Hi, new tithe forum. I have been stable on lexapro many years at 10 mg, lowered to 5mg 6 moths ago. Nov2012 anxiety came back full force, upped back to 10mg after initial 1.5 weeks of start ups( which I didn't have when I originally started) stared to feel better, morning anxiety seemed to gradually lessen. At about 3 weeks anxiety came back, upped to 15mg for 9 days, still anxiety, pdoc recommended 20 mg. after about a 1 week there gradually stared to feel better until day 15 at 20mg, really had an increase in anxiety, all day, jittery and nausea no appetite. Md felt dose too high so we lowered back down to 15mg on Thursday, that next day still had increased anxiety but ever so slightly each day seemed a little better, but still very little appetite and jittery. I'm supposed to go back to work today and concerned that I don't feel better yet from lowering the dose, I'm still quite anxious I'm afraid to go to work afraid not too, need to keep occupied. Why have I not felt the calm of the lower dose yet...struggling here, any assistance is much appreciated.. Thanks