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Glossophobia (Fear of Public Speaking): Signs, Symptoms, & Treatments

Published: March 9, 2023 Updated: June 1, 2023
Published: 03/09/2023 Updated: 06/01/2023
Headshot of Eric Patterson, LPC
Written by:

Eric Patterson

LPC
Headshot of Naveed Saleh, MD, MS
Reviewed by:

Naveed Saleh

MD,MS
  • What Is Glossophobia?Definition
  • What Does Fear of Public Speaking Feel Like?How It Feels
  • Symptoms of GlossophobiaSymptoms
  • Complications of Public Speaking AnxietyComplications
  • Causes of GlossophobiaCauses
  • How to Overcome Fear of Public SpeakingOvercome
  • What to Do Right Before a Speech or PresentationRight Before a Speech
  • How Is Glossophobia Diagnosed?Diagnosis
  • Treatment of GlossophobiaTreatment
  • How to Get Help for GlossophobiaGet Help
  • Fear of Public Speaking StatisticsStatistics
  • Additional ResourcesResources
  • Glossophobia InfographicsInfographics
Headshot of Eric Patterson, LPC
Written by:

Eric Patterson

LPC
Headshot of Naveed Saleh, MD, MS
Reviewed by:

Naveed Saleh

MD,MS

Glossophobia, or the fear of public speaking, may impact a person’s mental health and success at work and school. With more than 75% of people reporting this fear, speaking in public is perhaps the most common type of anxiety.1 Fortunately, with the right treatment, symptoms can quickly diminish to allow someone to give public presentations with minimal fear.

Find a supportive therapist that can help with anxiety. BetterHelp has over 20,000 licensed therapists who provide convenient and affordable online therapy. BetterHelp starts at $60 per week. Complete a brief questionnaire and get matched with the right therapist for you.

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What Is Glossophobia?

Glossophobia involves the fear of public speaking and worry of judgment from others during a speech or presentation. Glossophobia fits into the category of social anxiety disorder, sometimes called social phobia. More specifically, someone with an intense fear of giving speeches or presentations in front of an audience would likely receive a diagnosis of “social anxiety disorder, performance only.” Here, the “performance only” specifier distinguishes the condition as one triggered only by speaking or performing in public.2

Despite its name, glossophobia is not a specific phobia. Specific phobias are intense fears and worries created by a triggering situation or stimulus, like fear of heights, fear of insects, or fear of death.2 With phobias, people feel panicked that something terrible will happen to them or they will die when confronted with the object or situation. Although those with glossophobia don’t typically think they will die while giving a speech, they are consumed by the fear of being judged or embarrassed during or after their speech, closer to stage fright than a specific phobia.

How Common Is Glossophobia?

Glossophobia is a very common condition with many people fearing public speaking. As mentioned, up to 75% of people are anxious when speaking in public, but not all of these people will have enough symptoms to qualify for an actual diagnosis. Other findings show that between 21% and 35% of people in a general sample have a diagnosable fear of public speaking.8

What Does Fear of Public Speaking Feel Like?

A person with glossophobia will be able to function well at home, at school, and in workplace settings as long as no one asks them to speak or present in front of others.

When it comes to speeches at school or presentations at work, a person with glossophobia could react by:2

  • Continually avoiding speaking in front of others by postponing, delaying, or forgetting their presentation
  • Outwardly refusing to participate in the speech, even if it means failing the class or losing their job
  • Thoroughly over-preparing and over-planning for their speech
  • Experiencing intense worry and stress during the presentation, which frequently impairs their performance
  • Only enrolling in classes or choosing careers that require no public speaking

Symptoms of Glossophobia

The symptoms of glossophobia mirror social anxiety disorder symptoms. People with a fear of public speaking will experience high levels of anxiety or fear when asked to perform or present in front of others. In severe cases, this anxiety will rise to the level of a panic attack and create debilitating psychological distress.2

