(((((((((RainyDay))))))))) That is so much going on! I'm so sorry you are struggling so. Very glad you reached out. You are such a supportive person and I'm glad you remembered we're here for YOU too.
Like Movingon, I wonder if you could go IP now, before your planned August trip. It might give you one less thing to worry about(?) Travelling mixed is no fun. Can tell you that from personal experience. Among other things, ended up sleeping in the tub from paranoia despite severe physical pain and going wrong way down an off ramp of I-80. Not good. So we want to see you healthy (or at least healthier) for that endeavor, yes?
Lexapro CAN be hell, it's not just you. (It put me from extreme depression to totally bouncing off the walls in 2 days, then hang on for the ride as the Dr. didn't recognize she'd misdx'd from this massive clue). Then he is adding ANOTHER AD?! I'd question him about that. Has the increased AP helped at all?
Much

You will be very much in my thoughts. Keep posting, ok? We're here for you.