Why won't she try any other SSRI or an SNRI? Like Paxil, Zoloft, etc. Not being helped by 20 mg Lexapro means it is time to move to the next one on the list, or at least add a second medication.

She said she only prescribes Lexapro because that is the "clean" one and she thinks an expert should take over if something else/more is needed. I do respect her statement that she doesn't feel comfortable with psyche meds. I would rather have a md who says they don't know and doesn't want to guess. Although from what I have read on here, it seems like all the Pdocs just guess and check till something works.