““ DEPRESSION Many of the individuals in my program have pointed to a level of depression as an initial symptom. Depression—pervasive, overwhelming feelings of sadness and hopelessness—is a natural result of social anxiety. Anyone who has been inhibited by anxiety and fear will experience less success, less pleasure, less gratification, and ultimately, lower self-esteem. The more pervasive this pattern, the more frustration and anger build. The result can be a reactive depression, caused by the situation the individual finds himself in. Other forms of depression—indigenous or biological depression—have a chemical basis. But some degree of reactive depression is common among socially anxious people, and many mental health professionals erroneously identify depression as the overwhelming problem (in fact, social anxiety is at the root, and has caused the depression). With this kind of depression, decreasing social anxiety and promoting healthy interaction is the long-term answer.””