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Managing Stage Fright
Dale Cyphert, Ph.D., © 2005

There is no question that the single biggest barrier to professional rapport is plain old stage fright.  People will consistently name public speaking as their number one fear—right up there ahead of spiders and death (Wallechinsky, 1977 ), but communication apprehension is just as strong—stronger for some people—in the impromptu elevator chat or during the first line of a phone call.
Because they fear the experience, they procrastinate about preparation, and then they become more fearful because they know they are not well prepared!  Giving eloquent presentations, then, requires a bit of attention to the dynamics and management of stage fright. 
Definitions and Causes
Recognizing the Symptoms
Controlling the Symptoms
Trick Yourself
Listen to Your Body

Definitions and Causes
Although most people describe their fears in terms of “fear of public speaking” or “fear of getting up in front of an audience,” it is quite possible to experience fear about any kind of performance, including athletic events, artistic endeavors and even sex.  Some psychologists will thus be careful to talk about “performance anxiety,” which emphasizes the fear that arises any time we worry about doing well in a high-stakes situation.  Certainly, when your job is on the line and you have a hostile audience to impress, you have every reason to be anxious about your performance!

Other individuals will realize that it doesn’t take a large audience to cause them concern.  These people might be equally concerned about talking to a stranger on an airplane, about speaking up in a meeting, or even about leaving a voice mail message.  Sometimes people just consider themselves “shy” about talking to others.  When the fear is a generalized reaction to interaction with others, it is usually called “communication apprehension.”

If you were to name the cause of stage fright, the rather obvious answer—being on stage—is obviously a bit simplistic.  The real question is, why are so many people afraid of public speaking?  It certainly isn’t as dangerous as sky-diving, but more people are afraid of it.  The symptoms aren’t as severe as having the flu, but most people would opt for the flu. 

One suggestion is that most people simply haven’t had much practice at it.  Any unfamiliar activity creates some stress; add the normal “first time” jitters to the unfamiliar territory of a management performance review or a client’s office, and you’re guaranteed to feel some symptoms.  Another theory is that people respond “automatically” to the threat signals implicit in having everyone stare at them.  We simply find being the center of attention an inherently stressful situation.  Many people will admit that the real cause of their fear is a sense that they are inadequately prepared.  Sometimes that fear is perfectly justified—you’re trying to “wing” a performance that you know required more time and attention on your part.  Another reasonable source of fear is a history of hostility, lack of respect, or misunderstanding on the part of your audience.

Whatever their source, the symptoms of stage fright are essentially a stress reaction.  You might be stressed by large audiences, or by small audiences, or by using PowerPoint…. but the end result is the same.  You might not be able to change the situation, but if you’ve got symptoms of stress you can deal with them directly and give a more polished presentation.

Recognizing the Symptoms
Regardless of its cause, your stage fright symptoms are part of the body’s Primary Threat Response, which you might know as the “fight or flight syndrome.”  This is a set of healthy physiological responses that allow a human being to take effective action—running away or fighting—when attacked.  Most speaking engagements don’t require you to do anything physical, but your body doesn’t know that.  It perceives the adrenaline signals, assumes that some sort of attack is possible, and simply prepares you for the worst.  So, thank your body for doing a few very sensible things:
Controlling the Symptoms
By and large, the symptoms of stage fright are normal, expected physiological reactions to stress, excitement or fear, but they prepare you for a physical response, rather than a speaking engagement.  The symptoms won’t keep you from giving an excellent presentation, but the stress response also isn’t doing much to help you until you learn to channel those physical reactions into a dynamic, energized, vigorous delivery.
Avoid milk.  It creates phlegm, which is unpleasant and can be annoying while you speak.

Maintain sugar levels.  Because you are under stress, the body is using up its high-energy sugar reserves, but you will not feel the normal hunger pangs.  You have no desire to eat—the thought of food might even make you “feel sick”—but you nevertheless can begin to feel the effects of low blood sugar: depression, anxiety, irritability, lack of concentration, forgetfulness, confusion, headache, body tremors, cold hands and feet.  My, don’t those all sound like “stage fright” symptoms! 

Eat sensibly. Protein increases energy and alertness, but takes a very long time to digest (about twelve hours).  Fats will slow digestion even further.  Eating a big T-bone before you speak is not going to help the situation a bit.  You’ll just wind up with that lump of meat in your stomach, creating cramps or nausea.  Carbohydrates, on the other hand, are "comfort" foods because they trigger the release of serotonin and are best without protein, which lowers the levels of tryptophan, its amino acid building-block (Wurtman).  Your best bet is to eat a low-fat meal of complex carbohydrates a couple of hours before the presentation.  Pasta, pizza, bean burritos, or rice dishes are all good choices.   Sugary cereal for breakfast is not. 

Avoid a sugar high.  Often when you are rushing around before a presentation, sitting down for a decent meal is the last thing on your mind.  Be careful, though, that you don’t substitute a quick candy bar.  That sugar fix will make you feel better for a few moments, but the body uses that form of energy almost immediately, leaving nothing for the presentation.  What’s more, overall blood sugar levels drop even farther after the candy’s artificial peak.  If you do need to snack, grab popcorn, pretzels, a banana or apple, or sugar-free yogurt.

Avoid alcohol, nicotine and caffeine.  All stimulate the adrenal glands and increase stress symptoms.  On the other hand, if you are a smoker this is probably not a good day to quit.
Vitamin C: Reduces the effects of over-exertion, increases energy, stamina and general resistance to stress.  If you catch colds frequently are feel run-down, you night not have the energy left for giving a speech.

Vitamin B: Used in large amounts when the body is under stress.  Deficiencies can show up as tremors, loss of dexterity, lack of coordination, depression, insomnia, forgetfulness, confusion, a quick temper and nervousness.  If you are already under stress, the demands of a speech might push you over the edge.

Calcium and Magnesium In balance, these minerals act as a tranquilizer to the system.  A calcium deficiency can create cramps and "nerves."
 Trick Yourself
You won't have much luck telling yourself not to be afraid when the source of the problem is low blood sugar.  On the other hand, you can do a few things to help your brain help itself. 
Listen to Your Body
A final word of advice is in order, especially if stage fright has suddenly appeared in someone who doesn't typically get stressed by public speaking.  If you find yourself nervous about making a certain point, or about showing the evidence you are using to support it, your body might be giving you signals to which you should be paying close attention.  Especially when there is a great deal of social pressure to conform, our brains sometimes manage to ignore information that would lead us to act in another way.   A person who is pressured by colleagues to do something unethical, for instance, might "forget" to make a count or "miss" the meaning of an email.  At the same time, though, the information has been processed unconsciously, and the body reacts.  So a headache appears, or the person breaks out in hives.  Stagefright can be a similar signal, warning you that these words are not the right thing to say, that the time is not right to say them, or that this is the wrong audience to hear them. 


Markus, C. Rob. quoted in "Stress-Prone? Altering the Diet May Help." Science News: 23.
Vergano, D. Science News 14 Dec 1996: 375.
Wallechinsky, David, Irving Wallace, and Amy Wallace. The Book of Lists. 1977.