presentation anxiety students

Presentation anxiety

Performing in front of a group of other students, colleagues and your lecturers is an inextricable part of the student experience here at Brookes. In principle, this is a fairly straightforward task. Yet speaking in public can unsettle or frighten some students.

This information is for those students who become anxious at the thought, or the reality, of presenting their work to others - even though they are well prepared. It also provides useful transferable skills with especial reference to interview techniques.

What is presentation anxiety?

Presentation anxiety is a response to fear and it manifests itself in a number of ways. Physical symptoms include – for example – blushing, shaking, stuttering, sweating, or being tongue tied.

Mentally, anxiety comes through in feeling muddled, feelings of not making sense, and losing the thread.

These feelings are so unpleasant that there is a temptation to avoid presentations altogether.

What are the causes?

A major cause is an overwhelming sense of others watching and judging, coupled with anxiety that ‘they think I'm stupid’. It is easy for these feelings to spiral into negative thoughts such as ‘I'm a total failure’. At this point, our sense of self esteem gets confused with our academic performance. Common issues are:

• Perfectionism - Sometimes we can pressure ourselves by having unreasonably high expectations of what we should achieve, particularly if this is the first time we have done a presentation.
• Avoidance  - Avoidance makes things worse because we never have the opportunity to test our assumptions. Going through the experience and seeing that we can survive intact will help us build up our confidence for next time.
• Past experience  - Particularly if the experience was a negative one, past situations can influence how we might think and feel about a similar experience even though it is in a new context. Perhaps we were teased for blushing or stuttering at school, or remember times when our ideas were put down or rejected by the family or in public. Being in a situation where others are watching, judging or criticising can trigger feelings of anxiety or rejection associated with those past experiences. As a result we may be over critical of our performance, focusing on everything that went wrong, until we feel we are ‘no good at it’. This sets up a vicious spiral: next time our anxiety levels are even higher and we are less likely to do well.
• Lack of confidence - Lack of self confidence can affect thinking, feelings, behaviour and body language. Labelling oneself unconfident means failing to appreciate the things we do do well. Confidence comes from doing things and having a go, learning from our mistakes.

What can I do about it?

Take control.

The key to success is to think positively; take control of your stress and anxiety by learning effective techniques to combat it. Relaxing bodily tension in order to reduce the physical sensations of stress is a good place to start. If your body is free of tension your mind tends to be relaxed. This helps you concentrate and perform better, take decisions and solve problems. When you are relaxed, you can view each task as a positive challenge, and use stress as a stimulus to help you to carry it out. You could try some relaxation exercises or the breathing exercise below.

Breathing exercise

Place one hand on your chest and one on your stomach. As you breathe in through your nose allow your stomach to swell. This means that you are using the diaphragm to breathe in and allowing air right down into your lungs. Try to keep the movement in your upper chest to a minimum and keep the movement gentle. Slowly and evenly breathe out through your nose. Repeat and get a rhythm going. You are aiming to take 8-12 breaths a minute: breathing in and breathing out again counts as one breath. Practise until it becomes a habit and switch to regular breathing when you next become anxious.

Problem solving

Find a new way to look at the problem. There is always more than one way of seeing things, which means that we may be able to act more effectively by looking at the problem differently. The key is to recognize our thoughts and the way that they have affected our mood and confidence. Think about:

• What went through my mind at the time? What is it about this that matters to me now? What does this situation mean to me now? What does it mean about me now?

Finding a new viewpoint will give you more options and keep your thoughts in perspective. For example:

• How would I think if I felt calmer? Or differently? What evidence is there that I'm useless, hopeless and so on? What is the worst that could happen? What can I do if it happens? Could I be making a mistake in how I see myself?

The run up...

Pigeon hole other anxieties

This involves consciously organizing your mind to temporarily put on one side all the other issues that concern you. Tell yourself that you will address these issues in due course, but for now you want to focus on the task ahead and give yourself time to prepare.

• The more you do the more you'll feel like doing and the better you are likely to be.
• Pretend! Act as if you are not feeling self conscious.
• Have all your materials well organised before you start: pens, props, all your visual aids etc.
• Do seek further advice on the practicalities associated with presentation skills from the  Careers Centre .

Try the following suggestions:

• Refer back to your breathing exercises and concentrate on using them to defuse your anxieties and reduce the chances of shaking or sweating.
• Think positively, challenging those negative thoughts like ‘I'm stupid’, ‘I can't do this’. Replace them consciously with ‘I can do this’. Remind yourself that what feels like an enormous problem to you probably isn't to those watching.
• A useful technique that can help stop worrying thoughts crowding in is to visualise a ‘stop sign’ or draw a red dot on your work. As soon as you become conscious of your worrying thoughts, concentrate on your "stop" message. This helps keep you focused.
• Focus on the content of your talk. As your turn approaches take a deep breath letting go of as much tension as is possible. When it's your turn to take centre stage use the adrenaline rush to feel alert and focused.
• If you feel yourself blushing, ignore it and reassure yourself that it will die down once you've got going ! Say to yourself that you are not likely to be marked down for turning pink.
• Slow your speech down, it helps you feel in control.
• This web page was not designed to address how best to present your information. However, here are 3 basic principles: 1. keep it short and simple, don't be too ambitious, 2. use examples to illustrate your points and 3. have a card with your key points written on it, to which you can refer.

Using drugs of any sort (alcohol, stimulants, even too much caffeine) to ‘get through’ can adversely affect performance leaving you even less able to perform well. Facing your fear now will provide you with a skill for life.

After the presentation

• Be encouraging, not disparaging, to yourself. Don't beat yourself up metaphorically for every mistake you spotted. Maybe the first step is just to survive and be able to stand up in front of the class.
• Be kind to yourself and reward your efforts, focusing on your achievement.
• If you make a mistake, use it to help in the future. Don't let it drag you down.
• Think realistically about what you could have done differently and plan how to improve things next time. Perhaps ask one or two others for constructive feedback.

Where can I go for help?

• Managing your Mind Butler G & Hope T (1996) Oxford University Press
• Overcoming Anxiety Kennerley H (1997) Robinson
• Conquer your Stress Cooper C & Palmer S (2000) Chartered Institute of Personnel and Development 

Your doctor

Brookes students can see a doctor at the Medical Centre on the Headington Campus.

• Tel: 01865 (48)3193
• Email: [email protected]

If you are not registered with the Medical Centre, you should make an appointment with your own doctor.

Careers may be able to give advice on how to do good presentations.

• Tel: 01865 (48)4670
• Email: [email protected]

Academic support staff

Your personal Academic Adviser, Module Leaders or Student Support Coordinator may be able to help with concerns about presentations.

Counselling

Whatever you are experiencing, we are here to help and support you. If you feel, after examining these resources and putting some strategies in place, that you would like to talk to us, please fill in the registration form and we aim to offer you an assessment within 7 days. 

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How to Manage Public Speaking Anxiety

Arlin Cuncic, MA, is the author of The Anxiety Workbook and founder of the website About Social Anxiety. She has a Master's degree in clinical psychology.

Amy Morin, LCSW, is a psychotherapist and international bestselling author. Her books, including "13 Things Mentally Strong People Don't Do," have been translated into more than 40 languages. Her TEDx talk,  "The Secret of Becoming Mentally Strong," is one of the most viewed talks of all time.

Luis Alvarez / Getty Images

Speech Anxiety and SAD

How to prepare for a speech.

Public speaking anxiety, also known as glossophobia , is one of the most commonly reported social fears.

While some people may feel nervous about giving a speech or presentation if you have social anxiety disorder (SAD) , public speaking anxiety may take over your life.

Public speaking anxiety may also be called speech anxiety or performance anxiety and is a type of social anxiety disorder (SAD). Social anxiety disorder, also sometimes referred to as social phobia, is one of the most common types of mental health conditions.

Public Speaking Anxiety Symptoms

Symptoms of public speaking anxiety are the same as those that occur for social anxiety disorder, but they only happen in the context of speaking in public.

If you live with public speaking anxiety, you may worry weeks or months in advance of a speech or presentation, and you probably have severe physical symptoms of anxiety during a speech, such as:

• Pounding heart
• Quivering voice
• Shortness of breath
• Upset stomach

Causes of Public Speaking Anxiety

These symptoms are a result of the fight or flight response —a rush of adrenaline that prepares you for danger. When there is no real physical threat, it can feel as though you have lost control of your body. This makes it very hard to do well during public speaking and may cause you to avoid situations in which you may have to speak in public.

How Is Public Speaking Anxiety Is Diagnosed

Public speaking anxiety may be diagnosed as SAD if it significantly interferes with your life. This fear of public speaking anxiety can cause problems such as:

• Changing courses at college to avoid a required oral presentation
• Changing jobs or careers
• Turning down promotions because of public speaking obligations
• Failing to give a speech when it would be appropriate (e.g., best man at a wedding)

If you have intense anxiety symptoms while speaking in public and your ability to live your life the way that you would like is affected by it, you may have SAD.

Public Speaking Anxiety Treatment

Fortunately, effective treatments for public speaking anxiety are avaible. Such treatment may involve medication, therapy, or a combination of the two.

Short-term therapy such as systematic desensitization and cognitive-behavioral therapy (CBT) can be helpful to learn how to manage anxiety symptoms and anxious thoughts that trigger them.

Ask your doctor for a referral to a therapist who can offer this type of therapy; in particular, it will be helpful if the therapist has experience in treating social anxiety and/or public speaking anxiety.

Research has also found that virtual reality (VR) therapy can also be an effective way to treat public speaking anxiety. One analysis found that students treated with VR therapy were able to experience positive benefits in as little as a week with between one and 12 sessions of VR therapy. The research also found that VR sessions were effective while being less invasive than in-person treatment sessions.

Get Help Now

We've tried, tested, and written unbiased reviews of the best online therapy programs including Talkspace, BetterHelp, and ReGain. Find out which option is the best for you.

If you live with public speaking anxiety that is causing you significant distress, ask your doctor about medication that can help. Short-term medications known as beta-blockers (e.g., propranolol) can be taken prior to a speech or presentation to block the symptoms of anxiety.

Other medications may also be prescribed for longer-term treatment of SAD, including selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs). When used in conjunction with therapy, you may find the medication helps to reduce your phobia of public speaking.

In addition to traditional treatment, there are several strategies that you can use to cope with speech anxiety and become better at public speaking in general . Public speaking is like any activity—better preparation equals better performance. Being better prepared will boost your confidence and make it easier to concentrate on delivering your message.

Even if you have SAD, with proper treatment and time invested in preparation, you can deliver a successful speech or presentation.

Pre-Performance Planning

Taking some steps to plan before you give a speech can help you better control feelings of anxiety. Before you give a speech or public performance:

• Choose a topic that interests you . If you are able, choose a topic that you are excited about. If you are not able to choose the topic, try using an approach to the topic that you find interesting. For example, you could tell a personal story that relates to the topic as a way to introduce your speech. This will ensure that you are engaged in your topic and motivated to research and prepare. When you present, others will feel your enthusiasm and be interested in what you have to say.
• Become familiar with the venue . Ideally, visit the conference room, classroom, auditorium, or banquet hall where you will be presenting before you give your speech. If possible, try practicing at least once in the environment that you will be speaking in. Being familiar with the venue and knowing where needed audio-visual components are ahead of time will mean one less thing to worry about at the time of your speech.
• Ask for accommodations . Accommodations are changes to your work environment that help you to manage your anxiety. This might mean asking for a podium, having a pitcher of ice water handy, bringing in audiovisual equipment, or even choosing to stay seated if appropriate. If you have been diagnosed with an anxiety disorder such as social anxiety disorder (SAD), you may be eligible for these through the Americans with Disabilities Act (ADA).
• Don’t script it . Have you ever sat through a speech where someone read from a prepared script word for word? You probably don’t recall much of what was said. Instead, prepare a list of key points on paper or notecards that you can refer to.
• Develop a routine . Put together a routine for managing anxiety on the day of a speech or presentation. This routine should help to put you in the proper frame of mind and allow you to maintain a relaxed state. An example might be exercising or practicing meditation on the morning of a speech.

