Shakti and moma, thank you.

A bit of background...last Fall, she attempted suicide, I had her committed to state psych hosp...revolving door, no diagnosis, find a shelter if you have no where to go, after she signed herself out after being on suicide watch.

Feb, through family physician and me being able to get her on medicaid (she was 18 at the time), she was referred to a pdoc and diagnosed bipolar and given abilify.

Since then, she lost medicaid (due to age) and hooked up with a local mental health agency who arranged a psych eval. We had given her case manager all documentation in regard to recent treatment, etc, but this pdoc gave the major depressive disorder and generalized anxiety disorder with OCD tendencies as a diagnosis.

I am concerned that he did not pick up on rapid cycling and the mania...or maybe did not ask the questions...but I'm even more concerned about the lexapro really sending her out of her mind....