Why is there difficulty concentrating, tiredness, and unwillingness to do anything?

Hello,

Welcome to icliniq.com.

I thoroughly read your query and understand your concern.

The differential diagnosis is MDD (major depressive disorder). I suggest you do a TFT (thyroid function test). Kindly do a self-rating test of depression like Zung's self-rating depression scale, which you can easily find online, and if it is indicative of moderate to severe depression, consult a psychiatrist in person for detailed evaluation and treatment. You can discuss with your treating psychiatrist regarding increasing the dose of Lexapro (Escitalopram) or adding Modafinil. Also, I suggest you follow the following steps:

1. Sleep hygiene, like sleeping and waking up at the regular time.
2. Avoid caffeinated drinks at least eight hours before sleeping.
3. Avoid television, mobile, laptop, etc, at least half an hour before sleep.
4. Practice relaxation techniques like breath relaxation exercise daily.

Hope this helps.

Feel free to ask if you have any further queries.

Thanks and regards.