Practice and Visualization

Even people who are comfortable speaking in public rehearse their speeches many times to get them right. Practicing your speech 10, 20, or even 30 times will give you confidence in your ability to deliver.

If your talk has a time limit, time yourself during practice runs and adjust your content as needed to fit within the time that you have. Lots of practice will help boost your self-confidence .

• Prepare for difficult questions . Before your presentation, try to anticipate hard questions and critical comments that might arise, and prepare responses ahead of time. Deal with a difficult audience member by paying them a compliment or finding something that you can agree on. Say something like, “Thanks for that important question” or “I really appreciate your comment.” Convey that you are open-minded and relaxed. If you don’t know how to answer the question, say you will look into it.
• Get some perspective . During a practice run, speak in front of a mirror or record yourself on a smartphone. Make note of how you appear and identify any nervous habits to avoid. This step is best done after you have received therapy or medication to manage your anxiety.
• Imagine yourself succeeding . Did you know your brain can’t tell the difference between an imagined activity and a real one? That is why elite athletes use visualization to improve athletic performance. As you practice your speech (remember 10, 20, or even 30 times!), imagine yourself wowing the audience with your amazing oratorical skills. Over time, what you imagine will be translated into what you are capable of.
• Learn to accept some anxiety . Even professional performers experience a bit of nervous excitement before a performance—in fact, most believe that a little anxiety actually makes you a better speaker. Learn to accept that you will always be a little anxious about giving a speech, but that it is normal and common to feel this way.

Setting Goals

Instead of trying to just scrape by, make it a personal goal to become an excellent public speaker. With proper treatment and lots of practice, you can become good at speaking in public. You might even end up enjoying it!

Put things into perspective. If you find that public speaking isn’t one of your strengths, remember that it is only one aspect of your life. We all have strengths in different areas. Instead, make it a goal simply to be more comfortable in front of an audience, so that public speaking anxiety doesn’t prevent you from achieving other goals in life.

A Word From Verywell

In the end, preparing well for a speech or presentation gives you confidence that you have done everything possible to succeed. Give yourself the tools and the ability to succeed, and be sure to include strategies for managing anxiety. These public-speaking tips should be used to complement traditional treatment methods for SAD, such as therapy and medication.

Crome E, Baillie A. Mild to severe social fears: Ranking types of feared social situations using item response theory . J Anxiety Disord . 2014;28(5):471-479. doi:10.1016/j.janxdis.2014.05.002

Pull CB. Current status of knowledge on public-speaking anxiety . Curr Opin Psychiatry. 2012;25(1):32-8. doi:10.1097/YCO.0b013e32834e06dc

Goldstein DS. Adrenal responses to stress . Cell Mol Neurobiol. 2010;30(8):1433-40. doi:10.1007/s10571-010-9606-9

Anderson PL, Zimand E, Hodges LF, Rothbaum BO. Cognitive behavioral therapy for public-speaking anxiety using virtual reality for exposure . Depress Anxiety. 2005;22(3):156-8. doi:10.1002/da.20090

Hinojo-Lucena FJ, Aznar-Díaz I, Cáceres-Reche MP, Trujillo-Torres JM, Romero-Rodríguez JM. Virtual reality treatment for public speaking anxiety in students. advancements and results in personalized medicine .  J Pers Med . 2020;10(1):14. doi:10.3390/jpm10010014

Steenen SA, van Wijk AJ, van der Heijden GJ, van Westrhenen R, de Lange J, de Jongh A. Propranolol for the treatment of anxiety disorders: Systematic review and meta-analysis . J Psychopharmacol (Oxford). 2016;30(2):128-39. doi:10.1177/0269881115612236

By Arlin Cuncic, MA Arlin Cuncic, MA, is the author of The Anxiety Workbook and founder of the website About Social Anxiety. She has a Master's degree in clinical psychology.

Appointments at Mayo Clinic

Fear of public speaking: how can i overcome it, how can i overcome my fear of public speaking.

Fear of public speaking is a common form of anxiety. It can range from slight nervousness to paralyzing fear and panic. Many people with this fear avoid public speaking situations altogether, or they suffer through them with shaking hands and a quavering voice. But with preparation and persistence, you can overcome your fear.

These steps may help:

• Know your topic. The better you understand what you're talking about — and the more you care about the topic — the less likely you'll make a mistake or get off track. And if you do get lost, you'll be able to recover quickly. Take some time to consider what questions the audience may ask and have your responses ready.
• Get organized. Ahead of time, carefully plan out the information you want to present, including any props, audio or visual aids. The more organized you are, the less nervous you'll be. Use an outline on a small card to stay on track. If possible, visit the place where you'll be speaking and review available equipment before your presentation.
• Practice, and then practice some more. Practice your complete presentation several times. Do it for some people you're comfortable with and ask for feedback. It may also be helpful to practice with a few people with whom you're less familiar. Consider making a video of your presentation so you can watch it and see opportunities for improvement.
• Challenge specific worries. When you're afraid of something, you may overestimate the likelihood of bad things happening. List your specific worries. Then directly challenge them by identifying probable and alternative outcomes and any objective evidence that supports each worry or the likelihood that your feared outcomes will happen.
• Visualize your success. Imagine that your presentation will go well. Positive thoughts can help decrease some of your negativity about your social performance and relieve some anxiety.
• Do some deep breathing. This can be very calming. Take two or more deep, slow breaths before you get up to the podium and during your speech.
• Focus on your material, not on your audience. People mainly pay attention to new information — not how it's presented. They may not notice your nervousness. If audience members do notice that you're nervous, they may root for you and want your presentation to be a success.
• Don't fear a moment of silence. If you lose track of what you're saying or start to feel nervous and your mind goes blank, it may seem like you've been silent for an eternity. In reality, it's probably only a few seconds. Even if it's longer, it's likely your audience won't mind a pause to consider what you've been saying. Just take a few slow, deep breaths.
• Recognize your success. After your speech or presentation, give yourself a pat on the back. It may not have been perfect, but chances are you're far more critical of yourself than your audience is. See if any of your specific worries actually occurred. Everyone makes mistakes. Look at any mistakes you made as an opportunity to improve your skills.
• Get support. Join a group that offers support for people who have difficulty with public speaking. One effective resource is Toastmasters, a nonprofit organization with local chapters that focuses on training people in speaking and leadership skills.

If you can't overcome your fear with practice alone, consider seeking professional help. Cognitive behavioral therapy is a skills-based approach that can be a successful treatment for reducing fear of public speaking.

As another option, your doctor may prescribe a calming medication that you take before public speaking. If your doctor prescribes a medication, try it before your speaking engagement to see how it affects you.

Nervousness or anxiety in certain situations is normal, and public speaking is no exception. Known as performance anxiety, other examples include stage fright, test anxiety and writer's block. But people with severe performance anxiety that includes significant anxiety in other social situations may have social anxiety disorder (also called social phobia). Social anxiety disorder may require cognitive behavioral therapy, medications or a combination of the two.

Craig N. Sawchuk, Ph.D., L.P.

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• Social anxiety disorder (social phobia). In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association, 2013. http://dsm.psychiatryonline.org. Accessed April 18, 2017.
• 90 tips from Toastmasters. Toastmasters International. https://www.toastmasters.org/About/90th-Anniversary/90-Tips. Accessed April 18, 2017.
• Stein MB, et al. Approach to treating social anxiety disorder in adults. http://www.uptodate.com/home. Accessed April 18, 2017.
• How to keep fear of public speaking at bay. American Psychological Association. http://www.apa.org/monitor/2017/02/tips-sidebar.aspx. Accessed April 18, 2017.
• Jackson B, et al. Re-thinking anxiety: Using inoculation messages to reduce and reinterpret public speaking fears. PLOS One. 2017;12:e0169972.
• Sawchuk CN (expert opinion). Mayo Clinic, Rochester, Minn. April 24, 2017.

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8 Ways to Deliver a Great Presentation (Even If You’re Super Anxious About It)

• Joel Schwartzberg

Know your point, always.

Feeling anxious about a presentation? It’s likely about a fear of public humiliation rather than of public speaking.

• Shift the spotlight from yourself to what you have to say.
• Reject the voice in your head trying to destroy your confidence.
• Knowing what matters – and what doesn’t – will help you succeed.

Where your work meets your life. See more from Ascend here .

I recently worked closely with a 24-year-old client — let’s call him Martin — who was tapped to deliver a five-minute presentation at his company’s annual town hall meeting. Martin had never given a public speech in his professional life, but his accomplishments impressed his supervisors, and they wanted Martin to share his success with the rest of the organization.

• JS Joel Schwartzberg oversees executive communications for a major national nonprofit, is a professional presentation coach, and is the author of Get to the Point! Sharpen Your Message and Make Your Words Matter and The Language of Leadership: How to Engage and Inspire Your Team . You can find him on LinkedIn and X. TheJoelTruth

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Presentation Anxiety: How to Overcome Stage Fright (Complete Guide)

Tyler Ellis

Glossophobia, the fear of public speaking, is thought to affect as much as 75% of the population. For both students and professionals alike, this phobia tends to take the form of presentation anxiety. So, how can we overcome stage fright and presentation anxiety once and for all?

While avoiding presentations may bring some short-term relief to your anxiety, this will worsen your stage fright in the long-run. To overcome presentation anxiety long-term, presentation tools and gradual practice are the most effective solutions.

Maybe, right now, you’re extremely anxious about a presentation coming up. Maybe the only thought racing through your mind is how in the world am I going to get out of giving this presentation?

No worries. This guide is going to cover everything – and I mean everything – you’ll need to know. Make sure not to skip the section on “alternative ways of presenting,” I think you’ll find those really useful!

No need to stress; let’s get right into this.

What Causes Presentation Anxiety?

First things first… why do we feel presentation anxiety in the first place?

Sure, we might expect our heart to pound and breathing to accelerate as we walk along the edge of a cliff – but during a presentation? What part of talking about George Washington Carver inventing peanut butter should cause our hands to tremble and our voice to stutter?

Well, as it turns out, presentation anxiety is caused by ancient mechanisms in our brain responsible for our survival. For anxious people, our brain perceives being the center of attention in large group to be a threat. This triggers the “fight or flight” response, causing us to panic as we try and escape our uncomfortable setting.

Obviously, we are in no real danger while giving a class presentation or work presentation. Many years of evolution, however, have trained us to avoid stage fright with a passion. In ancient times, being surround by a (potentially angry) mob could have fatal consequences; as could being humiliated, rejected, or otherwise cast out from the tribe.

For many of us – especially those of us prone to social anxiety – such fears have stuck with us since caveman times. It’s important we remember these fears are harmless. Just being aware of their nature can help with this process. Despite what your brain and body may be telling you, these feelings of anxiety are not dangerous; they are going to pass.

Feel free to check out this article for a better understanding of the evolutionary psychology behind anxiety .

How to Get Out of a Presentation

I recommend against avoidance in most cases, as it only reinforces our anxiety in the long-run.

However, I know what it’s like to be a student with presentation anxiety.

