I was on it years ago for what my PCP and I thought was simple depression. It made me manic at first, although I didn't recognize that at the time. I stayed on it though and it actually helped for awhile. It pooped out in a few years and I asked for Wellbutrin. Big mistake. HUGE. That stuff turned me into a raging maniac! But that's a story for another post...Good luck with Paxil, you may as well try it to see what happens or you'll never know.