Cant go to sleep unless someones up who i can talk to or i wakeup physically ill and start crying. whats wrong with me?

PCOS? Have you been : diagnosed with Polycystic Ovarian Syndrome? Make an appointment with your GYN to discuss this. Seek referral to a psychiatrist & a psychologist for diagnosis & management of anxiety disorder, commonly seen in women with PCOS. It sounds like the escitalopram isn't working at the current dose. Review meds with your psychiatrist & add Cognitive-Behavioral Therapy. See consumer reference below.