Not much progress

After two months of increasing paroxetine from 10 to 20mg, I still have so much anxiety most of every day, plus the side effects that come with the medication. I'm starting to feel that there is no hope that anything will get better. At the end of next week I do see a nurse practitioner for medication help, but who knows if that will even work? My coping strategies don't work as well as they used to because I've been doing them for so long. In another month I can see the therapist. It's been hard to get through this.