Hi, I read you query and can understand your distress due to anxiety and depression. The medications that you have mentioned are etizola plus which is a combination of etizolam 0.5 mg and escitalopram 10 mg. Etizola .5 contains only Etizolam .5 mg. Etizolam is a benzodiazepine which helps in reducing anxiety. However, it doesn t reduce the disease process which is causing anxiety and depression. Escitalopram is a selective serotonin reuptake inhibitor which helps in the treatment of anxiety as well as depression. Since it is already 20 days of your treatment, I would suggest you revisit your psychiatrist for a treatment review. Had I been your psychiatrist, I would have increased the dose of escitalopram further and waited for its effect. If still there is no improvement, some other drug like venlafaxine or paroxetine can be tried. I would also be taking care that the dose of etizolam is kept under control and later tapered off to reduce the chances of developing dependency. Hope this information was helpful. Best wishes.