What do you think. Several years ago when difficult child had been on Lamictal for 3 years we tried lexapro. Ten mg. difficult child didn't sleep for days. Then psychiatrist added remeron (sp?). Then he was so totally messed up we had to start from scratch. He started back on Lamictal - his request last fall. Not helping him at all. He wanted off so we weaned him off very slowly for many weeks. therapist asked about lexapro. Said his anxiety is very severe. xanax is an immediate help such as an inhaler, but difficult child won't take the xanax. therapist told him lexapro will prevent it. difficult child wants me to call psychiatrist and try it again. I don't know. It was horrible last time. difficult child also wants to try strattera. I don't want to try both at the same time and don't know what to do first. School is definately a huge issue right now. Would lexapro help? Does it take time? What about Straterra? is that immediate or does it take time? He doesn't respond to medications good.