Unfortunately, no one had the slightest idea I was bipolar at that time (although in retrospect, I realize now that I've probably always had it) and I was seeing only my primary care doctor. Paxil had pooped out on me, and I wanted to try something different......well, NOW I know why the Paxil pooped out, and why Prozac hadn't worked before that. My PCP referred me to a psychiatrist when he realized my mental-health issues were beyond his ability to treat. I was thoroughly offended and told him "I'm not crazy, Doc, I've just had really bad mood swings all my life!". But I went, and I've thanked him a thousand times for recognizing that he couldn't help me any more.