Usually therapy (CBT) goes better while on medication. The reason why is you're more coherent to do
the exercises in therapy, without the anxiety crippling you. When you're anxious, without
medication, you have a difficult time to focus on what your therapist tells you, and
likewise you have difficulty in doing other tasks in your life as well.
Changing medications is normal for people who suffer anxiety disorders. If Lexapro was your
first AD, you should switch to another SSRI, which would have less side effects. I was on Lexapro
and I couldn't tolerate the med, due to excessive sweating. I had to go through other medication
combinations until I adjusted to Zoloft/Wellbutrin to handle my Panic Disorder. I've been on this
combination for a few months, and it has made my panic disorder manageable.
The reason I was willing to go through the various med combinations, even though it took time,
was my realization that I function better with the use of medication, than without. Even
though there maybe side effect in the beginning, these effects can be worked out, by
either changing to another AD, or working with your doctor in finding alternatives to alleviate them.
I know it would be ideal to not need medication, and feel *normal* were you could function without it.
However, many people who suffer from anxiety disorders - where this disorder can interfere with our
daily living - have come to terms that medication is a necessity, especially to avoid future episodes
that could have been prevented with the medication in our system.
Just from my experience, I haven't found any remedies other than medication to fully manage my anxiety,
without relapses. Things like exercise, alternative therapy, fish oil definitely help, but they don't deter
anxiety completely, like medication.