I don’t mind at all and I’m glad you ask, if I can help someone going through this I’m thrilled! :)
Turns out I’m bipolar (although several doctors told me I wasn’t, I’m not a psychiatrist and I’m absolutely not trying to diagnose you but I wouldn’t take one doctor’s opinion for granted). Exactly as you did I first showed an improvement with Escitalopram but then it kinda faded (I wonder if it doesn’t modify the dopaminergic system because after the first phase of improvement I started craving for pleasures, and started eating, drinking and smoking a lot of weed…i.e. gaining a lot of weight). In the end and after several years (Escitalopram was the first treatment I tried) I finally found a good psychiatrist who decided to try a bipolatoty-oriented treatment, which worked and confirmed the diagnosis. I now have a two-molecule system: lamotrigigine every day (acts as a “floor” for my mood preventing depression) and aripiprazol as a “ceiling” which I adjust (0, 1, 5 or 10mg in the morning) depending on my mood to avoid manic phases. It’s worth noting that I too had a couple of relatives with likely (but undiagnosed) thymic disorders (whether bipolar or cyclothymia, it’s unclear). Together with regular sessions with a psychologists and a good hygiene (regular sleep schedule, limiting stress as much as possible and fighting my addictions) it does the trick and I’m no longer suicidal or clinically depressed most of the time.
Don’t worry about the long message, these things deserve to be discussed at length. If you ever wanna talk to someone who knows what you go through, I’m available btw, some internet anon had been there for me when I needed it, I am happy to help if you’d like.
Imo you can’t call yourself pro-life and be against a fair social system (at the very least regarding medical fees). Loosing your mother at age 6 becausee insulin costs 400$ a vial is not being protected, neither is dying from cancer at age 12 because the insurance won’t pay for your treatment.