My therapist who uses a CBT approach told me the other day that the only way to truly conquer my fears is to completely get off of my medication and face it head on without chemical help. He is recommending that I titrate off all my meds. I am currently taking 5 (lithium, propranalol (beta-blocker), baclofen (anti-craving med for a past alcohol problem), ambien, and klonopin (benzo). I had actually suggested that I get off all my meds because I don't believe they are helping that much. In short, the negatives (side effects) far outweigh the positives. I will ask him this question i my next session, but if he wants me to get off all meds then that means that my SAD stems not from a chemical imbalance but strictly from major distortions in my perceptions. Is this correct? He doesn't know my history well enough to make that assumption. I have only seen him 4 times. It's already been ruled out that I don't have bi-polar so I don't need the lithium. It makes sense though that since the benzos don't help me relax during a social situation that a deficiency in GABA does not plays a role in my SAD. I'm not even sure what I want to ask in this post. I guess, I am really beginning to think that he is right since I have been through a full battery of psychotropic drugs for several years without much help. Maybe I need to stop trying to fight and hide from my fears, and slowly learn to comprehend that there really is nothing to feel threatened about in simple social interactions. If I appear nervous to someone else, or say the wrong thing, or stammer, or if someone makes a critical comment, then so the hell what. If I learn to let go and just live life and realize that all my negative feelings are caused by me and no one else, then that would eradicate my SAD. No one can hurt me emotionally but myself. If someone says something bad about me then it MY thoughts that cause the pain. No one has power over MY emotions but myself. Maybe the best that I can hope medication to do is offer me another hiding place to escape from the real issue. Bi-polar disorder, schizophrenia, severe depression, yeah there are a lot of disorders that a chemical imbalance makes sense. But, the only time I feel uncomfortable is when I enter a group of people. It's hard for me to see the chemical imbalance in that. I don't know. Does anyone have any thoughts? I just thought I would write what's on my mind now. Thank you in advance for your input.