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Performance Anxiety

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Intense fear and anxiety in performance situations that can limit work and academic life.

Performance anxiety is a form of social anxiety that specifically targets situations where a person is subject to evaluation by others.

Typical situations

  • Giving presentations and speeches
  • Taking exams
  • Job interviews
  • Playing music or singing
  • Sports performances
  • Meetings and conferences

Symptoms

  • Intense tension before performance
  • Physical symptoms: hand trembling, voice shaking, heart palpitations, stomach issues
  • Decreased concentration
  • "Freezing" or going blank
  • Avoidance of performance situations

Treatment

  • CBT and exposure therapy: Gradual exposure to performance situations, dismantling safety behaviors
  • Psychophysical approach: Releasing body tension, breathing exercises
  • Medication: Beta-blockers can relieve physical symptoms situationally
  • Performance skills practice in a safe environment

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