I found that paxil has helped me with both depression and anxiety. I have been taking it for over 35 years. It doesn't cost me any bad side effects although lately I have some issues with depression upon waking but once I get out of bed I'm okay. Sometimes it's trial and error it also helps if you talk to your psychiatrist truthfully especially about physical symptoms that will help him to find him or her to find the best medicine for you. Exercise and fresh air and sunshine are very helpful to me and I think that's probably why I'm getting some depression lately because it's cold and dreary where I am. Hang in there you'll be okay.