor
Answered by Dr. Alexander H. Sheppe (31 minutes later)
Brief Answer:
Followup

Detailed Answer:
You're welcome,

This sounds like anxiety to me. It can come and go in waves or last all day. I'd recommend continuing to exercise coping skills to continue to give Lexapro the 4-6 weeks it needs to be maximally effective.

Dr. Sheppe


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Alexander H. Sheppe (1 hour later)
Well, keep talking sense to me. Some people that are close to me are saying I should maybe cut my dose back to 5 mg. If I feel again feel better this evening, then I'll stay on 10 mg and keep putting up with this. I'm trying to fight this, but I need to know who or what to believe, and that can be hard when I'm distrressed. Desperate people do desperate things. This is a very confusing, bewildering time for me. I am hoping this is all part of the adjustment period.

Yes, you're right, this is anxiety. At least that's what it is right now. Is there a question here? Well, why do you keep strongly recommend that I stay on Lexapro at prescribed dosages, instead of suggesting that I cut back or switch medications? Not that I really want to be switching medications anyway, just trying to understand why I am having such a hard time. I want to believe that this is going to pay off. All right, I really must avoid taking that shot of alcohol now. I'll just sit tight in my chair and wait it out and hope I can call some friends.

Oh god I'm really going bananas now. Why does it have to be this hard? Okay, that was the 4th question, I'll close and rate after this one. Man, I just cannot believe this! I feel like I'm going insane.
doctor
Answered by Dr. Alexander H. Sheppe (11 hours later)
Brief Answer:
Followup

Detailed Answer:
Lowering your dose or stopping the medication will only delay the amount of time until you are feeling better. This is anxiety, not the medication. Alcohol will render the medication ineffective, so don't drink.

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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2236 Questions

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How Can I Get Rid Of This Feeling Of Dizziness And Disorientation After Increasing Dosage Of Lexapro?

Brief Answer: Followup Detailed Answer: 1. CBT involves examining both the present and the past, so I would continue your work with her as-is. 2. Anxiety is much more likely to cause dizziness and disorientation than Lexapro is. I would continue with the Lexapro as-is. Let me know if I can assist you further. Dr. Sheppe