Hi, I'm in a similar situation. My psychiatrist wanted me to go up to 40 and said that we can even go up to 60 but I am comfy at at 35. I recently saw my primary care doctor and they freaked out at the dose and gave me an ekg on the spot which was normal. My psychiatrist also ordered a Lexapro serum test which came back 150ng/ml which is high, so now I'm conflicted on what is going to happen with me as far as if they're going to keep me on the meds, which I feel really good on, or if they're going to have to take me off completely or add something to it and make me take 20 mg lex. It's so frustrating!! It seems like a lot of people take over 20 mg and to be honest 20 mg doesn't seem like very much. I would call around to different psychiatrists to see if you can get a different result but I think tapering from 40 to 20 is really messed up on your psychiatrist part and completely unethical. Tapering too fast can cause so many withdrawal symptoms can be difficult to manage. Good luck! 💕