I'm in a bit of a dilemma. I was on 5mg of Cipralex for about 6 weeks to help with my Depression and General Anxiety Disorder. Although it helped lift my depression for the most part, my anxiety had not gone away. I have daily chest heaviness from the anxiety. Based on advise from a psychiatrist, my family docter increased the dose to the full pill of 10 mg at the beginning of January. Since I've increased the dose, I've had extremely bad insomnia and do not get much sleep on a daily basis...and my anxiety in the chest has not gone away either. I did not have insomnia at all, at the lower dose. The only reason we increased the dose in the first place was because of my anxiety. It was the night before last, that I decreased my dose back to half a pill so I can get some sleep (won't see my docter till next week). My dilemma is that I would like to go back to work, although, I'm not sure if I will be able to meet the demands of my very busy job, with the daily chest anxiety. Has anyone had similar experiences with Cipralex or can relate? I'm seeing my doctor next week and I don't know what to do at this point. Thanks M