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Of course it's effective, for the same reason that ecstasy is effective, and in similar fashion. And less important than getting people off Paxil is keeping people from touching the stuff in the first place. Of course I run the "risk," as you say, of frightening successfully coping (not, mind, cured) Paxil users off of the drug, and back into clammy-fisted delirium. But it stands to reason that the people "on" Paxil (I prefer the phrasing "under" it) are those best-informed about the risks they run, and most willing to endure them. Anyone who didn't know, or learn, this going in will certainly at least be surprised, which is halfway to fright already.