I have been on Paxil (20 mg/day, taken in the morning) for 18 days now, and I am feeling way better than I was before starting it. Before, I was weepy, depressed, prone to panic attacks, quick to anger, and wondering why I was alive.
Now, I am thinking much more clearly. I do not feel depressed. I have not experienced any panic whatsoever, even during times when I usually had panic episodes before. I feel moments of normal happiness, which I had gone a very long time without experiencing.
I have experienced a slight sensation of detachment since starting the Paxil, but it's not awful. In fact, it is probably best for me, anyway. My emotional instability was pretty bad before--crying at the drop of a hat, freaking out at my poor husband for something minor--and the Paxil has put me back on an even keel again.
The only "bad" (note the quotes) side effects I have noted are night sweats (actually, increased sweating overall), insomnia (particularly bad the first week of taking Paxil), and teeth grinding in my sleep.
My doctor prescribed me a short course of low-dosage Xanax for just the first few weeks, so I pop two 0.25 mg pills before bedtime. This has helped the insomnia, and I am no longer grinding my teeth during the night. The longer I stay on the Paxil, the lesser I notice or experience the bad side effects.
Overall, for me at least, the good outweighs the bad with Paxil. I feel like myself again!