However, the treatment can be criticised for not being effective in treating all phobias. Patients with phobias which have not been developed through a personal experience (classical conditioning) are not effectively treated with systematic desensitisation which uses counter-conditioning to unlearn the response to a phobic stimulus.
However, this is not possible with certain phobias such as those which are a result of evolutionary survival benefit and not personal experience.
This highlights SD's ineffectiveness in treating all phobias.