I refused drugs for years after I was suggested they could help me, but finally felt like I had to give in. Other than SA, I also suffer from OCD and depression. Felt like I was at the end of my rope, and to make matters worse, I was told that refusing drug treatment altogether could result in losing the money government pays for ill people to get better (eg. no point in giving money to a person who apparently isn't that keen to get well).
The pills probably saved my life, but although the medication is used for treating SA, I haven't noticed remarkable difference in social situations. I can now go to the grocery store without freaking out, but that's it.