The symptoms of glossophobia include:2

  • High stress, anxiety, and panic when people are asked to speak in front of large or small groups
  • The person fears that their performance will draw the judgment or negative evaluation of people in the audience, and this reaction will lead to embarrassment or humiliation
  • The speaking situations almost always provoke the anxious response. The response in children may present as a crying, freezing, or having a tantrum
  • Social situations or situations where public speaking is expected are avoided or experienced with high anxiety
  • The level of anxiety felt by the person does not match the threat created by the situation
  • The anxious symptoms persist for six months or more
  • The high stress and anxiety produce distress that is clinically apparent and interferes with other areas of life
  • The fear, anxiety, and avoidance are not caused by the effects of substance misuse or a medical condition
  • The symptoms are not better explained by another mental health disorder

Complications of Public Speaking Anxiety

The fear of public speaking can influence and spread to all dimensions of a person’s life.

Signs that glossophobia has created more damage include:3

  • Low self-esteem
  • Issues being assertive and clear in communication
  • Pessimism
  • Being overly sensitive to criticism
  • Lacking social skills
  • Social isolation and potentially developing agoraphobia
  • Poor achievement at work and school
  • Substance use or misuse as a means of coping
  • Suicidal ideation or attempts

Causes of Glossophobia

Public speaking anxiety can be caused by environmental experiences and biological traits that combine to create the condition. Understanding the causes and triggers of glossophobia and other mental health disorders helps people learn more about the condition as well as ways to prevent and treat it.

Common causes of glossophobia include:3

  • Inherited traits and family history: A person is more likely to have glossophobia when a close family member has an anxiety disorder.
  • Brain physiology: A part of the brain called the amygdala manages a person’s fear response, so when this structure is overactive, stress, anxiety, and worry will be heightened.
  • Life experiences: If a person has a string of negative public speaking experiences, they could begin developing the condition.
  • Parental influence: Having a parent who displays high anxiety when speaking or who is overprotective increases this risk.

Options For Anxiety Treatment

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How to Overcome Fear of Public Speaking

Overcoming the fear of public speaking is a challenging proposition, as some will choose to escape the situation and avoid acknowledging the magnitude of the condition. Rather than avoidance, decide to seek out the healthiest coping skills to make living with glossophobia a comfortable experience. With luck, glossophobia can be a relic of the past.

Here are five tips for how to overcome fear of public speaking:7

1. Be Kind to Yourself

The way you think about yourself and the way you speak to yourself directly influence your mood, anxiety levels, and self-worth. Social anxiety will encourage negative self-talk, but if you identify these thoughts and push back against them, you can feel more hopeful and relaxed.

2. Address the Anxiety & Figure Out Relaxation Strategies That Work for You

At the root of glossophobia lies anxiety. Anyone who is serious about addressing their fear of public speaking must directly confront their anxiety. With relaxation techniques, like autogenic training, deep breathing, guided imagery, and progressive muscle relaxation, overall anxiety levels will drop.

3. Don’t Wait Until You’re “Ready”

People often state that they will be willing to perform the complicated or stressful behavior “when I’m ready.” On the outside, this plan seems perfectly reasonable until one learns that anxiety makes it so no one is ever ready. Engaging in the scary or anxiety-provoking situation is the only way to fully overcome the fear of speaking—so speak early and speak often for the best results.

4. Seek Support

The friends and family who care about you can offer tremendous love, support, and assistance, but too often, people push them aside. Of course, this move is not the desired outcome, but anxiety disorders have the power to increase isolation and worsen relationships. Avoid this inclination by spending more time with your loved ones and letting them know about your anxiety. Connection always helps.

5. Make It a Team Effort

You might be able to resolve your social anxiety symptoms alone, but doing it with a team will be more enjoyable and more effective. Let people know what they can do to aid the process, and if you do not know, tell them that, too. You don’t need to have all the answers. You only need the willingness to work towards your goal.

What to Do Right Before a Speech or Presentation

The strategies you use right before your speech or presentation could be the difference between success and struggle.

Here are some tips to help you do your best to overcome your fear of public speaking:

  • Stay confident and remind yourself of your knowledge
  • Calm your body with relaxation techniques
  • Drink some water to reduce feeling of dry mouth from anxiety
  • Stay realistic and focus on improvement, not perfection
  • Listen to uplifting or motivation music

Find a supportive therapist that can help with anxiety. BetterHelp has over 20,000 licensed therapists who provide convenient and affordable online therapy. BetterHelp starts at $60 per week. Complete a brief questionnaire and get matched with the right therapist for you.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by BetterHelp

Visit BetterHelp

How Is Glossophobia Diagnosed?

