I would say that the worst consequence of having SA was, for me, the deep emotional pain; the loneliness and the frustration caused by my inability to express myself.
I've learned how to deal with my feelings of loneliness, so that isn't such a big issue for me any more. And I'm making good headway in learning how to express myself which is also a positive. There is still a whole lot of room for improvement but, overall, I'd say I'm in a pretty good emotional place right now.