I know how hard it is juggling academics, a social life, relationships, and newly blossoming anxieties all at once. I know that it can get so bad the most logical option feels like dropping out of school altogether. I don’t want you to feel like you have to do that.

So, if you’re really just not ready to overcome your stage fright:

• Intentionally Choose Classes That Don’t Require Presentations
• Tell the Teacher or Professor About What You’re Going Through
• Ask the Teacher or Professor for Alternative Assignments
• For Group Presentations, Ask Someone Else to Take the Lead
• Present Your Assignment in an Alternative Format Using Presentation Tools and Software (more on this in a bit)

If this seems a bit vague, it’s only because I’ve actually dedicated an entire article to this topic already. Check out this piece on how to get out of giving a presentation in class for more help with this.

Like I said, ultimately, avoidance is a poor strategy. However, I believe it’s just as detrimental to be “forced” into facing our fears before we are mentally prepared to do so. Having been there myself, I want you to be able to rest easy knowing that you do have some options here.

For this guide, however, I want to focus more on how to actually overcome presentation anxiety and stage fright.

My secret is – believe it or not – I get incredibly nervous before public speaking, no matter how big the crowd or the audience and, um, despite the fact that I laugh and joke all the time I get incredibly nervous, if not anxious, actually, before going into rooms full of people when I'm wearing a suit... And now that I've confessed that, I'll probably be even more worried that people are looking at me.

Prince Harry - Duke of Sussex, Member of the British Royal Family

How to Stop a Panic Attack While Presenting in Class

When I first started having panic attacks, I had no idea what they were or why they were happening. Prior to my first panic attack, I had never had an issue with public speaking or presentation anxiety at all. In fact, I had voluntarily participated in several clubs and activities that required public speaking.

Yet, when my first few panic attacks started (I was around 16 at the time), they would occur in any random situation. Wherever they occurred, I'd quickly develop a phobia associated with that location or situation. One such random panic attack occurred – you guessed it – during a class presentation.

While this experience was terrifying, embarrassing, and extremely uncomfortable, I had – fortunately – managed to keep it together enough for most people not to notice. For the many class presentations that would follow, however, I had to develop some tricks to stop panic attacks while presenting in class.

Here’s what worked for me:

• Volunteer to go first. This may seem strange, but I always felt it easier to volunteer first and get it out of the way. Oftentimes, it’s easier to deal with presentation anxiety when we don’t feel cornered. By choosing to do it yourself, you maintain some control of the situation and get the jump on things before anticipation anxiety kicks in .
• Remember you are not going to die. This is just a panic attack, and it’s going to pass. It may be uncomfortable, but it will be over within a few moments.
• Take control of your breathing. 478 breathing is a simple technique that works. Simply breathe in for 4 seconds through the nose, hold for 7 seconds, exhale for 8 seconds through the mouth.
• Find a focus object. Choose a point, or several points, to focus on in the room. This could be a ceiling tile, a lightbulb, a pile of books, anything. Whenever your thoughts start to wander or spiral out of control, recenter your thoughts on that focus object.
• Try and remember the other times you’ve given a class presentation with anxiety. Chances are, this isn’t your first time. Remember those past successes and visualize this presentation as one where you overcome stage fright as well. If your mind is drawn to a time when it didn’t go so well, at least remind yourself that it passed and you survived it; just as you’ll survive this one.
• If you have a friend in the class, look to them from time to time. Flash them a smile or a wink, and try not to laugh out loud while you’re up there. This may seem silly, but I’d rather stifle a laugh than grapple a panic attack.
• Remember that no one’s really paying attention. Just as you were sitting at your desk nervously thinking about your own turn to present, most people are doing the exact same now. And even if they’re not anxious, they’re probably zoned out or drifting off; it’s quite difficult to keep an involuntary crowd’s attention. Trust me, they’re probably not thinking about you much.

These are just a few ways to stop a panic attack while presenting in class. Of course, just about any method for stopping panic attacks can work well here, so feel free to explore our site a bit to learn some other methods.

There are only two types of speakers in the world:

1. The nervous

Mark Twain - American humorist, novelist, and travel writer

Alternative Ways of Presenting to Help Overcome Stage Fright

If you take nothing else from this article, I believe that this is the section that can help anxious students and professionals with stage fright the most. When I was dealing with presentation anxiety myself, most of these options didn’t even exist. If you’re anxious about standing in front of class and presenting, any of these could be fantastic alternatives to presenting.

Basically, any of these presentation software tools can help you to quickly create a visually stunning presentation; all without having to speak in front of the class. They utilize audio, video, and/or animation to create informative videos that get the point across even more effectively than conventional presentations.

For the most part, all a teacher or boss really cares about is that you: 

• Put hard work and dedication into your assignment
• Learned something throughout the process
• Are able to communicate what you learned to educate your peers

Telling the teacher “Sorry, I just can’t present today,” won’t meet any of these points, and is likely to land you a failed grade.

Instead, ask your teacher if you can use one of these presentation tools to create an even more engaging and informative presentation. This way, it’ll seem like you’ve put in the most effort in the class, rather than the least; all without having to speak in front of the class.

Here are the automated presentation tools I currently use myself and recommend:

I go into much greater detail on these tools here: automated presentation software . Before buying anything, I strongly suggest giving that article a read. Otherwise, Toonly and Doodly are my top picks.

What is the Best Presentation Anxiety Medication for Stage Fright?

Giving a presentation in high school or college can be extremely stressful for many people. If standing in front of the class feels like an impossible task, you may be wondering about presentation anxiety medication. So… what are the best drugs for presentation anxiety?

Since I’m not a doctor, I can only offer you a friendly opinion here.

In general, I think it’s a good idea to steer clear of anti-anxiety medication whenever it isn’t absolutely necessary. If your doctor prescribes you presentation anxiety medication, so be it. In the long-run, however, this can often create cycles of reliance and dependence that are best avoided.

But what about taking an over-the-counter supplement for anxiety before a presentation?

I have personally found one supplement to help me relax and communicate more confidently. This is my favorite supplement for stage fright, as it has helped me tremendously in situations where I would normally feel a bit socially anxious. I’ve used this supplement for presentations, job interviews, and even first dates.

My favorite supplement for presentation anxiety symptoms is phenibut. It just helps me feel significantly calmer while simultaneously boosting my sociability and confidence. This supplement is extremely affordable and legally sold online in most countries. If you want to learn a bit more about it, I have an article going into greater depth about phenibut here.

I do urge responsibility when using phenibut, as you don’t want to become reliant on it. But if it makes the difference between shirking your presentation vs. delivering a great one, I highly recommend it.

Let our advance worrying become advance thinking and planning

Winston Churchill - Former Prime Minister of the UK, Famous Orator

Tips for How to Present a Project Effectively

Few things help to eliminate anticipation anxiety like truly preparing for the situation. If your fears are rooted in delivering a poor or ineffective presentation, take some time to prepare.

Here are some tips for how to present a project effectively:

How to Overcome Stage Fright and Presentation Anxiety

There are many strategies we can take when dealing with our presentation anxiety or stage fright. Here are three of the most common strategies:

• Complete Avoidance – Post-college, public speaking occasions like presentations are pretty few and far between. As an adult, it isn’t too difficult to avoid presentations, although not overcoming stage fright can be a hinderance in many career fields.
• Reluctant and Occasional – Here’s where most people in the world probably fall. Most of us aren’t 100% comfortable with presenting, yet we suck it up and get it done when we have to. This isn’t a bad place to be, although it's uncomfortable occasionally.
• Conquering Presentation Anxiety – Some brave souls will choose to completely crush their fear of public speaking, overcoming stage fright and glossophobia entirely. This path is not for the faint of heart, as it isn’t easy; however, it has the largest payoff in the end with regard to career and confidence.

We’ve already discussed strategies for the first two earlier in this guide. Let’s now focus on the third.

How can we overcome presentation anxiety and glossophobia?

Well, whenever we want to eliminate a fear or phobia long-term, the best way to do so is through exposure therapy. We do have a full article on how to extinguish fears through exposure therapy if you’re curious to really understand this process.

For now, I’ll fill you in on the basics:

By gradually stepping outside of our comfort zone and exposing ourselves to our fears, we can eliminate those fears over time. The key here is that we are stepping a bit outside our comfort zone, but not immersing ourselves so fully to induce panic. In other words: challenge yourself at a fair pace.  

So how do we apply this to overcome presentation anxiety and stage fright?

My suggestion would be to identify the smallest voluntary step you can take outside of your comfort zone without panicking. Perhaps presenting may induce a panic attack, but are you at least able to read aloud from your seat? Perhaps reading aloud is difficult, but could you at least volunteer an answer from time to time?

This process will be as unique as a fingerprint for each person, as we all have different comfort zones and stressors. Try and find where your comfort zone ends and take small steps just outside of it. With repeated practice, you’ll notice your comfort zone expanding as you become more confident with the activity.

In general, here are some opportunities you may find useful for stepping outside of your comfort zone:

• Start raising your hand more often to ask or answer questions
• Volunteer to read aloud or answer a problem on the board whenever you’re feeling confident
• Create a presentation using presentation software (recommendations above), but see if you can actually get through it without relying on the audio. If you get too nervous, you can use it
• Rather than trying to get out of a presentation, ask your groupmates if you could take a lesser role with speaking; perhaps you could do more of the research to make up for it
• Seek out your local Toastmasters group to practice public speaking away from the pressures of your own social circles
• Try and attend small open mic nights and similar opportunities to gain experience with public speaking

Fun Fact: I successfully avoided presentations for the majority of my high school and college career. Afterward, I wound up working several jobs that forced me to confront this fear. First came a sales job, and next came a job that required me to speak in front of 150-200 people multiple times per day.

Turns out, I liked money more than I disliked public speaking.

List of Famous People with Public Speaking Anxiety

Sometimes a bit of solidarity goes a long way. Here’s a list of famous/successful people who have long been known to have suffered from public speaking anxiety:

• Winston Churchill
• Mahatma Gandhi
• Abraham Lincoln
• Prince Harry
• Warren Buffet
• Mark Zuckerberg
• Sigmund Freud
• Arnold Schwarzenegger
• Tiger Woods
• Rowan Atkinson
• Jackie Chan
• Thomas Jefferson
• Margaret Thatcher
• Princess Diana
• Eleanor Roosevelt
• Sir Richard Branson

As you can see… we’ve got some big names up there. And this is just a very small list of successful people who have been open about their public speaking anxiety – to say nothing of the silent majority!

Never forget, you’re far from alone in experiencing this – you can absolutely overcome presentation anxiety, stage fright, and glossophobia if you wish to!

Unlock the Secrets  to Managing Anxiety  without Harmful Meds

Not next week. Not tomorrow. Today. 

Getting started is easy with our #1 recommended online anxiety course.

For a limited time,  click here to watch the first few lessons of Anxiety Academy completely free. Like what you see? Access the rest of the course, all future course updates, plus lifetime access to our exclusive online community, for a small one-time payment today!

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About the Author

Years of personal experience with anxiety disorders and panic attacks have led me to devise some pretty creative ways to keep my anxiety in check. In the past, anxiety and panic attacks felt like something I'd have to live with forever. Nowadays, panic attacks are a distant memory for me, and I'm free to pursue passions like writing and traveling the world. Hopefully, the information on this website can help you achieve the same. I do all the writing here myself, so don't hesitate to reach out with questions!

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Mini review article, speech anxiety in the communication classroom during the covid-19 pandemic: supporting student success.

