Questions concerning the Paxil and his possible reactions to it should be directed to the medical provider who gave him the prescription. If he is saying that he is feeling "out of control" as you noted above then they really need to be consulted. The most common advice that I read that is given to women in your situation is to do as much listening as possible and to resist using the term midlife crisis or any other label when talking to them unless they bring it up first. That and to get you both into counseling, if not together, then go by yourself. Given the terms he is using in describing himself hopefully he'll be open to going. Good luck.

Wesley Hein
Wesley [at] lifetwo [dot] com