I was on paxil for about a year then switched to effexor for the past year. It definitely helps with my mood swings. I'm not as short tempered as I am when not on it (paxil worked for me in the mood as I g department just not the depression so much). I am noticing that with effexor, the depression is still in the background and can *trap* me at times but I have more good than bad days with it. There have been a few times where I didn't take it for some reason, no withdrawls but if I go more than 2 days without it, my temper flares more. I guess I am one of the lucky ones who can handle it well. I hope for anyone who is unable to handle it, is able to finally go d something that works for them