• The University of Tennessee, Knoxville, TN, United States

A wealth of literature clearly supports the presence of speech anxiety in the communication classroom, especially in those classes with a focus on public speaking and/or presentations. Over the years, much work has been done on intentional approaches to empowering students to effectively manage their speech anxiety in face-to-face, hybrid, and online communication courses. These research-based findings have led to best practices and strong pedagogical approaches that create a supportive classroom culture and foster engaged learning. Then COVID-19 appeared, and things changed. In an effort to keep campuses safe and save the spring semester, everyone jumped online. Many instructors and students were experiencing online education for the first time and, understandably, anxiety exploded. Between the uncertainty of a global pandemic, the unchartered territory of a midterm pivot to fully online education, and the unknown effects of the situation on our educational system, our stress levels grew. Public speaking and presentations took on new meaning with Zoom sessions and webcams and our speech anxiety, undoubtedly, grew, as well. Reflecting upon the scholarship of the past with an appreciation of our present situation and looking toward the future, we will curate a list of best practices to prepare students to effectively manage their speech anxiety with agency, ability, and confidence.

Introduction

It is impossible for Isabella to catch her breath. Her pulse is racing, she is flushed, and her thoughts are a jumbled mess. She is desperately trying to remember her plan, slow her breathing and visualize success but it is impossible to do anything but panic. She is convinced she will embarrass herself and fail her assignment. Why had she postponed taking her public speaking class? Yes, it would have been bad in a “normal” term but now, amidst the coronavirus pandemic, she had to take the class online. Though it seems unimaginable that the class could be more terrifying, add Zoom sessions, internet connection issues, and little engagement with her teacher or classmate and Isabella’s out of control speech anxiety is completely understandable . If you have been in a college classroom, most likely, you have had to deliver a presentation, lead a discussion, or share a poster presentation. If so, you know what speech anxiety is like. Most of us have experienced the racing heart rate, difficulty concentrating and sensory overload characteristic of speech anxiety ( Dwyer, 2012 ). For some of us, like Isabella, the speech anxiety is almost debilitating. Even if you are one of the rare people who does not experience speech anxiety, you probably witnessed your classmates struggle with the stress, worry and insecurity caused by speech anxiety. It was prevalent before the arrival of COVID-19 and now with the stressors associated with the pandemic, virtual learning, and social distancing it will most likely increase. Fortunately, we have the research, resources, and resolve to intentionally craft classroom culture that will support communication success.

Meeting the Challenges of COVID-19

In the early spring of 2020, the coronavirus pandemic arrived in the United States, and required an unprecedented mid-term pivot. Classes rapidly moved from face-to-face instruction to online platforms in days. Teachers who had never taught online were learning while teaching, managing that additional workload while trying to stay connected with students who were worried and often overwhelmed. In addition to the public and personal health concerns of the virus, there were worries about online learning, the economy, and mental health. The bright spot was that in so many classes, the connections had been established before the pivot and so teachers and students were able to engage with familiar people in new ways. It was not an ideal situation but there was a sense that we were all in this together.

The fall of 2020 found many institutions of higher education and their faculty, staff, and students once again engaged in online instruction and it looks like it will be that way for the near future. We were faced with the new challenge of creating supportive and engaging class spaces completely virtual (in many cases) or in hybrid form with some classes combining online coursework with limited in-person instruction. Experience taught us that our students were speech anxious and that we needed to intentionally design safe and engaging spaces to support their success even before the arrival of COVID-19. Our challenge was to adopt a new skillset and look to the online learning community for resources, suggestions, and best practices.

Pandemic Pedagogy

Articles and emerging research on the response to the pandemic at the institutional, classroom, and individual level provide a glimpse into how we can craft virtual classroom spaces that support learning while meeting the needs created by COVID-19. Common themes for solid pandemic pedagogy include a focus on student mental health and well-being ( Gigliotti, 2020 ; Burke, 2021 ), an appreciation of technology challenges and access issues ( Turner et al., 2020 ; Burke, 2021 ; Singh, 2021 ), and a commitment to engaged teaching and learning ( Turner et al., 2020 ; Jenkins, 2021 ; Lederman, 2021 ). The fundamentals of good teaching are the same regardless of the modality and the foundational pedagogical practices are also similar, yet the primary difference is that solid online education has been designed for a virtual modality, not adapted to fit it (Kelly and Westerman, 2016 ). How can we craft safe and supportive online and virtual spaces for students to find, develop, and then actively share? A good place to start is with wayfinding which can “reinforce ways of knowing and problem solving,” ( Petroski and Rogers, 2020 , p. 125). Wayfinding supports efficacy and empowerment while meeting the challenges of pandemic pedagogy and can be incorporated into online communication classes to reduce speech anxiety and build classroom culture.

Speech Anxiety

The fear of public speaking, known as glossophobia, is a common and real form of anxiety ( Sawchuk, 2017 ) affecting as much as 75% of the population ( Black, 2019 ). In the scholarly literature, it is usually referred to as communication anxiety, communication apprehension, or communication avoidance ( Richmond and McCroskey, 1998 ). In more popular sources, such as Harvard Management Communication Letter, it has been called stage fright ( Daly and Engleberg, 1999 ) and speech anxiety ( Getting over speech anxiety, 2001 ). In this work, we will refer to it as speech anxiety as that term most closely targets the experience we are exploring.

Regardless of the label, it is our innate survival mode of flight, fight, or flee in the face of imminent (real or perceived) danger ( Thomas, 1997 ; Dwyer, 1998 ). Our mind feels a threat from a public speaking situation and our body responds accordingly. Common symptoms can include increased heart rate, blood pressure, and breathing; excessive perspiration, skin flush or blush; shaky voice; trembling hands and feet; or dry mouth and nausea ( Thomas, 1997 ; Dwyer, 1998 ; Black, 2019 ).

There are many tips and techniques that can help those with speech anxiety manage their symptoms and communicate effectively across a variety of modalities. Some common strategies include relaxation, visualization, cognitive restructuring, and skills training ( Motley, 1997 ; Thomas, 1997 ; Richmond and McCroskey, 1998 ; Dwyer, 2012 ).

(1) Typical relaxation tips can include mindfulness, deep breathing, yoga, listening to music, and taking long walks,

(2) Visualization involves inviting the speaker to imagine positive outcomes like connecting with their audience, making an impact, and sharing their presentation effectively ( Thomas, 1997 ; Dwyer, 1998 ). It replaces much of the negative self-talk that tends to occur before a speech opportunity and increases our anxiety.

(3) Cognitive restructuring is a more advanced technique with the goal “to help you modify or change your thinking in order to change your nervous feelings,” ( Dwyer, 2012 , p. 93). In essence, it involves replacing negative expectations and anxious feelings about public speaking opportunities with more positive and self-affirming statements and outlooks.

(4) Skills training is what we do in our classrooms and during professional workshops and trainings. It can include exploring speech anxiety and discussing how common it is as well as ways to effectively manage it ( Dwyer, 2012 ). It also involves analysis of the component parts, such as delivery and content ( Motley, 1997 ) practicing and delivering speeches in low stakes assignments, collaborating with classmates, and engaging in active listening ( Simonds and Cooper, 2011 ).

Ideally, solid skills training introduces the other techniques and encourages individuals to experiment and discover what works best for them. There is no one-size-fits-all solution to speech anxiety.

Classroom Culture

According to the Point to Point Education website, “Classroom culture involves creating an environment where students feel safe and free to be involved. It’s a space where everyone should feel accepted and included in everything. Students should be comfortable with sharing how they feel, and teachers should be willing to take it in to help improve learning,” ( Point to Point Education, 2018 , paragraph 2). Regardless of subject matter, class size, format, or modality, all college classes need a supportive and engaging climate to succeed ( Simonds and Cooper, 2011 ). Yet having a classroom culture that is supportive and conducive to lowering anxiety is especially critical in public speaking courses ( Stewart and Tassie, 2011 ; Hunter et al., 2014 ). Faculty are expected to engage and connect with students and do so in intentional, innovative, and impactful ways. These can be simple practices, like getting to know students quickly and referring to them by their preferred name, such as a middle name or shortened first name ( Dannels, 2015 ), or more elaborate practices like incorporating active learning activities and GIFTS (Great Ideas for Teaching Students) throughout the curriculum ( Seiter et al., 2018 ). We want to create a positive and empowering classroom climate that offers equitable opportunities for all students to succeed. As educators, we can infuse empathy, spontaneity, and equality into our pedagogy while being mindful of different learning styles and committed to supporting diversity and inclusion ( Simonds and Cooper, 2011 ; Dannels, 2015 ). Furthermore, our communication classrooms need to be intentional spaces where challenges, such as anxiety disorders, mental health issues, learning disabilities and processing issues, are supported and accommodated ( Simonds and Hooker, 2018 ).

Ideally, we want to cultivate a classroom culture of inquiry, success, and connection. We also want to foster immediacy, the “verbal and nonverbal communication behaviors that enhance physical and psychological closeness,” ( Simonds and Cooper, 2011 , p. 32). Multiple studies support that teachers who demonstrate immediate behaviors are regarded as more positive, receptive to students, and friendly ( Simonds and Cooper, 2011 ). As teachers and scholars, we want to make a positive impact. Dannels (2015) writes that “teaching is heart work,” (p. 197) and she is right. It demands an investment of our authentic selves to craft a climate of safety and support where comfort zones are expanded, challenges are met, and goals are reached.

Educators need to be mindful of and responsive to the challenges COVID-19 presents to the health and well-being of our students, colleagues, and communities. In May of 2020, the National Communication Association (NCA) devoted an entire issue of its magazine to “Communication and Mental Health on campus 2020,” ( Communication and mental health on campus, 2020 ) highlighting the importance of this issue in our communication education spaces. Suggestions included learning more about mental health issues, engaging in thoughtful conversations, listening intentionally and actively, promoting well-being, and serving as an advocate and ally ( Communication and mental health on campus, 2020 ).

Scholarship about instructional communication, computer mediated communication and online education ( Kelly and Fall, 2011 ) offers valuable insights into effective practices and adaptations as we intentionally craft engaging and supportive spaces, so our students feel empowered to use their voice and share their story, even those with high speech anxiety. Instructional communication scholars focus on the effective communication skills and strategies that promote and support student success and an engaged learning environment ( Simonds and Cooper, 2011 ).

General strategies to teach effectively during the pandemic can be helpful and easily adaptable to our public speaking classrooms. Being flexible with assignments, deadlines and attendance can support student success and well-being as can creativity, engagement activities, and appealing to different learning styles and strengths ( Mahmood, 2020 ; Singh, 2021 ). It seems everyone is presenting virtually now, not just in our communication classrooms and that can take some getting used to. Educators can model and promote effective communication by being conversational and engaging and empathizing with the many challenges everyone is facing ( Gersham, 2020 ; Gigliotti, 2020 ; Jenkins, 2021 ; Singh, 2021 ).

This is also a great opportunity to innovate and cultivate a new classroom climate looking at communication in a new way for a new, digital age. During this time of change we can harness opportunities and encourage our students to develop the skillsets needed to communicate effectively during COVID-19 and after. Preparing them as digital communicators with a focus on transferable and applicable skills would help them in other classes and the job market ( Ward, 2016 ). Innovations to our courses, assessment tools, and learning outcomes can all happen now, too ( Ward, 2016 ). This is the time to innovate our course experiences across all modalities, reinvent what public speaking means in the modern, digital age and intentionally craft learning spaces for all students in which speech anxiety is intentionally addressed and effectively managed.

