Hi BQ,thank you for your comments. Oddly enough, I feel a bit more alert since the estrogen was increased, guess my doctor isn't as big an idiot as I thought. I had a great childhood from what I can remember, I grew up in farm country, which is wonderful for any kid (though watching pigs be slaughtered when I was 5 turned me off pork for life)I was a battered wife for 10 years (first marriage) but I don't think that left permanent scars, I divorced him and we have managed to be civil since then, he visits once in a while and all is well, why shouldn't it be, I never have to put up with him again.I think it is partly all the idle time I have on my hands these days, I don't feel well enough to commit to any major projects, or even small ones. I just feel numb and sleepy most of the time. I guess it doesn't help that for years my house was over run with kids, never a minute to think. But now there is only 2 kids still at home and as they get older they need me less and less. I guess I am lonely, listless and lost. I find I am also very sleepy since I started the paxil, and my concentration leaves much to be desired.Paxil is certainly not having the positive effects that were hoped for, but he keeps saying to "stick it out". Except for ending the panic attacks, but I had hoped for so much more. Well, actually, I am reading again. I was a huge reader years ago, but as my health got worse I found it increasingly difficult to concentrate on a book, and eventually I stopped trying, but the last few weeks I have read 15 books. Since thats the one thing I can commit to I will try your suggestion and see if I can find some books that offer me some emotional improvement.I tried volunteering at the high school, but was told they don't have a parent volunteer program, I even tried to put some pressure on the principal to start one but he wouldn't budge.Thanks for your input.Lori