Hi, Troy, just thought i would pop in and tell you my thoughts on Paxil, so you wouldn't be mystified, lol.
SSRIs in general are NOT a good idea for BPs, period. Paxil and Effexor tend to REALLY cause episodes, or extreme anxiety/panic attacks. We dont' react the same way to anti Ds as other people. I see it almost every time someone writes in here how they are not getting stable, or are having episodes, they are almost ALWAYS on an SSRI. SSRIs now come with a warning for docs to screen each patient they see for depression for bipolar disorder before prescribing. Yet so many do. Lamictal is an excellent stabilizer with antidepressant effect for BPs, it works for almost all of us, and doens't cause episodes. Wellbutrin is also a good choice, it doesn't act on serotonin like the SSRIs do that cause the episodes. The combination of the two is often a really great livesaver. Wellbutrin CAN cause agitation, too but not practically guaranteed, like SSRI meds.
If the Paxil isn't agreeing with you, ask your doc about the other two.
So there you have it, partly my opinion and most fact. I hope you're doing well, other than staring at bobbleheads for 15 mintues, lol
Shannon