Best Practices

(1) Be flexible, as a matter of practice not exception. Speech anxiety was experienced by most students to some degree and was debilitating for some pre-pandemic and adds another layer of stress for students who are capable and resilient yet dealing with a lot. Podcasts are a common communication medium and may ease the anxiety of some students while highlighting the importance of word choice, rate, and tone. They also involve less bandwidth and technology and may be easier for many students to create.

(2) Reframe communication as a skill of the many, not just the few. Highly speech anxious students tend to believe they are the only ones who have a fear of presenting and only certain, confident individuals can present well. Neither of these are true. If we reframe presentations as conversations, demystify speech anxiety by discussing how common it is, and empower our students with the knowledge that they can effectively communicate, we can reduce anxiety, build confidence, and develop important skills that transcend disciplines and promote self-efficacy.

(3) Build a community of support and success. When we see our students as individuals, celebrate connection and collaboration, and actively engage to learn and grow, we co-create an impactful and empowering space that supports success not by being rigid and demanding but by being innovative, intentional, and inspiring.

Author Contributions

I am thrilled to contribute to this project and explore ways we can empower our students to effectively manage their speech anxiety and share their stories.

Conflict of Interest

The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Keywords: speech anxiety, public speaking anxiety, instructional communication, communication pedagogy, Best Practices

Citation: Prentiss S (2021) Speech Anxiety in the Communication Classroom During the COVID-19 Pandemic: Supporting Student Success. Front. Commun. 6:642109. doi: 10.3389/fcomm.2021.642109

Received: 15 December 2020; Accepted: 08 February 2021; Published: 12 April 2021.

Reviewed by:

Copyright © 2021 Prentiss. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Suzy Prentiss, [email protected]

This article is part of the Research Topic

Cultural Changes in Instructional Practices Due to Covid-19

5 Tips for Overcoming Presentation Anxiety

Feeling jittery before a university presentation? You're in good company! In this article, Camila Franco, a Bachelor of Psychological Sciences (Honours) student at UQ, generously shares her expert tips on overcoming presentation anxiety. Get ready to transform from fearful to fearless with her invaluable advice!

Facing your classmates and delivering information that you've just learned, or are still mastering, can be a daunting task. I recall my first presentations vividly—when I didn’t have so much experience at public speaking, I felt my mouth extremely dry and started stuttering. My heart was pounding so hard, and my anxiety just became worse as I was looking to the public thinking they were judging me for my mistakes.

Here's the deal: even the most self-assured speakers can get a bit jittery before a presentation. A sprinkle of nerves can actually enhance our focus and keep us sharp. While that's somewhat comforting, there are effective strategies to tackle these pre-presentation jitters. But before we delve into those, let’s first gain a clear understanding of what presentation anxiety truly entails!

Understanding Presentation Jitters

The fear of public speaking often boils down to worrying about how the audience will perceive us. It's totally normal to stress over stumbling over words, forgetting what we're going to say, or feeling physically awkward like sweating or shaking. Recognising these signs of anxiety creeping up is the first step to handling them:

• Muscle tension
• Shaky hands
• Dry mouth, sweating, or blushing
• Upset stomach
• Feeling dizzy
• Catastrophic thoughts
• Trouble sleeping
• Heart racing or chest feeling tight

While these symptoms can feel overwhelming, they're definitely not unbeatable.

Let's dive into some tricks to help you prep and feel more confident when you're up against public speaking challenges.

Tip 1: Prepare a well-structured presentation

Success in public speaking begins with thorough preparation. Take the time to research your topic extensively and understand your audience's needs and expectations. Structure your presentation logically, and design visually engaging slides to support your message. Rehearse your script until you feel comfortable with its flow and content.

Tip 2: Polish and rehearse your script

Embrace a growth mindset and view challenges as opportunities for improvement. Practice delivering your speech aloud and use self-recording to evaluate your performance objectively. Seek feedback from friends or family members and incorporate their suggestions to refine your presentation. Familiarise yourself with the venue beforehand to alleviate any logistical concerns.

Tip 3: Challenge Negative Self-Talk

Identify and challenge the negative thoughts that contribute to your anxiety. Write down your concerns and the potential consequences you fear. Take a step back and assess whether these thoughts are realistic or exaggerated. Reframe negative self-talk with more balanced and empowering statements.

Tip 4: Create a Troubleshooting Plan

Anticipate potential challenges and devise strategies to address them proactively. For instance, keep a glass of water handy to combat dry mouth, or prepare standard responses for unexpected questions. Having a plan in place will boost your confidence and help you navigate any hurdles smoothly.

Tip 5: Practice Mindfulness

Incorporate relaxation techniques into your routine to manage anxiety effectively. Experiment with breathing exercises, visualisation, or meditation to calm your mind and body. Cultivate mindfulness habits that you can employ before, during, and after your presentations to stay grounded and focused.

When to Get Professional Help

If your presentation nerves are really starting to mess with your academic or personal life, it might be time to reach out for some extra support. Keep an eye out for signs like constantly avoiding presentations, messed-up sleep or eating habits, or weird physical symptoms that don't seem related to anxiety.

Consider chatting with a mental health pro or counsellor who can offer personalised advice and a listening ear. There are plenty of avenues of support you can turn to, including a range of programs and counselling services offered at UQ to help support students’ health and wellbeing.

Dealing with public speaking jitters is tough, but totally doable. Our university days are the perfect time to work on our presentation skills and boost our confidence. Push yourself a bit, tap into the resources around you, and you'll soon be rocking those speeches like a pro. Remember, every presentation is a chance to learn and grow.

Camila Franco

• Uni Minds: Navigating Mental Health Challenges
• What’s it really like to study psychology at UQ?

Beating Presentation Anxiety: 5 Steps to Speak Confidently

• The Speaker Lab
• April 16, 2024

Table of Contents

Feeling jittery about your next presentation? If so, you’re not alone. Presentation anxiety hits many of us, but it doesn’t have to hold you back. In this article, we’ll dive into what sparks this fear and how it shows up. We’ve got you covered with strategies to prep before your talk, keep cool during the show, and even use tech tools to smooth out those nerves.

If you find that the jitters are negatively impacting your presentations, we have the strategies you need to build confidence. And if you need more help, we’ll point you towards top-notch resources for beating presentation anxiety.

Understanding Presentation Anxiety

Presentation anxiety grips many of us before we step onto the stage. It’s that stomach-churning, sweat-inducing fear of public speaking that can turn even the most prepared speaker into a bundle of nerves. But why does this happen? Let’s break it down.

Common Triggers of Presentation Anxiety

First off, it’s important to know you’re not alone in feeling nervous about presenting. This type of anxiety is incredibly common and stems from various triggers. One major cause is the fear of judgment or negative evaluation by others. No one wants to look foolish or incompetent, especially in front of peers or superiors.

Another trigger is lack of experience. If you haven’t had much practice speaking in public, every presentation might feel like stepping into unknown territory. Then there’s perfectionism; setting impossibly high standards for your performance can make any slight mistake feel disastrous.

How Presentation Anxiety Manifests

The symptoms of presentation anxiety are as varied as they are unpleasant: dry mouth, shaky hands, racing heart—the list goes on. Oftentimes, these physical signs go hand-in-hand with mental ones like blanking out or losing your train of thought mid-sentence. In addition to affecting how you feel physically, anxiety also messes with your confidence levels and self-esteem.

By understanding presentation anxiety better, we realize its grip on us isn’t due to our inability but rather a natural response that can be managed with the right techniques and mindset adjustments.

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Strategies for Managing Presentation Anxiety Before the Event

Feeling jittery before taking the stage is a common plight, but let’s not let those nerves derail our success. Here are some tried and true strategies to help keep your cool.

Planning Like a Pro

Kicking off with solid planning can be your first line of defense against presentation anxiety. Initiate by segmenting your presentation into digestible sections. This could mean outlining main points or scripting it out entirely, depending on what makes you feel most prepared. A good resource that dives deep into effective planning is Toastmasters International , where you’ll find tips on structuring speeches that resonate.

An equally crucial part of planning involves researching your audience. Understanding who will be in front of you helps tailor your message and anticipate questions they might have, making you feel more confident and connected.

The Power of Practice

You’ve heard it before, but practice really does make perfect—or at least significantly less nervous. Running through your presentation multiple times lets you iron out any kinks and get comfortable with the flow of information. For an extra boost, simulate the actual event as closely as possible by practicing in similar attire or using the same technology you’ll have available during the real deal.

If solo rehearsals aren’t cutting it, try roping in a friend or family member to act as an audience. Not only can they offer valuable feedback, they can also help acclimate you to speaking in front of others—a critical step toward easing anxiety.

Breathing Techniques That Work Wonders

Last but definitely not least: don’t underestimate breathing techniques. They have the power to calm nerves fast when practiced regularly leading up to the big day. Headspace offers guided exercises that focus on controlled breathing methods designed specifically for stress management. These practices encourage mindfulness, which can center thoughts away from anxious feelings towards present tasks—like delivering an outstanding presentation. Incorporating these exercises daily can build resilience against last-minute jitters too.

Techniques During the Presentation

Say you’ve practiced your speech a dozen times but you’re still worried about the big day. What should you do then to beat presentation anxiety? Let’s take a look.

Engage with Your Audience

Talking to a room full of people can feel daunting, especially when you don’t know any of them. But remember, your audience is there because they’re interested in what you have to say. Make eye contact, smile, and ask rhetorical questions to keep them hooked. As you speak, don’t forget about the importance of body language since it communicates just as much as your words.

If you think engagement ends at asking questions, think again. Sharing personal stories or relevant anecdotes helps build a connection. It makes your presentation not just informative but also relatable and memorable.

Maintain Composure Under Pressure

If you’re palms are sweating and your heart is racing, know that it’s okay. Feeling your pulse quicken shows you’re invested in nailing that speech, yet it’s crucial not to let these sensations throw you off track. Practice deep breathing exercises before stepping onto the stage to calm those nerves.

Besides deep breathing, adopting power poses backstage can significantly boost your confidence levels. Although it may sound crazy, this is a tip from social psychologists that has helped many speakers take control of their anxiety. Just check out Amy Cuddy’s TED talk on body language to see for yourself.

Facing unexpected tech glitches or interruptions during your speech is par for the course. Stay calm and use humor if appropriate—it shows professionalism and adaptability.

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The Role of Technology in Managing Presentation Anxiety

When giving a presentation, it’s not uncommon for your slides or videos to suddenly turn on you, malfunctioning in some way. However, while technical issues are something to prepare for, they shouldn’t keep you from considering technology an ally against presentation anxiety. Let’s look at some ways that technology can help soothe your public speaking jitters.

Presentation Software Features

Gone are the days when speakers had to rely solely on their memory or paper notes. Modern presentation software not only allows you to create visually appealing slides but also comes with features designed specifically for speaker support. Tools like PowerPoint’s Presenter View or Keynote, give you a behind-the-scenes look at your notes and upcoming slides without showing them to the audience. This lets you stay on track discreetly.

Another gem is interactive polling through platforms such as Mentimeter or Poll Everywhere . Engaging your audience with real-time polls not only keeps them involved but also gives you brief moments to collect your thoughts and breathe.

Stress Management Apps

When it comes to taming those pre-presentation butterflies in your stomach, there’s an app for that too. Meditation apps like Headspace offer quick guided sessions that can be squeezed into any busy schedule. Taking even just five minutes before stepping onstage can significantly calm nerves and improve focus.

Breathing exercises have proven effective in managing stress levels quickly. The beauty of apps like Breathe2Relax , is that they provide structured breathing techniques aimed at reducing anxiety on-the-go. As a result, it’s perfect for those last-minute jitters backstage or right before a webinar starts.

