would also be important to directly address the eating issues.
UÊOther life issues . For some people, years of social anxiety can lead to 
various long-term problems, including chronic unemployment, extreme 
loneliness, severe depression, or substance-use problems. Without address -
ing these larger issues, the strategies described in this book may not have 
much impact on improving your overall quality of life. It will be important 
to ﬁnd some help and support for these larger issues as well. Chapter 4 
includes some recommendations for ﬁnding a therapist. Professional help 
may be able to steer you in a direction toward solving these other problems 
in addition to your anxiety.
WHY FEAR RETURNS AND WHAT YOU  
CAN DO ABOUT IT
Most people who receive treatment for social anxiety experience long-lasting improve -
ments in their anxiety, particularly following cognitive and behavioral treatment.