PAXIL wearing off (depression)

Patient: Hello, please help me, i take 60mg paxil, and 3mg daily ativan for anxiety, i have been taking 60mg of paxil for 4 years or more. I feel its not working no more, i feel depression coming back , i dont feel like doing anything and , can i increase the paxil???? or take something else on top of it in small dosege???? Tried already effexor, trazodone in small doseges made things worse for me, i heard paxil can go to 80 mg

Doctor: