Brief ish background

Female, 42. Long history of GAD, most recently accompanied by depression. My husband of 18 years passed away a year ago after a 2 year battle with a brain tumour. I have 2 kids with little family support.

I am feeling so down and unsure whether this is down to my medication not working (currently on 15mg escitralopram), grieving, being perimenopausal (I have also just started HRT) or just life in general.

I feel so low and mu doctor is very supportive but I feel like I need an idea of what meds to try next.

I've tried a number of different ones over the years and have always come back to escitralopram as it's the one that I seem to have tolerated best, with the least side effects. However I am feeling so down, I know its not working anymore and hasn't for a while.

Any suggestions please?. I am having counselling also.

Thanks in advance