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Dear Sir, I am on the way out but look up my posts on escitalopram.  Tried it for 1 year and now gone cold Turkey.  Worked wonders for my panic / anxiety developed after a few years on TRT and a heart scare.  Problem is the escitalopram really made the anhedonia much worse.  I use clonazepam intermittently for sleep but never more than a couple days in a row and not more thar 3 days a week.  Ask your Doc about a trial (12 weeks) of escitalopram.  I wish you the best.  It probably is not a permanent fix but may help you get over his hump.