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I have these aches and pains in my head. It feels like my brain is being poked with a needle.
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Did you tell your doctor about this? Did you get a cat scan or MRI? You might want to ask for one just to ease your mind.
All the other symptoms you described can be symptoms of anxiety. I've experienced all of them. The paxil should help. You might not notice a change for 4 to 6 weeks though.
Don't take the St John's Wort with the paxil unless you ask your doctor first. I don't think you can use both. Another symptom of anxiety is the fear of having a terminal disease or the fear of losing your mind. I'm pretty sure you are just fine and it's just anxiety.