I have the worst case of PAWS anyone probably ever got, after stopping Paxil. It's not a common problem, but it does happen. But consider that most people who become addicted to drugs are already depressed, which is the real problem and why it's so often very difficult to stay off them -- you've been self-medicating, but not treating the underlying problem of why you felt such a strong urge to get high all the time instead of just occasionally the way most people do. You also could have just old fashioned withdrawal because you might have stopped your meds cold turkey. Drug rehab centers cause most of the recorded cases of PAWS because they usually stop the drugs cold turkey. Now, I tapered off the Paxil and still got it, but we're talking most people, not me. I'd also think about if you really have ADHD -- it's often overdiagnosed -- but realize that the meds for this are speed, and that might just make you more anxious right now. In your case, try to figure out with your therapist the why behind your strong desire to be high all the time and why that started in the first place. I know that's just a first step, but a first step is where you start.