I've been on Paxil 10mg (for anxiety disorder) for four and half weeks now and have only seen minor improvement. The last two months, including the month before I started medication, have been an absolute hell. After two to three weeks of the medication, my anxiety has gone away for the most part, with the occasional anxious break through, but now I've been dealing with moderate depression, sleep issues, feeling tired all the time (which is probably a side effect of Paxil), feeling like I'm going crazy, weird dreams (more than usual haha) and mood swings. I know 10mg is a low dose and and that it can take two months to work fully. I'll probably be going up to 20mg two weeks from now. But what I want to know is does Paxil gradually take time to work fully or does it just one day works fully?