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Many regular old family physicians prescribe these SSRIs..so I would not assume LW's mother was seing a psychiatrist. Paxil is the hardest of the SSRIs to come off of. Google "Paxil withdrawl" to read many horror stories. For some people Paxil withdrawl can cause all kinds of craziness...it needs to be discontinued VERY slowly and under supervision. She probably needs to be remedicated for awhile...and yes it sounds like she has gone off the deep end...reminds me of the sad story of the crazy astronaut..sad... Do you know what other medications she is taking now? Some people get strange reactions from medications they are taking as well as from those they are withdrawing.