Hi, your situation sounds so much like mine was a few years ago. i too went on paxil, had great help from it, later had to switch to lexapro and had a really difficult transition. i think no matter what brand you switch to, the slow going off, and the new slow ramping up is just tough. tell your family and friends you need their understanding and support for a month or two. also, just changing a medication can make you tired. your body is adjusting. be kind to yourself. take naps when you can, do what you need to do. by the end of the month you should feel the effects, and benefits. if not, see your doctor again. i had the panicky racing heart and the terrible thoughts. also, get the book called the anxiety and phobia workbook. really helpful.
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