how to start Paxil ?

Are you sure you don,t have an anatomical reason for the swallowing difficulty? I ask because i have reactive airway disease.At times,especially when anxious or rushing,my throat feels as if it is closing and restricted. I initially panicked until i taught myself to breath in through NOSE and slowly out mouth. My throat becomes temporarily paralyzed but i can breath! I cannot swallow during these episodes but i don,t need to swallow. I need to only breath. I use an albuterol inhaler 2 puffs,1 minute apart. It is my rescue.inhaler. I do not have a gag reflex so i choke easily but i feel i have it under control for now. Perhaps you should see an ENT(ear,nose and throat doc) to make sure your throat is normal! So many women are being diagnosed with panic attacks by docs but make sure your throat is normal FIRST! Do you have asthma or allergy symptoms that can trigger the symptoms you panic about? Worth investigating. If your throat is normal then see an expert in OCD and eating disorders, a psychiatrist,not family practice doc or NP! They play psychiatrist and shouldn,t! Good luck. Try the slow breathing techniques with fresh cool air blowing on your face! It always works for me.