Yea I just had a med check on Wednesday of last week they took me off Paxil and put me on Wellbutrin because I wanted to quit smoking and have my libido back. I got both. I called my doctor today and he told me if I feel bad enough to go to the ER as there is nothing he can do unless making major med changes, that he'll only agree to do in a hospital setting anyways. So I feel I am screwed anyways. I have not been to the state hospital, however it has been threatened a few times. I wonder if the change from Paxil to Wellbutrin started all of this. I doubt it. I don't know. Doctor wont do major med changes unless I'm hospitalized anyways.