I was on Paxil for years ending at 60 mg. It did wonders for me .Aftet a divorce and loss of insurance i had to get off it. Now with anxiety attacks and severe depression, I want to get back on it but it will be another 2+ months till i have insurance again. When i first started, i had a home business and could work around the initial side effects... always watnted to sleep for the first two weeks and insomnia the next two. Now i have a real job (just started) and concerned about these initial side effects preventing me ftom doing my job. I originally started at 10mg and wondering if starting with only 5mg would eliminate these initial side effects so i can make it to and perform at work.