Unfortunately, studies show that exposure alone fails to fully treat social phobia. Exposing oneself to a feared situation is bloody hard. Many patients either fail to engage with or drop out of exposure therapy. According to Veale (2003), only 50% of those completing the full course of exposure therapy will be successfully treated, with those suffering from depressed mood, avoidant personality type or an “intolerance of (strong) emotions” more likely to fail.
I found this on another site. I pretty much agree and think its obvious. One poster on the anxiety forum completed a course of CBT and went back to the doctor as they were still not much better and said he basically through the leaflet on CBT back at her and said there wasn’t anything else. Its strange why so many people seem to think doctors are so great and there is loads of help out there when evidence from so many people on social anxiety forums suggests that not only do many doctors still not take social anxiety seriously but treat patients with near contempt or annoyance if they go back for help.
Of course CBT for social anxiety is pointless if you are depressed as it demands enthusiasm and positivity. To even make small talk with a cashier requires smiling or a pleasant demeanour and when nervous or irritable this is simply not going to happen or gets a poor response which only increases negativity. The past two weeks have been hell again and my irritability has sky rocketed. Even forcing myself to go on walks or do other things did not improve my mood in the slightest and made the whole thing depressing. On the way home on Saturday afternoon from yet another boring walk I just sat at the bus stop and wanted to lie down and die. Life is just a series of random events and coincidences and has no point.