I haven't tried a different medication because the Lexapro scared me a little. I was quite surprised by how powerful it was and how long it lasted. I agree that facing the fear through exposure is the only way I am going to beat it but I have yet to find a therapist who will entertain the idea. All of the therapists I have seen just want to talk. I would like to find someone who will say; "OK, here is what we are going to do to get you over this fear".