Why wouldn't a person try to change if how they are is making them miserable?

MANY reasons. It could be that they are unable to see a way to fix their problems, they can't on their own, they don't have the resources, they're scared...etc It's always easier to say you could do it, when you're looking in from the outside.

There's a lot of reasons. 1. Their problems seem to big for them to fix on their own. And they don't have help. 2. Depression and lack of motivation. They feel like what's the point. 3. Laziness. Changing is hard and a lot of work. It's easier to make excuses. 4. Shyness, fear, anxiety. Physical and mental limitations that can't simply be fix. 5. They aren't willing to stop what they are doing to fix the problem. They want to keep their cake and eat it too. Each has its own solution. But the question is "what are those solutions." The rest of the people who post here should try to post a solution.

Shyness, anxiety, and depression can partially be managed with meds. You shouldn't expect meds to completely suppress them. They are natural emotions. You should be feeling them. Some people just feel them more intensely than others. It's like having the volume on your radio turned up full blast. Meds can help turn it down to a balanced level. Meds aren't anything to be ashamed of. They simply help fix a chemical imbalance in the brain. And it's really not hard to get them. My social anxiety went untreated a really long time simply cause no one told me how easy it was to get medication for it. All you gotta do is call your primary Doctor and make an appointment. He'll ask you what's up. I said I'm having a lot of social anxiety. He said okay. Asked a few more questions and wrote me a prescription. That easy. And I gotta say they help. Nobody can fix your problems for you. You gotta take the first steps on your own. You gotta want it. And after making efforts on your own. If it's still not enough then ask for help. We all need a hand some times. But nobody can carry you if you won't try yourself. If you are depressed you gotta fix the cause not just take meds. But they can help make things manageable.

Wesley Sensei basically summed up everything that could be said on the subject, so there isn't much point in continuing. lol Well, I guess I could elaborate in saying that we living in a society teaches that apathy is "cool", and doesn't exactly bother to teach how to confront or work through emotions. So the reasons why so many of us end up with anxiety shouldn't be much of a surprise. Humans, given our evolutionary background, are by nature are co-dependant. So the more hollywood tries to teach people that all the cool people are self sufficient lone wolves, the more people tend to equate those who need attention as dead weight. Granted, I'm a fairly solitary creature myself, but even that comes from my concerns of emotional group solidarity. Its just... so hard to give someone your ear and lend your heart, yet knowing where to cut the line so that they don't come to rely on you as a crutch, you know? I'm designed to give more than I take. And I can't give everything I have, because I need to recharge to spare some friendly love for the next person. Its difficult to give just enough to get someone on their feet again, only to fall apart again a bit later because nobody is doing the job that local communities used to do. Its an ironic paradox. People become dead weight because they can't get themselves to move forward, because they aren't getting the love and attention they need to build up the reserves of willpower, and people are afraid to help them it would be an exhaustive drain on resources they could put elsewhere to get themselves further out of the pit of despair. Just goes to show how inter connected human lives are. We need like... More drum circles...