Susan, I know that anxiety and stress levels sometimes increase when active treatment for bc is finished, which is strange but understandable. Now you're "done" doing what you can to fight the cancer, and it's an adjustment to find yourself again. Also, hormones being out of whack doesn't help.
Just try to take it one day at a time, and your psych doc should be able to make some suggestions for alternate temporary meds if Paxil is no longer appropriate.
I started an anti-depressant(Celexa) when I had recurrence, and have been on it for 7+ years. No bad side effects, just much easier to have a good day now 
Hang in there and let us know how it goes Monday.
<3 Lolly
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.
Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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