Have Mental Health Questions? Ask a Psychiatrist Online
Are you still on paxil? What dose (or what dose were you on in the past if not still on it)?
Any other meds tried?
I agree with your doctor...the rule of thumb is instead of experimenting with a different medication, make the most of your current dose. You can go up to 30mg...and consider going up further if needed; the maximum dose is usually 60mg.
I am glad you have tried treating yourself holistically (exercise, nutrition, sleep hygiene, and comedy). However, you didn't mention psychotherapy which can be a powerful tool. Consider self help books like: The Relaxation & Stress Reduction Workbook (New Harbinger Self-Help Workbook) by ***** *****. The Mindfulness and Acceptance Workbook for Anxiety: A Guide to Breaking Free from Anxiety, Phobias, and Worry Using Acceptance and Commitment Therapy by John P. Forsyth.
Also consider learning yoga, meditation, tai chi, etc....these are powerful tools for anxiety. Look for local bereavement groups if you can handle the group setting.
I would avoid alprazolam or any similar meds because they can be addictive. However, if there seems to be no lother option, lorazepam or clonazepam can be helpful, and are not nearly as additive as alprazolam (obviously you will need to watch out for the same side effects). Any of these are DANGEROUS to combine with alcohol.
I hope this helps. Let me know if you have other questions. Take care.
As the saying goes, no pain, no gain. Going to groups or individual therapy can be a little depressing. You're not going for coffee and to discuss news/weather/sports. This is part of the healing process.
Just have a plan to do some positive, distracting activity after the session (music, movie, hang out with friend/family, TV, etc.). Take care.
My pleasure...good luck.