>>>Are some of the SSRI medications more mild on the body? Which ones? Or is this thinking not applicable and all SSRI's just work differently on the body and have different effects on different people.
Based on what I've read, the easiest SSRI to adapt too is Citalopram (Celexa), which is actually very close in ingredients to Lexapro (Escitalopram); however, I know you didn't have a good experience with Lexapro. I didn't either, so that is why I changed to another SSRI (Zoloft).
Antidepressant medications, used for anxiety, are basically a trial and run process. If you don't succeed on the first one, you have to find another one that will. If you have an anxiety disorder, you can limit your selection to either SSRIs, SNRIs, or trycyclics. Sometimes others try antipsychotics and have success, but others on the same med combinaton don't.
Some people luck out on the first one, and never have side effects. Others just have to keep on trying, but for those who find no other alternative to handle their anxiety (and unfortunately sometimes it takes a crisis to come to this realization), they have to take this trial and run route, until one clicks.
That may sound a bit dissapointing, but that's where we are in terms of managing anxiety disorders, scientifically, with medication. Someone on this board mentioned a recent invention that can determine the appropriate antidepressant medication for you, based on tests, however others on this forum reacted with mixed results about its effectivity.
So lets say I had a very mild case of anxiety, versus a person with severe anxiety. Do doctors distinguish this when deciding on the drug? Or does it always just come down to dosage?
If you think you have a mild type of anxiety, you are probably better off just using Cognitive Behavior Therapy (CBT), which runs about 6 to 12 sessions. It teaches you methods on how to manage your anxiety, when it gets activated.
But, for many with anxiety disorders, like myself, CBT is not enough, so they must complement their health management with medication.
I once believed I had a mild case of anxiety, where I didn't take it too seriously. So like you, I actually went the herb route initially, because I thought medication would be the last resort, however the herb route didn't have lasting effects in curing my anxiety. I even went to a well educated doctor, who graduated from medical school in acupuncture from China, but her herb route, which initially felt better, didn't have long lasting effects; however you may have different results with this route.
But what I'm getting at is what may seem mild now, may actually get worse later, as you get older. I know that sounds very pessimistic, but that has been my case, as I've gotten older. I'm in my late thirties and have been dealing with my anxiety disorder since my teens. It hasn't really been cured, which is frustrating for me, but I've learned to just accept it, yet it can be managed. :)
It really is a personal journey to find what works for you in dealing with your anxiety disorder.