Public Speaking Anxiety & Fear of Being Noticeably Nervous: Mind Surgery for High Performers

In this candid discussion “Mike” describes the “grey cloud over his head” caused by his daily worry regarding public speaking. His primary fear was that his voice would “quiver or shake”. High on the food chain of a small company he had been in a position to become quite proficient at avoiding anxiety inducing situations. His career as a salesman was threatened the more he avoided “getting in front of potential customers”. With a substantial amount of “expendable income” fine restaurants and “partying” became a way of life. The insidious nature of his relationship with alcohol became a major factor for deteriorating performance at work and negative mental health. Understanding the “physiology of performance” concurrent to self-esteem work is what “Mike” credits for his success.

All too often I encounter patients who have become overly dependent on prescription medication for their social and performance anxiety. A common problem scenario is over-dependence on beta blockers. While this dependence is more psychological than physical, the results can be devastatingly negative.  Frequently prescribed for stage fright and performance anxiety, they can be effective in blocking adrenaline surges. The philosophy in The Berent Treatment Method for performance anxiety is that when used occasionally in high risk situations this is productive for healing. But; when over-adapting via beta blocker dependence occurs there is minimal opportunity to learn and implement the adrenaline control technique. This is because the technique is based on adrenalin acceptance and you have to feel that which you want to control. This interview describes productive integration of beta blockers into the treatment process.

Robert described his anxiety upon initiating treatment with the following: “As I approached the boardroom I would experience a spiraling effect.  I was having bad recurring experiences with anxiety which were getting worse with each challenge. It was horrible because when I was on a speaking cycle of every 2-3 months the anxiety was worse because of the build- up. I never ran from the challenge. I continued attacking but my mechanisms were not working”.  Robert’s success in treatment was very much based on his core work revolving around his “walk of shame” concurrent with his implementation of the paradox-based adrenaline control methodology.

Perfectionism is a symptom of obsessive compulsive personality disorder. It is a characteristic of insecurity. The rigidity of perfectionism inhibits flexibility, performance and productivity. It causes “burnout”, which is mental exhaustion, and depression.. “Lauren”, a straight A student at an Ivy League College and high level businesswoman, describes her challenge and path to healing.

Welcome. This is Jonathan Berent. I’m going to tell you the real story about social anxiety. You are not going to hear the real story anywhere else. I guarantee you that! This is a deep dive into a complex subject the reality of which remains very misunderstood… so let’s get clinical!

KENDRA age 46, mother of two, is a world renown physician who has headed numerous clinical trials and has saved many lives. She suffered from public speaking anxiety disorder. You may want to listen to her interview which is on the podcast. It’s titled “World Renown Physician Describes Her Cure from Public Speaking Anxiety Disorder”. Mike age 26, a college grad spends most of his life in his room. He doesn’t work, is socially paralyzed, and spends over 100 hours a week with various technology dependencies. His parents walk on “eggshells” for fear of triggering his anger. This has resulted in long- term enabling of what has become an addiction to avoidance.

“Jack”, a standout golfer, discusses the process by which he resolved his conversation anxiety, social avoidance, and obsessive perfectionism. His healing journey started when his parents initiated treatment when he avoided going to a cocktail party during school vacation. He never would have initiated treatment on his own. His anxiety was driven by his fear of sweating and conversation challenges. With his anxiety under control he proactively advanced his career and social life.

“Bill” had achieved a relatively high level of success in sales relying on one to one scenarios and spontaneous interactions with physicians in hospitals. Career pressure and advancement required that he face the anxiety scenarios that he had been very adept at avoiding; group presentations and meetings. In fact he had been avoiding job opportunities due to his anxiety, which he described as “anelephant sitting on my chest when trying to talk”. He had gone to a psychiatrist for help, but did not like the medication route. In this interview he discusses his high performance learning curve which was characterized by confidence implementing the paradoxical technique required for psycho-physiological control and management of sweating and blushing.

“Richard”, a successful businessman and dedicated family man describes his “core” work of self-acceptance that had been eluding him after experiencing “every type of motivational technique from positive thinking to programming your unconscious”. His long term struggle with social anxiety grew out of his “conflict with authority figures and his father”. He had lived with his “unauthentic self” stating that his many previous attempts at self-help and therapy dealt with this concept in a “cursory manner”.

Hear “Kevin”, a successful lawyer describe insightfully how he learned to resolve his hyperhidrosis-driven public speaking anxiety and fear of being noticeably nervous. He describes how he controlled his “internal critical script”, which in turn stopped his sweating during a business meeting. While learning to control his “perfectionism” he states “I stopped trying to be perfect and focused on being the best I could be”!

“Sam” remembered experiencing anxiety since he was 15 in high school when there was any situation where he was the focus of attention. His anxiety became especially debilitating in college where he would skip the first day of classes to avoid the panic that would occur during introductions in class. He realized that his use of Xanax and beta blockers was becoming a crutch as he always kept them at ready, in his pocket, when there would be any situation where he could be the focus of attention. He was desperate to “hide any possible symptom”. He became an expert at obsessively analyzing in advance possible  performance scenarios, during meetings,  so that he could take his medicine exactly at the right time. This became a compulsion and an ingrained way of life. “Power drinking” beer became an integral part of his social culture as a teen; especially during football days. Sam turned the tragedy of his DWI into an empowering treatment experience.