Is there a test to tell if an antidepressant is working for you?

my doctor recently put me on Lexapro - 20mg. per day.I had been taking Prozac for about 23yrs. w/out any problem. It seemed to not work as well when my son was recently in Iraq for 18mons. The Lexapro isn't working as well as I wish it was. Should I maybe need a little more mg. of the Lexapro? Is there a test to tell if an antidepressant is working for you before you waste so much time "waiting" to see if it is right for you?

I'm 57 yrs. old and tired of being "tested" on.


Posted Answers


Depression is defined according to set of symptoms. If you no longer experience any symptoms of the depression, then your medication is working, providing you're not experiencing any side-effects. Depression is a part of human life, most depression is usually situational--job loss, not making enough money, relationship problems, etc.

Symptoms of depression:

Are you clinically depressed?
If you identify with several of the following signs and symptoms, and they just won’t go away, you may be suffering from clinical depression.

you can’t sleep enough or you sleep too much
you can’t concentrate or find that previously easy tasks are now difficult
you feel worthless and hopeless
you can’t control your negative thoughts, no matter how much you try
you have lost your appetite or you can’t stop eating
you are constantly irritated or become enraged even at small things – and this is new for you
you have thoughts that life is not worth living, or have a plan for how you would end it (Seek help immediately if this is the case)

Clinical depression is distinguished from situational depression by length and severity
Feelings of helplessness and hopelessness
A bleak outlook—nothing will ever get better and there’s nothing you can do to improve your situation.

Loss of interest in dailly activities
No interest in or ability to enjoy former hobbies, pastimes, social activities, or sex.

Appetite or weight changes
Significant weight loss or weight gain—a change of more than 5% of body weight in a month.

Sleep changes
Either insomnia, especially waking in the early hours of the morning, or oversleeping (also known as hypersomnia).

Psychomotor agitation or retardation
Either feeling “keyed up” and restless or sluggish and physically slowed down.

Loss of energy
Feeling fatigued and physically drained. Even small tasks are exhausting or take longer.

Strong feelings of worthlessness or guilt. Harsh criticism of perceived faults and mistakes.

Concentration problems
Trouble focusing, making decisions, or remembering things.

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