if your SA is caused by stuff that has happened in the past, traumatic events and stuff, then yeah i can see that meds isnt really gona change that. counselling would probably be more effective, maybe combined with meds though, who knows.
for me meds really did work tho..my SA wasnt really caused by any major traumas in my past..it just happened, i think it was a lot more to do with genetics in my case where the anxiety is caused by chemical imbalance in the brain.in these cases going on meds like SSRIs really can work, at least for me it did.