Resources for Further Support

If you’re on a quest to conquer presentation anxiety, you’re not alone. It’s like preparing for a big game; sometimes, you need more than just pep talks. Thankfully, there are plenty of available aids out there to help support you on your journey.

Books That Speak Volumes

Finding the right book can be a lifesaver. “Confessions of a Public Speaker” by Scott Berkun gives an insider look at the highs and lows of public speaking with humor and wisdom. Another gem is “TED Talks: The Official TED Guide to Public Speaking” by Chris Anderson, which pulls back the curtain on what makes talks memorable.

Beyond books, consider immersing yourself in stories of others who’ve walked this path before. A great way to do this is through podcasts or audiobooks focusing on overcoming fears and embracing confidence.

Professional Services: When You Need A Team

Sometimes self-help isn’t enough; maybe what you really need is someone in your corner guiding each step. That’s where expert coaches come in. These mentors can craft plans tailored uniquely to your situation, ensuring you’re equipped for every challenge.

Here at The Speaker Lab you’ll find plenty of resources and help if you’re looking to master the art of public speaking while tackling anxieties head-on.

Together, all these resources have one thing in common: they empower speakers at any stage of their journey towards becoming confident communicators ready to tackle any audience.

FAQs on Overcoming Presentation Anxiety

How do i overcome anxiety when presenting.

Practice your talk, know your stuff, and take deep breaths. Confidence grows with preparation and experience.

Why am I anxious about public speaking?

Fear of judgment or messing up in front of others triggers this anxiety. It’s our brain on high alert.

What is anxiety presentation?

Presentation anxiety is that jittery feeling before speaking publicly. It stems from fear of failure or negative evaluation.

What can I take for presentation anxiety?

Talk to a doctor first but beta-blockers or natural remedies like chamomile tea might help ease the jitters safely.

Feeling nervous before a presentation is common. However overwhelming it might feel, know that mastering this fear is possible. Remember: practice makes perfect. By prepping ahead of time and getting familiar with your content, you can dial down the nerves.

As you’re in the spotlight, make sure to maintain a lively interaction with those watching. This builds confidence on the spot. Tech tools are there for help too. They can streamline your preparation and delivery process significantly.

Don’t be shy about asking for more info if you’re looking for something specific. We’re here to help and make sure you find exactly what you need. So what are you waiting for? It’s time to get out there and nail that presentation!

• Last Updated: April 11, 2024

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Here's How to Overcome Presentation Anxiety

By rob biesenbach, july-august 2020.

If you’re like most people, then you get nervous or anxious before a presentation. It’s OK. Even professional speakers go through this.

The difference is in how you manage it. You can let the anxiety drive you crazy and even affect your performance, or you can meet it head-on and at least subdue it, if not conquer it.

Billions of words have been written about overcoming stage fright. Beyond the usual menu of tactics, I’m going to offer a way to reframe your thinking, with a healthy dose of tough love.

But first, let’s clear the air on an important issue.

Bust a popular myth.

One little factoid that we hear all the time is that people fear public speaking even more than death. Death! 

But while that’s the premise of a memorable Jerry Seinfeld bit — “Now this means to the average person, if you have to go to a funeral, you’re better off in the casket than doing the eulogy” — nobody has found an actual study to support this claim.

I may be biased because I speak for a living but, personally, I would rather be up there doing the eulogy.

While some people suffer from truly debilitating anxiety that might require a deeper level of intervention, most people’s fear can be managed with a handful of simple tools. 

And, like I said, some tough love.

Check your ego at the podium.

When you explore the source of people’s speaking anxiety, it often comes down to the fear of making mistakes or looking dumb in front of colleagues or other people they need to impress. 

And some are self-conscious about their appearance or the sound of their voice.

For this group, I would say, “Get over it!”

Yes, get over it. That’s your ego talking. Your presentation is not about you, it’s about them — your audience.

Your only job is to provide useful information that will help them in some way, large or small — information that will lead them to change their thinking or even their behavior on a particular issue.

So set aside the notion of dazzling or impressing them. Turn the tables on your anxiety. Ask yourself, “How can I help today?” Show up to serve.

Manage your expectations.

Take note of the language I’m using here. It’s modest. Your impact may be small, but it’s useful. You will probably not rock their world and spark a 180-degree turnaround in their viewpoints or actions.

But if you can plant some seeds, give them some food for thought and prompt them to do some further exploration on an issue, then that’s a win.

While it’s true that a speech can change the world, most of them don’t. And they rarely, if ever, make that kind of impact entirely on their own.

So take the pressure off yourself and be modest in your ambitions.

Stop undermining your credibility.

We’ve all seen people visibly work themselves into a near-frenzy in the hours and days before a presentation, telling anyone and everyone how nervous they are. Maybe we’ve done it ourselves.

That’s a natural instinct — we’re talking things out and perhaps seeking reassurance that everything will be OK.

But beyond creating a self-perpetuating doom cycle of anxiety, this behavior seriously undermines your credibility as a professional.

Stop for a minute and think about the impression that you’re making on the people around you — those who look up to you and those who have a role in your future advancement.

This is about how we show up every day as professionals and as leaders.

Act like the leader you are.

When this issue comes up in my speeches and workshops, I often ask about that person’s regular, daily responsibilities. They walk through a few of the important things they do — managing budgets, counseling teammates, moving projects along.

Then I ask how they handle those duties. Do they conduct themselves with calm assurance, or do they run down the hallway like their hair is on fire?

Of course, it’s the former. The point is to treat a presentation like a normal part of your responsibilities. For PR pros, of course, communication is our job. But communication is the heart of everyone’s job, whether they’re managing teams, enlisting support for plans and initiatives, seeking compliance with policy or procedures, cultivating customer relationships or reassuring investors. 

So put yourself in the mindset that speaking in front of groups is simply one more of your normal duties and carry yourself accordingly. You’re cool, comfortable and contained.

In other words, you’re a leader.

Use the tactics for managing anxiety.

Those steps involve a major shift in thinking. Now let’s look at a few simple tactics that may be easier to implement:

• Understand your audience. What are their interests, needs, moods and objections? Use that insight to create truly relevant content and to forge a stronger connection. • Practice and prepare. There really isn’t a substitute for doing your homework and taking the time to practice. The better you know your material, the more poised and confident you will be. • Warm up. Before you go on, do some stretches to burn off excess energy, get your blood flowing and prepare your body. Take three deep breaths to calm yourself.

• Mingle (or don’t). Some speakers become energized by working the room beforehand — introducing themselves, getting to know audience members and asking questions. If you’re not wired that way, then that’s OK. Move on to the next step. 

• Focus. In the moments before you speak, put down your phone and think. Remind yourself of what you’re trying to accomplish and go through your intro in your head. That way, you’re more likely to hit the ground running and feel confident from the start. 

• Psych yourself up. Turn your nervousness into excitement. Convince yourself that you can’t wait to get out there, connect with people, share valuable information and make a difference — large or small — in people’s lives. • Ignore your mistakes. If you flub something, then keep going. The less you call attention to it, the less likely the audience will care or even notice. And silence your inner critic. Be cool.

Keep working at it.

Like anything else, the more you do it, the more you will improve. Many people have found Toastmasters to be a great way to get comfortable in front of groups. There are also plenty of books, training and coaching options to check out.

Put in the time to get better. Make it a priority. Yes, it’s a lot of work. But isn’t the benefit of relieving all of that anxiety worth it? photo credit: digitalvision vectors

Rob Biesenbach

Rob Biesenbach  helps leaders break free from death by PowerPoint, tell their story and communicate like humans should. He’s an in-demand speaker, workshop leader and coach, an award-winning communicator and a bestselling author. He’s worked with great organizations including AARP, Allstate, Caterpillar, Coca-Cola and Lockheed Martin.

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Four ways to defeat public speaking anxiety

Even experienced academics can get anxious before public speaking. Fikrican Kayıkçı suggests four ways to approach speeches with confidence

Fikrican Kayıkçı

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Is it time to turn off turnitin, use ai to get your students thinking critically, taming anxiety around public speaking, emotions and learning: what role do emotions play in how and why students learn.

Many people find public speaking the most difficult type of communication. Delivering a speech in an academic context can be even more daunting because it requires specific communication skills and confidence in the topic. How can we rid ourselves of these anxieties to speak clearly and confidently?

Based on my experiences as an early career academic, here are four strategies to reduce anxiety around speaking in public so that you can share your knowledge with the world.

Be prepared

Before you step in front of the audience, research the subject of your speech in detail. Make sure you’re completely comfortable with the topic. Also, clearly put forward the main ideas of the speech and draw up a plan, divided into sections such as beginning, body and conclusion. Not only will this make you feel comfortable and in control during your speech, it will also help the audience to understand it better.

• Practical ways to ease presentation nerves
• Anxious about public speaking? Try these tips from the theatre
• Ten smart ways to ace your next academic presentation

But even when you’re fully prepared, you can experience problems. At the start of my academic career, I had the chance to take part in a symposium as a speaker. I enthusiastically prepared my 40-minute speech, without knowing there was a 20-minute time limit. On the day, the initiative of the session chair and my on-the-spot adjustments meant I completed my talk in 30 minutes. I learned an important lesson that day, and now I always check the length of time I have to speak in. Only then can I determine the content of the speech. 

In order to speak effortlessly, it’s also useful to practice a few days before delivering the speech. This will help you see your shortcomings. You can even practice in front of a mirror to learn how to control your body language. Rehearsing with friends can be beneficial, as listening to their critiques will help you improve your delivery, and watching speeches by people with good public speaking skills can also help. 

The most effective method I’ve found is to record myself and then watch the video back to identify and correct my errors. Preparing in these ways could help alleviate the anxieties you have about public speaking. 

Know your audience

Find out about the audience you’ll be addressing. Their level of education, age range and expectations can be very important for the reception of your speech. For example, when speaking to only lawyers or law academics, the language you would use should not be the same as a seminar with participants from different disciplines. At a multidisciplinary seminar I attended last year, I made sure to use language accessible to everyone so that the audience could easily follow my speech. I could see from the audience’s response that they understood me, and that minimised my anxiety.

Use visual aids

Conveying information just by talking can be boring for both the audience and speaker. Why not enrich your speech with visual aids such as simple, understandable slides, graphs or images? The colours and styles of the visuals and texts you’re using should be compatible with each other and the information used in the graphics should be up to date. You can use a visual hierarchy to emphasise important messages, such as the title, sub-heading and the key content of the presentation. 

Create a conversation with your audience

Interactive speeches, where the audience can participate in the conversation, are much more interesting than monologue-style communication. Be open to questions and comments from the audience. It will allow you to see the topic you’re talking about from different perspectives, but will also be useful for improving your future public speaking experiences.

Perhaps play a “get to know you” game with the audience at the beginning of your speech. While giving a speech recently, I started by asking everyone to introduce themselves and their field of study. Not only did this create a bond between me and the audience, it also made it easier for them to ask questions.   

Academics can be well-versed in their subject, with decades of experience, and still have difficulty conveying their knowledge due to their anxiety around public speaking. Isn’t that a tragedy? But by putting into practice my advice, public speaking can become an opportunity rather than a problem. 

Fikrican Kayıkçı is a PhD student and teaches undergraduate courses at the Faculty of Law at Near East University.

If you would like advice and insight from academics and university staff delivered direct to your inbox each week, sign up for the Campus newsletter .

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How to Overcome Presentation Anxiety

How to manage presentation anxiety.

Watch this video or read the strategies below to learn some techniques to help with presentation anxiety, so that you can deliver your presentation confidently.