Glossophobia is diagnosed by a mental health professional when they believe you have enough symptoms for the condition. If you have enough symptoms that impact your daily life, you could have glossophobia.

Treatment of Glossophobia

Despite the seriousness of the condition, social anxiety typically responds well to treatment plans. With therapy or a combination of psychotherapy and medication, a person can address their symptoms quickly and effectively. Fear of public speaking does not need to be a life sentence.

Therapy

Therapy is an effective strategy to manage symptoms of anxiety around public speaking. One of therapy’s best features is that the practice tends to carry no unwanted adverse effects or complications. Therapy provided by a licensed and experienced counselor, social worker, or psychologist can improve glossophobia.

CBT

Several therapy options are used to confront the fear of public speaking, but cognitive behavioral therapy (CBT) routinely stands out as the leading treatment. CBT is founded on the principle that the way a person thinks, feelings, and behaviors are all interconnected, so the anxious feelings of glossophobia can be corrected by changes to their thoughts and behaviors.

During CBT sessions, the therapist and client will discuss issues with speaking in public and search for methods to produce increased comfort. Performed in individual or group sessions, CBT for glossophobia could include relaxation and social-skills training.3

Exposure Therapy

A specialized form of CBT called exposure therapy creates the desired benefits by allowing the client to confront their fears in a controlled and systematic way.4 These exposures could include people imagining themselves giving a presentation or actually giving presentations to real or imagined groups.

Some CBT treatment programs even utilize virtual reality to expose people to a digital audience to practice their speaking skills. Whatever system professionals use, the person will increase their performance while decreasing their stress of presenting.1

Other therapy options for social anxiety disorder and glossophobia include:4,5,6

  • Interpersonal therapy (IPT): A treatment model that helps to improve relationships and communication skills for the client. IPT is structured and focused on making significant improvements for children, adults, and older people in a short amount of time.
  • Psychodynamic therapy: A style of therapy based around the concept that unconscious motivators influence a person’s thoughts and behaviors. By using therapy to address feelings of shame and guilt, a person can improve their public-speaking fears.

The treatment timeline for therapy ranges in duration based on the person’s goals, skills, and the condition’s severity at the outset of treatment. CBT and IPT will rapidly improve symptoms with notable progress being made in as few as 12 sessions.5 CBT sessions show response rates even one year after treatment ends.5

Medication

Many people with the fear of public speaking can see their symptoms readily improve with a combination of professional therapy and healthy lifestyle changes. Still, others may require the addition of anti-anxiety medication recommended by a mental health prescriber to receive the symptom relief they hope to find.

Medications for glossophobia, prescribed by professionals like psychiatrists, nurse practitioners, and primary care physicians (PCPs), can decrease the anxiety and fear of judgment that underlie fears of public speaking. Various prescription medications for social anxiety disorder exist.5

How to Get Help for Glossophobia

Getting professional treatment for public speaking anxiety does not have to be complicated. By recognizing the problem and seeking professional intervention, symptoms can abate.

If you or a loved one seems to need help for glossophobia, consider:

  • Seeking input from a friend who has experience with a reputable therapist
  • Contact your insurance provider to receive a list of clinicians in your area
  • Phone the nearest mental health agency to inquire about available services
  • Schedule an appointment with your primary care physician to receive a referral
  • Complete an online search for expert options in your area

The worst thing a person with glossophobia can do is ignore the problem. The condition will not improve without professional strategies.

Fear of Public Speaking Statistics

Glossophobia and social anxiety disorder receive a lot of time and attention from experts in the field, because they affect so many.

