Until now, I haven't notice any change caused by the tapering process, I am not going back to where I was before I started paxil. Of course it could mean that paxil had only a placebo effect but if it is the case I don't care, the means don't matter as long as I am pleased with the result.
I've never used medication but heard that it can be useful for reducing SA and that allows people to practice (e.g. exposure). That process then creates the necessary changes to reduce SA. Are you referring to that with placebo effect or something else?
In any event, as long as something works...