Communication Anxiety concern.

Hi I can sense how frustrating and exhausting this communication anxiety must be for you, especially when you feel most at ease in your own company yet freeze up the moment you need to speak in front of others. The fear of being evaluated, that constant self-monitoring to sound perfect, and the way your thoughts get blocked or don’t flow naturally under pressure can make even simple conversations feel overwhelming and defeating. It sounds like a classic presentation of social anxiety focused on verbal expression, where the tension and self-consciousness create a vicious cycle that further disrupts fluency. You’re not broken or inadequate; your mind is simply reacting protectively to perceived scrutiny, and this pattern is more common than you might think. While I can share that therapies like Cognitive Behavioral Therapy (CBT), particularly exposure-based approaches or techniques targeting speech anxiety, are often very effective, along with mindfulness practices to reduce self-monitoring, I’m not able to prescribe or design a personal medication plan here. Please consult a qualified psychiatrist or therapist in person who can review your previous prescription and tailor both therapy and any needed medication properly for you. Taking this step can bring real relief and help you communicate more freely. Consider reaching out for professional support soon—my number is nine two six six seven two six zero six five.​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

Hello, What you are experiencing is something known as “performance anxiety “ , falls broadly under the category of social anxiety disorder. The things that work best in this situation is some sort of brief therapy sessions along with medications. The medications are given both to control intra-psychic anxiety and the autonomic symptoms like tremors, voice trembling, numbness, uneasiness etc. The autonomic symptoms are controlled fast but the intrapsychic anxiety takes 2-4 weeks . My personal opinion would be to take treatment for at least 6 months for a long lasting change. There is something knows as box breathing and Jacobsen progressive muscle relaxation ( JPMR) exercise which can be done before any performance or public speaking, this helps a lot too.

All the above symptoms have an underlying cause that need to be investigated that only a psychotherapist and a clinical hypnotherapist can help you understand.

Please get in touch with a psychotherapist