I've suffered with social anxiety for a very long time. Thirty years ago a doctor prescribed a MAOI which immediately transformed me into a social butterfly (which in hindsight was a very difficult transition). This forever proved to me what the doctor had told me: it is all about chemical balance in the brain.

The problem, of course, was the danger. I could die within minutes if I ate fermented food without taking the antidote I always carried. Problem with that was the risk was almost the same if I took the antidote if it wasn't needed.

I therefore only stayed on the meds for maybe 6 months (during which time I went from 150lbs to 225lbs).

I've never found an alternative substitute. I've taken meds that help lessen the anxiety, but never found anything else that literally changed who I was (making me an incredibly social person).

PS: I think it was Nardil. I wasn't having any issues with depression. The doctor was specializing social anxiety and in particular in the use of Nardil to help. He also told me that the chemical balance in my brain indicated that, without Nardil, I would almost certainly become a hermit in my 70s. I'm 72 and his prognosis was spot on.