<s>[INST] Hello doctor, I have been on depression medication since last year, I have previously had therapy for two and a half years. I stopped seeing the therapist before four months as I had been on my medicines for a few months. I felt content, and my therapist and I were leaving that school (she was an in-school clinician psychotherapist). I am a freshman this year, I have been very stressed and busy with schoolwork lately kind of feeling down. So my question is before I see my doctor, is it common to get used to dose and need to go up, or maybe start talking to someone again, or both. [/INST] Hello. It is common to feel stressed during the freshman year and will take some months to get used to the new routine. Because of the history of clinical depression, it is advisable to consult by your doctor to review your mental state and emotional wellbeing. You can talk to the school and college counselor if available in your campus, and they will be familiar in supporting young people during freshman years. Regarding your medication, Lexapro (escitalopram) is a perfect and effective antidepressant. You are already on a good enough dose of 10 mg once daily. If despite supportive measures, depressive features are persistent, your doctor may consider slightly increasing the dose further. Keep yourself active. Regular walking and exercise will help. Try talking to a loving family and friends regularly. </s>