I think its best to understand that for some people, medication can work wonders.
For others, not so much.
Personally in the past I have been prescribed probably up to 10 different anti depressants,
(not at once of course) lithium, and a few others.
I found them pretty much all to be ineffective for me. The Lithium did have some effect, but it created havoc with my stomach.. so after about 12 months I stopped using it.
Lexapro sent me mad lol. I had bad akathisia with this, and it made me feel angry.
Other anti depressants or mood stabilizers just didn't work at all.
It's been about 4-5 years since I've been on any meds, and I feel much better for it.
I think with SA and AvPD the best medication is the will and inner desire to help one's self