For me, my continual strugal with depression is often debilitating and interrupted my parenting. My doctor, lc and I decided to resume the celexa I was on before pregnancy. I had tried st. John's wort and it hadn't been effective for me. I don't know much about paxil and I believe that there is a lack of studies on the efficacy and safety on herbals so that could be why other sites say that paxil (being studied) is safer. I recommend just getting together with a doc and discussing your history, paxils pros and cons as well as the herbal options. For me not going back on pharmaceuticals was not on option AMD my baby needed my milk.