• Video Transcript - How to Manage Presentation Anxiety

Strategies to Help You Manage Presentation Anxiety

• Prepare: Being well prepared will help you feel more confident about your presentation
• Recognize negative self-talk like “I’m going to fail” or “I’m going to look stupid ” Challenge these unhelpful thoughts.  Do you really have any evidence to support them? Try some positive self-talk instead, like “I can do it”  or “I’m well prepared”
• Develop a “Relaxation Strategy” to use when you feel too anxious.
• Practice. The better you know your presentation, the more confident you’ll feel. Practicing in front of a mirror or a webcam is best because you can see how you’re doing.
• Focus on your Message. You might tell someone climbing a ladder “don’t look down”. What you’re telling them is to focus on the task, not on their nervousness. The same advice applies to presentations. As you present, focus on your content instead of concentrating on yourself.
• Look confident even if you don’t feel that way. Smile and keep breathing, look at people’s foreheads not their eyes, and stand naturally.

How to Avoid Common Presentation Problems

If you're nervous about delivering a presentation, you're probably worrying about all the things that can go wrong. If you prepare for those potential problems, you can prevent them from happening, and learn to deal with them if they do happen.

Complete the activity to learn how to avoid some common presentation problems. You can also use the tip sheet below as a quick reference when preparing for a presentation.

Help, something's gone wrong in my presentation!

This activity can help you earn what to do to avoid or overcome some common presentation problems that may have you feeling anxious.

• Activity PDF - Help, something's gone wrong in my presentation! (This document is an accessible version of the activity.)
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3 Surefire Ways to Lower Anxiety in Student Presenters

If your classes have a presentation component, then you know just how nerve-wracking presenting can be for your students. Even normally outgoing and relaxed people can freeze up in front of a crowd, and for some students this anxiety is completely debilitating, erasing their presentation skills altogether.

Is there anything to be done for those particularly unlucky souls?

Well if you’re asking this question, you aren’t the only one. In fact, many researchers are trying to better understand presentation anxiety so they can help students overcome it. A study from Dublin City University discovered that presentation anxiety­—also known as oral communication apprehension (OCA)—is caused by three main factors in a student: fear of humiliation in front of their peers, negative past experiences with presenting, and insufficient preparation. These researchers spent hours interviewing students about what exactly makes them so nervous. Without fail their fears always stemmed from those three sources.

But students with high levels of OCA aren’t a lost cause. The Dublin study also found that anxious students who received positive feedback from their instructor and peers consistently experienced a drop in their average anxiety levels over time. Even if they’re naturally afraid of presenting or have had bad experiences in the past, positive words and experiences do eventually build confidence and better presenting skills.

In another fascinating study on communication apprehension, two researchers found another compelling factor that reduces anxiety in student presenters: video. As it turns out, recording presentations digitally and allowing students to review their performance in hindsight greatly improves presenting skills while also reducing anxiety over time. This was true even if the recording aspect increased their anxiety levels initially.

The researchers were unsure why exactly video was such a great anxiety-reducer. Maybe it was the familiar ritual of recording each presentation. Or maybe it was the heightened self-awareness that led to greater confidence and less fear. The important takeaway is that the videotape-and-critique method is a staggeringly effective way for students to become better presenters. Other studies also found that recording video increases the quality of student performance in general.

So if you’re looking for the best ways to help students become fearless, here are three methods guaranteed to help:

1. Focus on Positive Feedback

To help students see presenting as a positive learning experience, you absolutely must share what they’re doing right along with what they can improve. Students need confidence in their abilities to motivate them to reach to new heights. It’s up to you as the instructor to make sure that peer critique also follows this pattern. Keeps the discussion positive, constructive, and useful.

2. Coach Students on How to Prepare

Understandably, students will be more nervous for a presentation that they aren’t ready to deliver. A boat-load of research has proven that practice lowers anxiety and increases quality, so drill into your students just how many times they should run through their material. Make sure that they’re practicing long enough to feel comfortable with both their subject matter and their delivery.

3. Use GoReact

If you’re looking for an easy way to use video to your advantage, GoReact is the answer. By watching themselves present on screen and getting time-coded feedback directly from you, students can raise their self-awareness and hone their presenter skills simultaneously. GoReact is also a great tool for instructors to model positive feedback for students and moderate peer comments before showing them to presenters. It’s a win-win for everyone.

Check out  How to Build a Successful Presentation Structure for more helpful presentation tips.

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Presentation Anxiety

Presentation anxiety is the experience of feeling an intense moment of fear or panic before and/or during a presentation.

You may find it hard to concentrate, to think clearly, to sleep and to eat.  

Feeling anxious about a presentation is normal, especially if you struggle with public speaking . Presentation anxiety can usually be overcome with time and practice.  

Tips for improving your presentation skills

There are lots of ways to improve your presentation skills. LinkedIn has several courses around improving your presentation skills:  

• What makes a good speaker    
• Deliver a great presentation

How can the University Support you?

The library offers a number of workshops on how to develop your presentation skills. More information is available here .    

A study skills module is available on LEARN featuring guidance on how to improve your presentation skills is available.    

If your first language isn’t English, you can find some advice on presentations here .  

What to do next?

Academic Language Support Service

The Academic Language Support Service can help you improve your presentation skills regardless if English is your first language or if it is not your first language . They have resources, workshops and offer guidance if you should need it. 

Library Resources

The Library also offer resources and workshops with the aim of helping you improve your presentation skills. You can find more about how the Library can help you here . 

External Resources

6 steps to a successful presentation.

LinkedIn Learning

Managing your anxiety while presenting.

Last Updated: 31st August 2022

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Recent studies cast doubt on whether large-scale mental health interventions are making young people better. Some even suggest they can have a negative effect.

By Ellen Barry

In recent years, mental health has become a central subject in childhood and adolescence. Teenagers narrate their psychiatric diagnosis and treatment on TikTok and Instagram. School systems, alarmed by rising levels of distress and self-harm, are introducing preventive coursework in emotional self-regulation and mindfulness.

Now, some researchers warn that we are in danger of overdoing it. Mental health awareness campaigns, they argue, help some young people identify disorders that badly need treatment — but they have a negative effect on others, leading them to over-interpret their symptoms and see themselves as more troubled than they are.

The researchers point to unexpected results in trials of school-based mental health interventions in the United Kingdom and Australia: Students who underwent training in the basics of mindfulness , cognitive behavioral therapy and dialectical behavior therapy did not emerge healthier than peers who did not participate, and some were worse off, at least for a while.

And new research from the United States shows that among young people, “self-labeling” as having depression or anxiety is associated with poor coping skills, like avoidance or rumination.

In a paper published last year , two research psychologists at the University of Oxford, Lucy Foulkes and Jack Andrews, coined the term “prevalence inflation” — driven by the reporting of mild or transient symptoms as mental health disorders — and suggested that awareness campaigns were contributing to it.

“It’s creating this message that teenagers are vulnerable, they’re likely to have problems, and the solution is to outsource them to a professional,” said Dr. Foulkes, a Prudence Trust Research Fellow in Oxford’s department of experimental psychology, who has written two books on mental health and adolescence.

Until high-quality research has clarified these unexpected negative effects, they argue, school systems should proceed cautiously with large-scale mental health interventions.

“It’s not that we need to go back to square one, but it’s that we need to press pause and reroute potentially,” Dr. Foulkes said. “It’s possible that something very well-intended has overshot a bit and needs to be brought back in.”

This remains a minority view among specialists in adolescent mental health, who mostly agree that the far more urgent problem is lack of access to treatment.

About 60 percent of young Americans with severe depression receive no treatment, according to Mental Health America, a nonprofit research group. In crisis, desperate families fall back on emergency rooms, where teens often remain for days before a psychiatric bed opens up. There is good reason to embrace a preventive approach, teaching schoolchildren basic skills that might forestall crises later, experts say.

Dr. Foulkes said she understood that her argument runs counter to that consensus, and when she began to present it, she braced for a backlash. To her surprise, she said, many educators reached out to express quiet agreement.

“There’s definitely a fear about being the one to say it,” she said.

A deflating result

In the summer of 2022, the results of a landmark study on mindfulness training in British classrooms landed — like a lead balloon.

The trial, My Resilience in Adolescence, or MYRIAD, was ambitious, meticulous and expansive, following about 28,000 teenagers over eight years. It had been launched in a glow of optimism that the practice would pay off, improving the students’ mental health outcomes in later years.

Half of the teenagers were trained by their teachers to direct their attention to the present moment — breathing, physical sensations or everyday activities — in 10 lessons of 30 to 50 minutes apiece.

The results were disappointing . The authors reported “no support for our hypothesis” that mindfulness training would improve students’ mental health. In fact, students at highest risk for mental health problems did somewhat worse after receiving the training, the authors concluded.

But by the end of the eight-year project, “mindfulness is already embedded in a lot of schools, and there are already organizations making money from selling this program to schools,” said Dr. Foulkes, who had assisted on the study as a postdoctoral research associate. “And it’s very difficult to get the scientific message out there.”

Why, one might ask, would a mental health program do harm?

Researchers in the study speculated that the training programs “bring awareness to upsetting thoughts,” encouraging students to sit with darker feelings, but without providing solutions, especially for societal problems like racism or poverty. They also found that the students didn’t enjoy the sessions and didn’t practice at home.

Another explanation is that mindfulness training could encourage “co-rumination,” the kind of long, unresolved group discussion that churns up problems without finding solutions.

As the MYRIAD results were being analyzed, Dr. Andrews led an evaluation of Climate Schools, an Australian intervention based on the principles of cognitive behavioral therapy, in which students observed cartoon characters navigating mental health concerns and then answered questions about practices to improve mental health.

Here, too, he found negative effects. Students who had taken the course reported higher levels of depression and anxiety symptoms six months and 12 months later.

Co-rumination appears to be higher in girls, who tend to come into the program more distressed, as well as more attuned to their friends, he said. “It might be,” he said, “that they kind of get together and make things a little bit worse for each other.”

Dr. Andrews, a Wellcome Trust research fellow, has since joined an effort to improve Climate Schools by addressing negative effects. And he has concluded that schools should slow down until “we know the evidence base a bit more.” Sometimes, he said, “doing nothing is better than doing something.”

The awareness paradox

One problem with mental health awareness, some research suggests, is that it may not help to put a label to your symptoms.

Isaac Ahuvia, a doctoral candidate at Stony Brook University, recently tested this in a study of 1,423 college students . Twenty-two percent “self-labeled” as having depression, telling researchers “I am depressed” or “I have depression,” but 39 percent met the diagnostic criteria for depression.

He found that the students who self-labeled felt that they had less control over depression and were more likely to catastrophize and less likely to respond to distress by putting their difficulties in perspective, compared with peers who had similar depression symptoms.

Jessica L. Schleider, a co-author of the self-labeling study, said this was no surprise. People who self-label “appear to be viewing depression as a biological inevitability,” she said. “People who don’t view emotions as malleable, view them as set and stuck and uncontrollable, tend to cope less well because they don’t see a point to trying.”

But Dr. Schleider, an associate professor of medical social sciences at Northwestern University and the director of the university’s Lab for Scalable Mental Health, pushed back on the prevalence inflation hypothesis. She disagreed with the claim that students are overdiagnosing themselves, noting that Mr. Ahuvia’s findings suggest otherwise.

Awareness campaigns are bound to have multiple effects, helping some students and not others. And ultimately, she argued, the priority for public health should be reaching young people in the most distress.

