Hi,
I am sorry that you are suffering with a life challenge and hope you feel better soon. I am a psychotherapist with 20+ years of experience with mental disorders of all kinds, including knowledge about psychiatric drugs. I am not a medical doctor, but I will tell you what I know. Adjustment Disorder with Anxiety is a diagnosis that is given to someone who is adjusting to some life event and is suffering from anxiety because of it. Lexapro is a good SSRI (Selective Serotonin Reuptake Inhibitor) antidepressant and is used for depression that meets a number of specific criteria and/or generalized anxiety disorder. When someone has a generalized anxiety disorder (they have severe anxiety that interferes with daily living). Hydroxyzine is an antihistamine that is used to treat anxiety, nausea, vomiting, etc. Do you feel depressed and/or have that kind of severe anxiety? Just wondering, since you can go through some pretty bad life experiences and not be clinically depressed and/or have GAD. No one wants to be on an antidepressant if they do not truly need it. Taking hydroxyzine as needed is fine if you experience anxiety intermittently. I trust that the psychiatrist feels that you really need the antidepressant or would not have prescribed it. However, often, adjustment reactions to life events are short lived and with the help of a psychotherapist/psychiatrist and some anti-anxiety meds (like hydroxyzine) used just when needed, and not everyday, are all that are needed until an adjustment to the life event has been worked through with professional help and intermittent anxiety meds like you were given. If you really do not know why you were prescribed these two medications, I would ask your psychiatrist his rationale for prescribing them to you. You should know that.