Paxil has been a real lifesaver for me. I was taking 20mg/day in the morning, and after a few weeks I noticed that getting out of bed wasn't a huge battle; I felt more like a human being again. The first few weeks *are* hard, as Paxil tends to make me drowsy and yawn constantly for no reason. Also, all that drowsiness during the day can mean insomnia at night. However, if I can keep going until early evening, sleep usually isn't a problem. Taking it at night might also help. I'm off Paxil now as I'm trying to get off meds, but when I was down at the lowest of low it helped me think rationally and ease into therapy.