Here are several statistics on glossophobia:5

  • Although many people report a fear of public speaking, about 9% of children and 12% of adults will have social anxiety disorder
  • 40 to 50% of people with social anxiety will have major depressive disorder at some point
  • About 20% of children with social anxiety have at least one other anxiety disorder
  • Women experience social anxiety disorder twice as often as men
  • Social anxiety may start as early as age 10, but people wait an average of 28 years for treatment
  • Nearly 66% of people who received 16 CBT sessions reported a reduction in symptoms

Additional Resources

Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for marketing by the companies mentioned below.

Talk Therapy 

Online-Therapy.com – Get support and guidance from a licensed therapist. Online-Therapy.com provides 45 minutes weekly video sessions and unlimited text messaging with your therapist for only $64/week. Get Started

Virtual Psychiatry

Talkiatry – Get help from a real doctor that takes your insurance. Talkiatry offers medication management and online visits with expert psychiatrists. Take the online assessment and have your first appointment in days. Free Assessment

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For Further Reading

  • Anxiety Disorders Association of America (ADAA)
  • National Alliance on Mental Illness
  • National Institute of Mental Health
  • Social Anxiety Association

Glossophobia Infographics

Glossophobia Overview Signs and Symptoms of Glossophobia Causes and Triggers of Glossophobia Ways to Live with Glossophobia

8 sources

Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Heeren, A., Ceschi, G., Valentiner, D. P., Dethier, V., & Philippot, P. (2013). 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, Neuropsychiatric Disease and Treatment, 9. Retreived from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3647380/

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA.

  • Mayo Clinic. (2017, August 29). Social Anxiety Disorder. Retrieved from https://www.mayoclinic.org/diseases-conditions/social-anxiety-disorder/symptoms-causes/syc-20353561

  • Harvard Medical School. (2010, March). Treating Social Anxiety Disorder. Retreived from https://www.health.harvard.edu/newsletter_article/treating-social-anxiety-disorder

  • Bernstein, Bettina A. (2018, November 20). Social Phobia. Medscape. Retrieved from https://emedicine.medscape.com/article/290854-treatment

  • Anxiety and Depression Association of America. (n.d.) Therapy. Retrieved from: https://adaa.org/finding-help/treatment/therapy

  • Lawson, Karen, Towey, Sue. (n.d.) What Lifestyle Changes are Recommended for Anxiety and Depression? University of Minnesota. Retrieved from https://www.takingcharge.csh.umn.edu/what-lifestyle-changes-are-recommended-anxiety-and-depression

  • Ebrahimi, O.V., Pallesen, S., Kenter, R.M.F., Nordgreen, T. (2019, March.) Psychological Interventions for the Fear of Public Speaking: A Meta-Analysis. Frontiers in Psychology. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428748/

update history

We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

  • Originally Published: October 19, 2020
    Original Author: Eric Patterson, LPC
    Original Reviewer: Naveed Saleh, MD, MS

  • Updated: March 9, 2022
    Author: No Change
    Reviewer: No Change
    Primary Changes: Updated for readability and clarity. Reviewed and added relevant resources.

  • Updated: March 9, 2023
    Author: No Change
    Reviewer: No Change
    Primary Changes: Updated for readability and clarity. Reviewed and added relevant resources. Added “How Common Is Glossophobia?”, “What to Do Right Before a Speech or Presentation”, and “How Is Glossophobia Diagnosed?”. New material written by Eric Patterson, LPC, and reviewed by Kristen Fuller, MD.

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Headshot of Eric Patterson, LPC
Written by:

Eric Patterson

LPC
Headshot of Naveed Saleh, MD, MS
Reviewed by:

Naveed Saleh

MD,MS
  • What Is Glossophobia?Definition
  • What Does Fear of Public Speaking Feel Like?How It Feels
  • Symptoms of GlossophobiaSymptoms
  • Complications of Public Speaking AnxietyComplications
  • Causes of GlossophobiaCauses
  • How to Overcome Fear of Public SpeakingOvercome
  • What to Do Right Before a Speech or PresentationRight Before a Speech
  • How Is Glossophobia Diagnosed?Diagnosis
  • Treatment of GlossophobiaTreatment
  • How to Get Help for GlossophobiaGet Help
  • Fear of Public Speaking StatisticsStatistics
  • Additional ResourcesResources
  • Glossophobia InfographicsInfographics
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