I was on Lexapro (10mg for 4 weeks, 20 mg for 3.5 weeks) for 7.5 weeks with no results. I was switched 1.5 weeks ago to Paxil. During the entirety of my time on Lexapro, I suffered from what I now know was akathisia. Since starting the Paxil, I am beginning to feel the akathisia again and have had no relief from my anxiety. My doctor tested my blood levels and I was very anemic with a ferritin level of 4. I have since received an iron infusion. I believe my intense anxiety was due to the anemia and iron deficiency and will be solved when the iron kicks in. Could the fact that my anxiety was a medical condition increase the likelihood of the antidepressants causing akathisia? TIA for any help!!!