Hello and welcome. I don't have a psychiatrist, my MD prescribes my meds... I think you just need to tell your MD that perhaps the dose needs to be increased on the Lexapro. That is a wonderful "newer" drug and it is very common to begin on a low dose and work up some. He/she probably thinks the lower dose is doing you just fine and doesn't know (like, you forgot to tell?) that it's time to increase it!
So you don't have to have a psychiatrist. You might want to find a counselor or psychologist though, and work through some things that might be causing the anxiety/depression. After 6 months, odds are that medication might not be enough, and a combination of both (meds and talk therapy) should help it be an easier path for you.
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