Kelly, I think Paxil is a completely reasonable next step. HOWEVER, I would say that it TENDS to be more sedating and more likely to cause weight gain than some of the others. As I said in my previous post, you absolutely cannot predict what side effects a patient is going to get (frustrating!), so you could be completely fine on it. IN GENERAL celexa and zoloft (both available in generic) tend to be well tolerated.
Definitely tell the doctor about how you're doing on the wellbutrin. And tell her that weight gain is a concern, so that she keeps that in the equation (I'm assuming you already did and that's why she tried the wellbutrin).
This is all trial and error, so try not to get frustrated!! I know it's hard, and it's may take months and months of trying one thing and then another, but when you hit something good, it's sooo worth it.
