My boyfriend is suffering a lot and we don't know what to do. Please help.

How long has he given each anti depressant to work (how many weeks with each)?

Yes your boyfriend has full stage Anxiety and depression. Those thoughts he gets are called Intrusive Thoughts and they can make your mind think of the most possible worst things and they just bother you all the time. First you have to understand that Ant-Depressents take 4-6 weeks to even start working and sometimes you have very bad side effects which are worst then the symptoms and then you have to decide if you need to change the Med, it's not down to a science so everyone is different, it will take time. Now some here will disagree with me 100% of the time but this is what helped me 8 years ago to control the same issues he is having, I was put on Xanax to help control the Anxiety and it worked wonders, takes 30 minutes to kick in and he will feel better "But use this drug with caution" and only take what the DR prescribes. Years later I still use it but only when needed, I have a chemical inbalance and still need Meds. Lack of sleep is not good, I take Seroquel at night and sleep like a baby and it helps with Anxiety too, you just have to find the right dose. This is how I controlled the worst thing that ever happened to me ever and spent four days in the hospital and left 50% better. Good luck.

Yes,I have suffered with anxiety for ever,so I know about it. I have been in that dream like state and I never understood it till I was on this site. For me, I would have a panic attack which would throw me into this state. I always would say that I had a panic attack that wouldn't go away, but I now believe that it was this, and it's called Depersonalization. Maybe I'm wrong but that's what I think. I have a friend that every time she drove ,she thought she hit someone,or something and would have to turn around and check. She has anxiety,and is on meds. I have been on meds for years myself. Now with that being said I do think your boyfriend is suffering from anxiety. With anxiety, and panic, we feel gloom and doom,and were never going to feel better. Guys show their feeling with rage cause that's how they deal,and us girls cry. I never heard of depressive syndrome, but the paxil is used to treat anxiety how ever if it is not working after a couple of weeks than by all means call your doc right up and he will change it or up it  if need be. When on meds you should feel good again like your old self. Please call your doc and get right back there. It is hit and miss till they find what works for you. I wish you well again. xxo

you must give the medication time to do its work.  2 to 6 weeks and most times the medication will magnify the symptoms you already have. Its frightning and very scary but in most cases you start to notice improvements around the third week.When the brain is over stressed which is what we are all going through it goes into a type of overload, your not going mad or crazy. Its just trying to reboot itself and so you get what I call stinking thinking. Episodes of thoughts that are not your type of thinking and because its not how you normally think you go into a panic reaction. This is where the drugs do their thing by helping the brain to start putting things in to prospective. Yes I know its not quick enough but time is our friend and you will get to a controlable stage where you feel good and life is good. Please note sometimes you may have to go through several medications to find the right one so hang in there you will get to a better state of mind.Did you know Sir Winston Churchill suffered with anxiety He called it the Black Dog. He did not have the medications we have today and still lead a country to victory through a world war.