Overcoming Speech Anxiety: Strategies for High School Students - Psychiatry

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Experiencing a lump in the throat while speaking?


Hello, I am a senior in high school, and I have always had issues with anxiety when speaking in public or during exams.
I struggle to make eye contact and find it difficult to discuss serious topics or speak in front of others without getting choked up.
As I try to speak, I often find it increasingly hard to finish my sentences, and tears well up in my eyes.
Although I have had more opportunities to present in front of my classmates in high school, I can manage to control it somewhat.
However, with upcoming interviews, I experienced severe choking during a mock interview, and no matter how I feel inside, I can't seem to regain my composure.
I want to make eye contact with the evaluators, but when I open my eyes wide, tears start to fall.
Often, I just want to express something, and I end up choking up.
Is this just due to anxiety? Can seeing a doctor help me change this? Thank you for your response.

Li, 10~19 year old female. Ask Date: 2016/03/20

Dr. Wang Xiumei reply Psychiatry


You may consider visiting a nearby psychiatric outpatient clinic for adolescents to assess for any phobia issues and to determine if psychological therapy is needed for assistance.

Reply Date: 2016/03/20

More Info


Hello! It sounds like you are experiencing significant anxiety related to speaking in front of others, which is quite common among high school students. This type of anxiety can manifest in various ways, including physical symptoms like trembling, difficulty speaking, and even crying. It's important to recognize that what you're feeling is valid and that many people face similar challenges.


Understanding Speech Anxiety
Speech anxiety, often referred to as performance anxiety, can stem from a fear of judgment or making mistakes in front of others. This fear can be exacerbated in high-pressure situations, such as presentations or interviews, where the stakes feel particularly high. The physiological response to anxiety can include increased heart rate, sweating, and the urge to cry, which can make it even harder to speak clearly.


Strategies to Overcome Speech Anxiety
1. Preparation and Practice: One of the most effective ways to combat anxiety is thorough preparation. Familiarize yourself with the material you need to present. Practice your speech multiple times, ideally in front of a mirror or with a trusted friend or family member. The more comfortable you are with the content, the less anxious you may feel.

2. Breathing Techniques: Before speaking, practice deep breathing exercises. Inhale deeply through your nose, hold for a few seconds, and exhale slowly through your mouth. This can help calm your nerves and reduce physical symptoms of anxiety.

3. Visualization: Visualize yourself succeeding in your presentation or interview. Imagine the audience responding positively and you feeling confident. This mental rehearsal can help shift your mindset from fear to confidence.

4. Gradual Exposure: Start by speaking in low-pressure situations. This could be sharing your thoughts in a small group or discussing a topic with a friend. Gradually increase the difficulty by speaking in larger groups or more formal settings.

5. Focus on the Message, Not Yourself: Shift your focus from how you are performing to the message you want to convey. Remind yourself that the audience is interested in what you have to say, not in scrutinizing your performance.

6. Seek Support: Consider talking to a school counselor or therapist who can provide strategies tailored to your specific situation. They can help you work through your anxiety and develop coping mechanisms.

7. Join a Public Speaking Group: Organizations like Toastmasters provide a supportive environment to practice public speaking. This can help you build confidence and reduce anxiety over time.

8. Mindfulness and Relaxation Techniques: Incorporate mindfulness practices into your routine. Techniques such as meditation, yoga, or progressive muscle relaxation can help reduce overall anxiety levels.


When to Seek Professional Help
If your anxiety is significantly impacting your daily life, academic performance, or emotional well-being, it may be beneficial to consult a mental health professional. They can help you explore underlying issues contributing to your anxiety and provide therapeutic techniques, such as cognitive-behavioral therapy (CBT), which is effective for anxiety disorders.


Conclusion
Overcoming speech anxiety is a process that takes time and practice. Remember that it's okay to feel nervous; many people do. By implementing these strategies and seeking support when needed, you can work towards feeling more confident in your speaking abilities. Don't hesitate to reach out for help, whether from friends, family, or professionals. You are not alone in this journey, and with persistence, you can improve your skills and reduce your anxiety. Good luck!

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