Overcoming Presentation Anxiety: Tips for Managing Nerves and Voice Issues - Psychiatry

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Feeling nervous during a presentation can lead to a tight throat and uncontrollable shaking?


Hello, doctor.
I've struggled with low self-confidence since childhood, but I've gradually improved as I've grown older.
However, I still find it difficult to overcome my nervousness, especially when I need to express my thoughts or opinions in the workplace.
I often get so nervous that my mind goes blank, and I don't know what to say.
Occasionally, my job requires me to give presentations, and I start putting pressure on myself weeks in advance.
Both my mind and body become tense, and my mood is easily affected.
Even though I prepare thoroughly and practice my verbal delivery multiple times before each presentation, once I stand on stage or sit down to report, I start to shake while speaking, to the point where I feel like I can't get the words out (my voice becomes hoarse and shaky with every sentence).
In those moments, I just want to quickly finish reading my prepared notes.
Interestingly, I don't experience this level of nervousness when chatting with others.
How can I address my anxiety and the feeling of having a tight throat? Thank you, doctor.

Ms. Li, 40~49 year old female. Ask Date: 2022/03/14

Dr. Wu Enliang reply Psychiatry


Hello, netizens: It is recommended to seek treatment at a mental health facility, where a small amount of medication can be used along with relaxation training and cognitive-behavioral therapy for improvement.
Keep it up! Dr.
Wu En-Liang

Reply Date: 2022/03/14

More Info


Overcoming presentation anxiety is a common challenge faced by many individuals, especially in professional settings where the stakes feel high. Your experience of feeling nervous, having a blank mind, and experiencing physical symptoms like trembling and a tight throat during presentations is not uncommon. This anxiety can stem from various factors, including past experiences, self-doubt, and the pressure to perform well. Here are some strategies that may help you manage your nerves and voice issues effectively.


Understanding Anxiety
Firstly, it's essential to recognize that anxiety is a natural response to perceived threats or stressors. In your case, the act of presenting in front of others triggers this response. The physical symptoms you describe, such as trembling and a tight throat, are manifestations of the body's fight-or-flight response, which can be exacerbated by the pressure you place on yourself to perform perfectly.


Preparation and Practice
While you mentioned that you prepare extensively for your presentations, consider incorporating varied practice methods. Instead of just rehearsing your material alone, try practicing in front of friends or family members who can provide constructive feedback. This can help simulate the experience of presenting in front of an audience and make it feel less daunting. Additionally, recording yourself while practicing can help you identify areas for improvement and build confidence in your delivery.


Breathing Techniques
You mentioned trying abdominal breathing, which is an excellent technique for managing anxiety. Before your presentation, take a few moments to practice deep breathing exercises. Inhale deeply through your nose, allowing your abdomen to expand, and then exhale slowly through your mouth. This can help calm your nervous system and reduce physical symptoms of anxiety. Consider practicing this technique daily, not just before presentations, to help make it a habit.


Cognitive Behavioral Techniques
Cognitive Behavioral Therapy (CBT) techniques can be beneficial in addressing negative thought patterns that contribute to your anxiety. Challenge any irrational beliefs you may have about presenting, such as the fear of being judged or making mistakes. Replace these thoughts with positive affirmations, such as "I am prepared and capable" or "It's okay to make mistakes; I can learn from them." Keeping a journal to document your thoughts and feelings about presentations can also help you gain insight into your anxiety triggers.


Gradual Exposure
Gradual exposure to the source of your anxiety can help desensitize you to the fear of presenting. Start with smaller, less intimidating speaking opportunities, such as sharing your thoughts in a small group or participating in team meetings. As you become more comfortable, gradually increase the size of your audience. This step-by-step approach can help build your confidence over time.


Professional Support
If your anxiety continues to interfere significantly with your ability to present, consider seeking support from a mental health professional. A therapist can work with you to develop personalized coping strategies and may suggest techniques such as mindfulness or relaxation training. In some cases, medication may be appropriate to help manage severe anxiety symptoms.


Voice Training
Since you mentioned experiencing voice issues, consider working with a speech therapist or voice coach. They can provide exercises to strengthen your vocal cords and improve your speaking technique, which can help reduce the physical symptoms of anxiety related to your voice.


Conclusion
Overcoming presentation anxiety is a journey that requires patience and practice. By implementing these strategies, you can gradually build your confidence and reduce the physical symptoms associated with anxiety. Remember, it's okay to feel nervous; many people do. The key is to find effective ways to manage that anxiety so you can express your ideas clearly and confidently. With time and effort, you can transform your fear into a powerful tool for effective communication.

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