First, you say a psychologist gave you Paxil -- they can't prescribe medication, so did you mean a psychiatrist? I'd save Paxil for last, as it's a very difficult med and the hardest to stop taking. Beta blockers might help, but are usually used for social anxiety -- I don't think they've proven in trials to be useful for other types of anxiety unless it's tied to a heart problem. If you take Xanax every day, it is an addictive drug, as are all benzos, so it will become hard to stop taking. That isn't in itself a reason not to ever take a certain drug, they're all hard to stop taking, but as often happens in this forum you never mention whether anyone sent you to see a psychologist who specializes in talk therapy for anxiety before turning to medication. That's the first thing they did with me and that was years ago before we knew all the problems with the meds. While there's no guarantee this will work for anyone, it is a good place to start. As for medication, it's possible you would have gotten used to the Zoloft, no way to know, the side effects kick in long before the benefits do. You might want to ask about Lexapro if you decide to continue along the medication route, but I'd at least look into CBT therapy and see if it helps you. Good luck.