Lexapro (escitalopram) is a commonly prescribed SSRI (Selective Serotonin Reuptake Inhibitor) used to treat anxiety and depression. While it’s effective for many, some people report feeling emotionally flat or “blah” while taking the medication. This sensation, often described as emotional numbness, is a common side effect for individuals on SSRIs.
How Lexapro Works
Lexapro works by increasing serotonin levels in the brain, a neurotransmitter that regulates mood. When serotonin levels are stabilized, it can help alleviate the symptoms of depression and anxiety. However, serotonin also affects other aspects of emotional regulation. In some cases, the medication can dampen both negative and positive emotions, leading to a feeling of emotional numbness.
Why Do You Feel “Blah”?
- Blunted Emotions
One of the most frequently reported side effects of Lexapro and other SSRIs is emotional blunting, where individuals feel less of both positive and negative emotions. While the goal of the medication is to reduce overwhelming feelings of anxiety or depression, it may also reduce the intensity of joyful or happy emotions, leading to that “blah” feeling. - Dopamine and Motivation
Lexapro primarily affects serotonin levels, but dopamine, another neurotransmitter responsible for feelings of reward and motivation, may be indirectly impacted. A decrease in dopamine can result in feelings of apathy or low motivation, contributing to the sense of feeling detached or indifferent. - Adjustment Period
For some, feeling emotionally flat may occur only during the adjustment period. This phase lasts from a few weeks to a couple of months as the brain adjusts to the new serotonin levels. It’s important to give your body time to adapt before making any changes to your medication. - Dosage Issues
Sometimes, the dosage of Lexapro may be too high, which can exacerbate the feelings of emotional flatness. If you’re consistently feeling “blah,” it’s essential to speak with your doctor to assess whether a lower dose might help alleviate this side effect without compromising the benefits.
What Can Be Done?
- Talk to Your Doctor
If you’re experiencing emotional numbness or feeling “blah” while on Lexapro, consult your healthcare provider. They may adjust your dosage or explore alternative medications that work better for your emotional balance. - Therapy
While medication can help manage symptoms, therapy is a critical part of mental health treatment. Cognitive Behavioral Therapy (CBT), for example, can provide coping strategies and tools to manage emotional flatness. - Lifestyle Changes
Exercise, mindfulness, and engaging in social activities can help boost dopamine and serotonin levels naturally, providing a balance to the effects of Lexapro.
While Lexapro can be highly effective in treating anxiety and depression, some individuals may experience feelings of emotional flatness or numbness. If you’re consistently feeling “blah” on Lexapro, it’s important to speak with your healthcare provider to explore adjustments or alternative treatments. At PMHC in Philadelphia, we offer personalized therapy and medication management to help individuals find the right balance in their mental health treatment.