You are not imagining it and you are not being difficult. Document it and take the document in. Not on paroxetine but the pattern is familiar.

This is the correct amount of effort for a thread like this.

Sleep, food, or the compound? Yes.

Everyone here blames the drug. Half the time it is the appointment schedule, not the molecule.

Small wins count. Walking to the mailbox is a data point. Tolerance was my main issue with a second opinion too.

Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time.