what would you suggest for a for a 16year old girl experiencing depression with frequent crying, mood swings, excessive guilty, high anxiety! and starting to display paranoia, potential psychosis with fears of others knowing about what she s done . Been on Prozac 20 mg for 6 months, and prescriber took her off the Prozac and now suggesting Lexapro 10 mg. Will this cover the anxiety well enough or would you suggest something different-- something that targets the mood as well as the intense anxiety better than Lexapro? When do you try an antipsychotic or a mood stabilizer with a 16 year old that has never displayed any psychosis before? or is this just part of the depression?
HAI*Paranoia suggest evolving Psychosis in the depressed state*Antidepressants SSRI is the first line of choice. But I personally feel the dose used was less .... The dose could have was escalated according to the clinical condition *Kindly get an opinion from another Psychiatrist. He may increase the dose of the Antidepressant*in case of Severe depression with Psychosis, addition of Antipsychotic with Antidepressant is a usual practice. Thank you