Hi. My daughter is 19 years old. She has been a Type 1 diabetic for 15 years. She is taking 4,000 IU of Vitamin D. She was prescribed 5 mg tab/day of escitalopram oxalate May 11 for anxiety. June 5 it was increased to 10 mg tab/day--for anxiety. Approximately 3-4 weeks prior to finals (She is a pre-nursing student and just completed her freshman year-4.0 gpa.), she began experiencing moments which she described as her vision being in 3D--She had difficulty reading her computer screen, textbooks, notes, etc. She had moments where she felt she was "here" but not "here". She knew she had gone to class, spoke with people, took exams, etc, but had to confirm that she had. She is still experiencing these moments, or episodes as she calls them. She has extreme fatigue, exercise/walking is exhausting. She's experiencing migraines. She was always able to identify low/high blood sugars, but now she's having difficulty differentiating them. She has experienced these episodes prior to the escitalopram oxalate and after. She has had lab work, which only detected a deficiency in Vitamin D. She has seen the ophthalmologist, and she did have an acute change in vision in one eye and a slight change in the other. She was given new contact/eyeglass prescriptions. She has not been driving. She does not drink alcohol nor does she take any drugs other than insulin, vitamin D, Advil, escitalopram oxalate and Zyrtec. She cannot tolerate extreme heat--she does landscaping/yardwork, and her blood sugars drop dramatically, and she feels ill. Her bp averages 90-110 over 60-70. She has experienced anxiety since middle school, but these episodes are very different and new. Are these things related to anxiety or perhaps symptomatic of something else. She is a very bright, purpose-driven young lady. She is completely unnerved by these episodes, which then affects the anxiety and becomes a vicious cycle. Per our request, her doctor has give us a referral to a cardiologist. We have a-fib, heart disease, pacemakers and high cholesterol on all sides of the family. Her older sister is 23 and is on bp meds for extremely high bp. Her doctor wants to rule cardiology out before referring her to a neurologist. I believe her dr. thinks this is anxiety related. Your input is greatly appreciated.