I have now been on Vibryyd 20mg for 4 weeks. I have had some breakthrough anxiety (bad) that started last week wednesday and is continuously getting worse. I was doing great up until now. Any advice as if this anxiety will pass? Has anyone else experienced anxiety like this? Do you think it could be withdrawal from switching off the lexapro? Should I give it more time? Increase the dose? Or switch back to lexapro that I know works the best so far. Thanks