Hi everyone. I'm new here and this is my first thread. I've struggled with OCD like symptoms since I can remember, and they've intensified thoroughly in the past few months. I don't have compulsions, only very intense irrational fears/obsessions. Two years ago I had a bad bout of obessional thoughts and went on 12.5 mg of paxil cr. It was wonderful. I went off of it a year later thinking I was fine. A few months ago it happened again. The obsessions came back with a vengence. My doctor thought I should up the dosage from last time, and I'm now on 20mg of regular paxil every day. I also complement paxil with klonopin which really really helps with my anxiety attacks. Here is my problem: I've been on the med for less than a month. The first two weeks were psychologically hellish. They was the worst depression/obsessional episodes I'd ever experienced. After the intial first few weeks its been up and down. Some days I'm on cloud nine. Other days I'm obsessed and depressed to the point of severe anxiety. What should I do? I'm starting to think that my general practioner can only do so much and I should maybe see a psychiatrist. Does paxil take a long time to kick in? Why did it work so well last time and not this time? Would a psychatrist be better able to handle my situation? I'm convinced that I have an anxiety disorder or maybe pure O. Any info would be greatly helpful. Thanks so much.