“The urgency of the mental health crisis is so clear,” she said. “In the partnerships that I have, the emphasis is on the kids truly struggling right now who have nothing — we need to help them — more so than a possible risk for a subset of kids who aren’t really struggling.”

Maybe, she said, we need to look beyond the “universal, school-assembly-style approach,” to targeted, light-touch interventions, which research has shown can be effective at decreasing anxiety and conduct disorders, especially in younger children.

“There is a risk of throwing the baby out with the bathwater,” Dr. Schleider said. “The response can’t be ‘Forget all of it.’ It should be ‘What about this intervention was unhelpful?’”

Other researchers echoed her concern, pointing to studies that show that on average, students benefit from social and emotional learning courses.

One of the largest, a 2023 meta-analysis of 252 classroom programs in 53 countries, found that students who participated performed better academically, displayed better social skills and had lower levels of emotional distress or behavioral problems. In that context, negative effects in a handful of trials appear modest, the researchers said.

“We clearly have not figured out how to do them yet, but I can’t imagine any population-based intervention that the field got right the first time,” said Dr. Andrew J. Gerber, the president and medical director of Silver Hill Hospital and a practicing child and adolescent psychiatrist.

“Really, if you think about almost everything we do in schools, we don’t have great evidence for it working,” he added. “That doesn’t mean we don’t do it. It just means that we’re constantly thinking about ways to improve it.”

‘We want everyone to have it’

These debates are taking place a long way away from classrooms, where mental health curriculums are increasingly commonplace.

Allyson Kangisser, a counselor at Woodsdale Elementary School in Wheeling, W.Va., said the focus in her school is on basic coping skills. In the early grades, students are asked, “What things can you do to take care of yourself when you’re having big feelings?”

Starting in third grade, they take on more complex material, such as watching cartoon characters to distinguish transient stress from chronic conditions like depression. “We’re not trying to have them diagnose themselves,” Ms. Kangisser said. “We are saying, what do you feel — this one? Or this one?”

At the school’s sixth annual mental health fair last month, Woodsdale students walked through a giant inflatable brain, its lobes neatly labeled. They did yoga stretches and talked about regulating their emotions. Ms. Kangisser said the event is valuable precisely because it is universal, so troubled children are not singled out.

“The mental health fair, everybody does it,” she said. “It’s not ‘You need it, and you don’t.’ We want everyone to have it, because you just never know.”

By the time the students reach college, they will have absorbed enormous amounts of information about mental health — from school, but also from social media and from one another.

Dr. Jessica Gold, chief wellness officer for the University of Tennessee system, said the college students she sees are recognizably different — more comfortable speaking about their emotions and more willing to be vulnerable. They also overuse diagnostic terms and have the self-assurance to question a psychiatrist’s judgment.

“It’s sort of a double-edged sword,” she said. “We want people to talk about this more, but we don’t want that to lead to overdiagnosis or incorrect diagnosis or overtreatment. We want it to lead to normalizing of having feelings.”

Lucy Kim, a Yale senior who has lobbied for better mental health support on campus, described the prevalence inflation hypothesis as “disheartening, dismissive and potentially dangerous,” providing another way to discount the experiences of young people.

“As a college student, I see a generation of young people around me impacted by a depth and breadth of loneliness, exhaustion and disillusionment suggestive of a malaise that goes deeper than the general vicissitudes of life,” said Ms. Kim, 23.

Overdiagnosis does happen, she said, and so does glorification of mental health disorders. But stigma and barriers to treatment remain the bigger problem. “I can confidently say I have never heard anyone respond to disclosures of depression with ‘That’s so cool, I wish I had that, too,’” she said.

Ellen Barry is a reporter covering mental health for The Times. More about Ellen Barry

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The New York Sun

Rising anxiety, mental illness among today’s college students suggests a generation that never achieved independence from their parents.

It’s easy to see how a generation never allowed to play, walk around the neighborhood, or even drift over to the dairy section without anxious adults watching and assisting them might just be unprepared for the real world — or even eating in the dining hall.

The Wall Street Journal reports that today’s college students are so lonely, sad, and socially anxious that they grab their dining hall food to go — preferring to eat in their rooms.

Time spent in dining halls is down 40 percent, according to Degree Analytics, a company measuring students’ time spent where on campus. Attendance at sporting events, clubs, and even dorm meetings is down, too. The Journal quotes one residential adviser who said several students asked to attend her meeting by Zoom, even though they were down the hall.

The story documents classroom changes, too — and not just at the fancy colleges. The changes include more students handing in half-finished assignments. These same students are then shocked when they get failing grades. Look, I tried, they’ll tell their professors.

Where’s my participation trophy?

Props to reporter Douglas Belkin and assistant Harry Carr for gleaning so many granular examples of a generation that seems to have arrived on campus undercooked. The authors found that at Wesleyan University, student government meetings used to begin with a walk around campus. Today, they still take a walk, but they hold onto a shared rope, preschool style.

It’s no surprise that mental health on campus is reportedly decreasing. One in seven students has considered suicide this past year, according to a Healthy Minds study cited by the Journal. In fact, so many students are demanding therapy that hundreds of colleges have contracted with a telehealth company that promises to find students a therapist within five minutes of their call.

Experts are debating the cause of all this misery, and there are plenty of potential culprits: Covid closures, political extremism, even the advent of the “like” button. Only could one unnoticed factor be that this generation spent so little time unsupervised as children?

A recent University of Michigan study found that the majority of parents of children ages 9 to 11 will not let them walk to a friend’s house, play at the park with a friend, or trick-or-treat unchaperoned. Only half will let their children go to another aisle at the store by themselves.

And what about the fact that most college students today grew up with cellphones? I’m not talking about TikTok. I’m talking about the fact that nowadays when a child’s bike chain falls off, they can instantly call Dad to come fix it. It’s the same thing with their grades; teachers tell me children are texting their parents from the school bathroom. The parents then turn around and call the school.

When children play unsupervised with other children of different ages, they learn important skills: creativity, communication, compromise, compassion, and leadership. When they successfully complete tasks on their own, they understand they are helpful, capable, and resourceful — not babies.

When young people miss out on those experiences as children, it’s no surprise they’d arrive on campus socially awkward, afraid, and maybe even disliking themselves for being so unformed. 

Until we give children back some independence to run around and play, they will arrive on campus unprepared, clinging to the rope like a toddler, because that’s how they have been treated all their lives.

Creators.com

Ms. Skenazy is president of Let Grow, a contributing writer at Reason.com, and author of "Has the World Gone Skenazy?"

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New Wisconsin summer camp offers camaraderie for middle schoolers with OCD

At a new Wisconsin summer camp this June, usual camp activities like petting farm animals, going for a swim or sitting around a campfire will have an added significance for campers who are overcoming related fears associated with their anxiety or obsessive compulsive disorders.

At the camp organized by OCD Wisconsin, those campers won't be alone, but will be with other campers who have similar diagnoses. All of the campers, from grades five through eight, will have a diagnosis of either OCD, specific phobias or social anxiety.

OCD Wisconsin landed a grant from the Plant a Camp Program , funded by JACK Mental Health Advocacy, to pilot the camp, which the organization hopes to continue offering in future years. Scheduled for June 27-30 at a retreat center in West Bend, it's accepting applications now. Parents and guardians are also invited.

Opportunities for students with OCD to come together, or just to access basic treatment, aren't easy to find.

“There is no doubt there is a vast wasteland of people to help children, let alone adults, with OCD, to the point where one provider can have upwards to 1,000 clients," said Cindy Tiffany-Frey, president of OCD Wisconsin .

Keri Brown, an OCD therapist in Black Earth who will lead the summer camp, said demand for care has grown exponentially since the pandemic.

“I certainly can’t accommodate all the people that reach out to me, but I do my best, and I do my best to refer them to other folks who are just as busy and full as I am," Brown said.

Amanda Heins, a psychologist for the adolescent residential OCD program at Rogers Behavioral Health, said the pandemic created a "natural bubble of avoidance" that gave students serious reasons to avoid situations that could be socially challenging. Students missed out on opportunities to build social skills and confidence.

Heins said the camp community could help students expand their comfort zone and realize how much they have in common with others.

“OCD and anxiety can make you feel, at times, like 'no one else is feeling this the way that I’m feeling this; something must be wrong with me specifically,'" Heins said.

At the camp, students will be able to practice “exposure and response prevention,” a common treatment model for OCD, under the care of a professional, that involves confronting situations that cause anxiety. Brown said the idea with the camp is to "make exposures fun" and have support from peers while doing it.

“I think kids will benefit from being able to meet other people who struggle with similar things, to be able to talk openly about their symptoms without that fear of being judged," Brown said.

Jason Niosi, vice president of OCD Wisconsin, has seen his own son benefit from therapeutic group settings as his son learned how to manage his OCD.

“Talking about stuff helps, but talking about it to someone who knows what you're going through can be better, because, well, they know," said Niosi's son, 13-year-old Dexter.

Dexter will volunteer at the camp, hoping to pass along some of what he's learned.

“I remember how difficult OCD was for me, and I didn't really have control over my own life. And that was an awful feeling to have to deal with all the time, and take away focus from everything that I actually wanted to do," Dexter said.

Dexter has already raised awareness about OCD in his own school. He produced a short film, " The Mind ," describing the experience. In the video, he shows ways that he uses "competing responses" to resist a compulsion associated with OCD — for example, putting his hands in his pockets to overcome a feeling of needing to turn a light on and off when entering a room.

After a couple years of hard work in therapy, Dexter said he has overcome many of the anxieties that used to hold him back. For example, he used to worry about being poisoned by small critters. Recently, in pursuit of his interest in wilderness survival, he learned that earthworms are nutritious. He found one and ate it.

"I did some research on what bugs are edible and what benefits they have, so I wanted to try it," Dexter said. "They mostly taste like chicken. They’ve got protein, and they’re pretty good for you.”

Dexter said he hopes by sharing his own experiences coping with fears, he'll encourage others on the journey.

"Knowing that other kids have to struggle like I did, but might not have the proper help that I got, is hard for me," Dexter said. "So I want to be able to help them in any way possible and get to basically the point I am now, where I can freely do whatever without worrying about OCD.”

Learn more about the camp at OCDWisconsin.org/camp .

Contact Rory Linnane at  [email protected] . Follow her on X (Twitter) at  @RoryLinnane . 

NSU graduates first class of former Presentation College students

With the closure of Presentation College last school year, students have to find their paths forward. Now, some of those students have walked the graduation stage across town.

With the two institutions teach-out agreement, some Presentation students hopped across Aberdeen to Northern State University to complete their degrees.

NSU chief enrollment officer Marcus Garstecki said the school graduated six former Presentation students in this commencement.

“Of course, with Northern being right here in Aberdeen – two miles away from PC campus – it was a natural fit to have a teach-out agreement,” Garstecki said.

In total, 21 students made the jump across town.

“It’s been really good for most of the students," Garstecki said. "I think one thing that was very interesting was most of those 21 students were not from the Aberdeen area or even from South Dakota. So, they had been here in Aberdeen for a couple years, obviously they felt very at home here in Aberdeen – very comfortable here – because they didn’t want to leave the community.”

Despite the additions to student headcount, Garstecki said the community lost something with the closure of Presentation.

“One of Presentation College’s hallmark programs was nursing," Garstecki said. "Without having that nursing program here in Aberdeen and to serve the entire northeast South Dakota region, Northern has stepped forward and we started perusing a nursing degree and we will actually launch that degree in the fall of 2025.”

According to Northern, university closures have a serious effect on the likelihood of graduation for re-enrollees, with only 36 percent of students earning degrees post-closure.

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