DD1 was on Wellbutrin for a year. Depressive symptoms waned, and anxiety became more clearly defined. Added Paxil 10mg. Seemed like a wonder drug since her anxiety was GREATLY quieted, and in some areas almost non-existent. 2-3 months later she had one 3-4 hour depressive episode (intense sadness, hopelessness etc) I chalk it up to pre-puberty, but mention it to psychiatrist. It was at this point the psychiatrist started suggesting we should start looking out for BPII. Episodes continued bimonthly then weekly then 2-3 per week. At each visit she increasingly asserted watching for BPII, and of course the possibility of inpatient treatment if these episodes continue, get worse, get longer, etc. When it got to the 2-3 per week, she suggested taking away the Welbutrin and adding either risperdal or Abilify (insurance willing) but the Paxil was to stay. risperdal was first - not good, so we got the Abilify, but also increased the Paxil to 20mg. Episodes continued but got stranger, looked more and more like BPII, but also almost psychotic-like. Today we saw psychiatrist on yet another "emergency" visit. I explained the intensity and difference of the episodes again. She always seems to be playing "devil's advocate" I explain the concerns, she tries to explain them away, I explain further, and then seems to "accept" my concern/plan/ideas and agree to change or modify medications - usually in the same direction I was thinking. Today she folded her hands and actually asked me what I wanted to do? WTH? I threw it back at he and said I didn't know, what did she think? She shook her head, and was quiet for a bit. Then I asked for more evaluations etc. (she said neurpsych referral had to come from the pediatrician and dismissed that, but then agreed to urge pediatrician for a plain neuro referral) I finally suggested that since Paxil was the only constant that maybe we should look at that for the problems. So she said to drop it back to 10 and "if I wanted to" I could wean her all the way off. Does that seem normal from a psychiatrist? Did the psychiatrist fornicate up DD1 by increasing Paxil - missing that these episode could have been side effects as opposed to BPII emerging? OK Here's the real paranoia part? psychiatrist intentionally "causing" the BPII symptoms to emerge so she can "diagnose, treat and research"? by the way yes, I do research all drugs my kids take and watch for side effects, but I have a limited scope of experience - if it's not text book, I may never notice or identify. Isn't that the psychiatrists job anyway? What if I had NO CLUE what I was doing? What do kids of stupid do? So now I'm freaking because while I researched the drug and side effects, I never really researched withdrawal. UHG fortunately the 20mg has only been for 3 weeks, and 9 months overall. Wish me luck!