How Long Does Lexapro Take to Work?

Starting Lexapro (escitalopram) is a significant step toward managing your anxiety or depression. Many patients in our Lilburn practice ask how long it takes to feel better—and while some relief may come within the first two weeks, full benefits typically emerge over 6-8 weeks.

The First Week: What to Expect

During the first week on Lexapro, your body is adjusting to the medication. Some patients notice early improvements in sleep, appetite, or energy levels. However, you may also experience temporary side effects like:

• Increased anxiety (paradoxically)
• Tiredness or increased sweating
• Vivid dreams
• Sexual side effects

These initial side effects typically diminish as your body adjusts. If they persist, our team at Next Step Psychiatry can help adjust your treatment plan.

Weeks 2-4: Building Momentum

During this period, many patients begin noticing more consistent improvements. Anxious thoughts may feel less overwhelming, and your mood may start to stabilize. This is when the medication is building up to therapeutic levels in your system.

Weeks 4-8: Full Benefits

Lexapro typically reaches its full effect between 4-6 weeks, though some patients—particularly those with certain types of anxiety—may need up to 8-12 weeks. Patience is key during this period.

6 Signs Lexapro Is Working

• Improved mood and more optimistic outlook
• Reduced feelings of anxiety or worry
• Better, more restful sleep
• Increased energy and motivation
• Better concentration and focus
• Reduced overactivity or depression

Best Time to Take Lexapro

Lexapro is typically taken once daily, with or without food. Your doctor may recommend:

• Morning: If Lexapro wakes you up or gives you energy
• Evening: If Lexapro makes you drowsy
• Whatever works: Pick a consistent time that's easy to remember

Consistency is more important than the specific time—taking Lexapro daily is essential for it to work effectively.

What If Lexapro Isn't Working?

If you've been taking Lexapro for 4 weeks without improvement, talk to your provider. Dr. Aneel Ursani or Fathima Chowdhury PA-C may recommend:

• Increasing your dose
• Giving it more time
• Trying a different SSRI or antidepressant

Never stop Lexapro abruptly—this can cause discontinuation symptoms. Always work with your psychiatrist to taper safely if a change is needed.

Compassionate Psychiatric Care in Gwinnett County

At Next Step Psychiatry, we support patients throughout their medication journey. Whether you're in Lilburn, Snellville, Lawrenceville, or elsewhere in Metro Atlanta, we're here to help you find the right treatment and stick with it long enough to experience real results.