Since Paxil is more sedating and I've had insomnia issues when I tried Zoloft, would this be a decent alternative perhaps if I were to try another SSRI?
Have you heard the term bar hopping? This occurs when young adults hop bars until they find the one bar with greatest thrill, just for the night. Another term I could add to the English language of slang is pill hopping.
Like bar hoppers, pill hoppers hop, but on different pills, until they find one pill that gives the greatest comfort. Pill hoppers however are not exactly thrill seeking teens who seek booze and excitement over night, but people (much wiser and possibly older than teens) with an actual sickness, which forces them to go from pill to pill to resolve their discomfort. I'm aware you have insomnia, and yes I know it sucks (like hell, especially if it's been going on for months) to get no decent sleep, while also experiencing family issues that are causing chaos in your life at the moment.
However, to quell the insomnia, don't feel a need to hop antidepressant pills every four days to find one that works, without insomnia. Realize antidepressants don't work after a few days, instead they work after quite a few weeks that will extend to about three months. The important thing though is to stay on a pill (one pill) that will get you to that three month mark.
I believe you've already been on Doxepin (Sinequan) without side effects (and with trying antidepressants, considering the biggest complaint about using them is side effects, this should be considered a god send), however you stopped it, and pill hopped again. Doxepin (Sinequan) is a tricyclic and is deemed the most sedating of the tricyclic family, as you observed Paxil (Paroxetine) is for the SSRI family. Studies have shown this medication does not affect GI upset. If you've been on Zoloft (Setraline) before, do note the biggest complaint from most Zoloft (Setraline) users is stomach (GI upset) issues. Anxiety Zone, Zoloft (Setraline) users have posted complaints about stools (tmi sorry), or even constant dashes to the nearest stall, where it could make someone OCD, about where is the nearest bathroom in the area. Fortunately Doxepin (Sinequan) does not have this aggravating GI side effect, and taken alone (without the need of another antidepressant, like Remeron) it can decrease uncontrolled anxiety. You and your doctor may even revisit Trazedone again with Doxepin (Sinequan).
Below is an antidepressant chart where you can evaluate Doxepin(Sinequan) with other antidepressants. If you go back on Doxepin(Sinequan) again, which I think you should, and hopefully your doctor may agree too. Just remember you can't stay on it for nine days and stop, then pill hop. You will need to take Doxepin (Sinequan), and stay on it for several weeks to relieve the anxiety. Anxiety levels will drop, at a stable period, at 3 months. Since it's sedating, it will give you a greater ability to sleep when taken at night, with possibly Trazedone again. Also if this is the first time you've been on antidepressants, your doctor should advise you to stay on the medication for a year, at the least.http://www.oncologypractice.com/co/journal/articles/0206528t.pdf