Dear Vickers, You have probably read my other post. I am so upset my psych nurse who I have seen since the beginning of this disorder is relocating her practice several hundred miles away, I did see her today for an emergency appt. She wants me to take 25 miligrams CR instead of 20 milgrams Paxil, I really do not see the difference, she swears up and down the side effects will be less and it work better, but I remember you doing extensive research that its the same darn thing and you always know what you are talking about. I pleaded for my Zoloft back, she wants to try this for a few weeks and then if it does NOT work will consider Zoloft before she leaves. I told her what a horrible terrible shape I have been in, not leaving the house, panicking, crying, very depressed, I did not hold back this time, I told her about the ER room and paramedics, does this sound like someone who it getting more stable on Paxil, I do not think so. I was not crazy about Zoloft but at least I was a little better, she mentioned "Cymbalta" which I know nothing about. I am so confused and upset Vickers, withdrawing from Paxil without a back-up is hellish I know, it seems like things go from bad to worse for me, I hate to sound negative, my only medical help is leaving. Did you ever take CR, I guess I have no choice if I do not want to go through cold-turkey withdrawal, but I do not want to continue to take a med which causes more depression, she said I have not been on it long enough and I am taking too low a dose at 20. I so trust you Vickers, you have taken this. Please post me back when you can. Thank you, Debbie.