"i was diagnosed with severe depression.  i am 61 years old, and i had no previous problems.  i started on paxil 14 months ago.  it took 3 months to take full effect.  my doctor started me on 20 mg and then 30 mg to kick start it, and it worked.  i tried to wean off, but i went too fast.  i just went back to 30 mg a day (20/9pm 10/7am) a week ago.  it hasn&#039;t taken full effect yet.  i would recommend paxil, but realize that this medication is very slow to work and dosage changes take time.  everyone is different.  it has helped me, but it has been a long road."