Dr Vikas : Hello ! Thank you for your question, I’m Dr. Vikas (M.D Psychiatry) and I’ll try to help you today.
Dr Vikas : Lorazepam and Alprazolam are benzodiazepines which can have relaxing and calming effect and can help in sleeping however being a benzodiazepines, they can cause sedation during the day time also.
Dr Vikas : It is evident that you are severely depressed and you need an antidepressant to control your symptoms. You probably responded well to Lexapro as you took it for 5 years so this time also, you can request your doctor to start either Lexapro or Zoloft again and most likely you will notice a good improvement in your symptoms within the next 2 weeks.
Dr Vikas : The other possible option is to try Pristiq (Desvenlafaxine) and you can discuss with your doctor about it also.
Dr Vikas : Apart from medicines, psychotherapy, specially Cognitive Behavior Therapy can also be a good option in your case right now.
Dr Vikas : Cognitive Behavior Therapy can bring long lasting benefit in your thinking pattern and the resultant depression and negativity.
Dr Vikas : You can try free online CBT via the website link given below.
Dr Vikas : https://moodgym.anu.edu.au/welcome
Dr Vikas : I hope this helps, please feel free to discuss further if you have any other query or doubt in your mind.
Dr Vikas : Kind regards
Dr Vikas : Vikas