Objective To investigate the clinical efficacy and safety of escitalopram in the treatment of chronic subjec-tive dizziness ( CSD) . Methods A total of 90 CSD patients randomly divided into medication group ( n=32) ,vestibular reha-bilitation group (n=27) and psychological intervention group (n=31).Patients in the medication group treated with escitalopram (10-20 mg?d-1,PO),those in the vestibular rehabilitation group were underwent vestibular rehabilitation training and those in the psychological intervention group were given cognitive behavioral therapy. The treatment course lasted six weeks. All patients were evaluated by zDHI,HAMA and HAMD before and after the treatments. Results The total scores of HAMA,HAMD,DHI and the respective factor scores of DHI were significantly decreased in each group after 6-week treatment when compared with those before the treatment (P<0.01).The total scores of DHI was (30.45±15.84) in medication group and (36.15±13.07) in vestibular rehabilitation group,the physical factor score was (10.06±4.49) in medication group and (10.23±4.64) in vestibular rehabilitation group,and the functional factor score was (10.71±5.95) in medication group and (11.23±5.03) in vestibular reha-bilitation group,respectively.There were no significant differences in the three indices between medication group and vestibular re-habilitation group.But they were significantly lower than those in psychological intervention group [(43.86±12.48),(14.43± 4.37),and (17.57±4.37) for total scores of DHI,physical factor scores and functional factor scores,respectively] (P<0.05,or P<0.01).The emotional factor scores of DHI were (9.68±5.68) and (11.86±4.74),HAMA scores (9.97±4.72) and (12.18± 4.16),HAMD scores (10.26±4.91) and (12.32±4.53) in medication group and psychological intervention group(P>0.05),re-spectively.They were significantly lower in the two groups than in vestibular rehabilitation group [ (14.69±4.76),(14.96±4.77) and (14.88±4.65) for the emotional factor score,HAMA score and HAMD score,respectively,P<0.05 for all]. Conclusion Escitalopram can improve the symptoms of CSD involving the body,emotion and function.The vestibular rehabilitation training and cognitive behavioral therapy have their respective advantages.