Phobias Types Glossophobia or the Fear of Public Speaking Symptoms, Complications, and Treatments By Lisa Fritscher Lisa Fritscher Lisa Fritscher is a freelance writer and editor with a deep interest in phobias and other mental health topics. Learn about our editorial process Updated on July 16, 2021 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print ColorBlind Image / The Image Bank / Getty Images Glossophobia, or the fear of public speaking, is remarkably common. In fact, some experts estimate that as much as 77% of the population has some level of anxiety regarding public speaking. Of course, many people are able to manage and control the fear. If your fear is significant enough to cause problems in work, school, or in social settings, then it is possible that you suffer from a full-blown phobia. Glossophobia and Social Phobia Glossophobia is a subset of social phobia, the fear of social situations. Most people with glossophobia do not exhibit symptoms of other types of social phobia, such as fear of meeting new people or fear of performing tasks in front of others. In fact, many people with glossophobia are able to dance or sing on stage, provided they do not have to talk. Nonetheless, stage fright is a relatively common experience in those with glossophobia. Glossophobia can even occur in front of just a few people. In a child, it may present as the child desperately hoping they won't get called on in class to answer a question. It may cause you to avoid situations where you may become the focus of attention. Symptoms Physical symptoms of glossophobia may include: SweatingIncreased heart rateDry mouthDifficulty breathingNauseaHeadachemuscle tensionneed to urinate Complications The vast majority of careers involve some level of public speaking, from participating in meetings to giving presentations to clients. If your phobia is severe, you may find yourself unable to perform these necessary tasks. This can lead to consequences up to and including losing your job. People who have social phobias also have a higher than normal risk of developing conditions such as depression or other anxiety disorders. This is likely due to the feelings of isolation that can develop over time. Another possible reason is that some people seem to be hardwired for anxiety, which can manifest in a wide range of ways. Treatment Options Glossophobia can be successfully treated in a variety of ways. One of the most common is cognitive-behavioral therapy (CBT). You will learn to replace your messages of fear with more positive self-talk. You will also learn relaxation techniques and what to do when you experience a panic attack. You will gradually confront your fear in a safe and controlled environment. Medications may also be prescribed to help you get control of your fear. Medication is generally used in conjunction with therapy rather than on their own. Once you have successfully worked through the worst of your fear, you might want to consider joining a speaking group such as Toastmasters. These groups can help you polish your public speaking skills through repetition and constructive criticism from fellow members. Building confidence in your ability to speak in public can further reduce your anxiety. While many people have some degree of fear of public speaking, glossophobia can be life-limiting. The success rate for treatment is extremely high. The first step is to find a therapist that you trust who can help you work through the fear. 2 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Heeren A, Ceschi G, Valentiner DP, Dethier V, Philippot P. Assessing public speaking fear with the short form of the Personal Report of Confidence as a Speaker scale: confirmatory factor analyses among a French-speaking community sample. Neuropsychiatr Dis Treat. 2013;9:609-18. doi:10.2147%2FNDT.S43097 Rowland DL, Van lankveld JJDM. Anxiety and Performance in Sex, Sport, and Stage: Identifying Common Ground. Front Psychol. 2019;10:1615. doi:10.3389%2Ffpsyg.2019.01615 Additional Reading American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th Ed). Washington DC: Author; 2013. 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