<s>[INST] Raising my grandson for the last Six (6) yrs. Has PTSD from a series of tragic events. Most tragic was finding his 18 yr old brother seven yrs ago deceased from an OD; has drug addicted mother. Now taking 10 mg Paxil for anxiety. Recently, aggression has returned to point of some fear on my part. Grandson more agitated beginning this morning. He explained this morning he accidentally took his regular 10mg of Paxil, forgot, (He says) & took a second 10 mg dose this morning. Also, prescribed Ativan ,which he did take this afternoon; does not seem to alleviate aggression symptoms. Has left for the evening w/friend to stay overnight. Is it possible the add. 10 mg s has made his behavior more unmanageable? Thank You for any assistance to help me. [/INST] Hi, Thank you for asking question on Chat Doctor. Really you have undergone a lot of stress in your family. Addition of 10 mg extra of Pail will not result in agitation that is unmanageable. You better consult psychiatrist for reassessing the problem and alteration of treatment if needed. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics </s>