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Stage Fright: Definition, Causes, & How to Get Over It

Published: March 9, 2022 Updated: November 28, 2022
Published: 03/09/2022 Updated: 11/28/2022
Headshot of Nicole Arzt, LMFT
Written by:

Nicole Arzt

LMFT
Headshot of Benjamin Troy, MD
Reviewed by:

Benjamin Troy

MD
  • Stage Fright DefinitionDefinition
  • When & Where Does Performance Anxiety Happen?Triggers
  • Symptoms of Performance AnxietySymptoms
  • Causes of Stage FrightCauses
  • How Is Stage Fright Treated?Treatment
  • Tips for How to Get Over Stage Fright10 Tips
  • Final Thoughts on Performance AnxietyConclusion
  • Additional ResourcesResources
  • Stage Fright InfographicsInfographics
Headshot of Nicole Arzt, LMFT
Written by:

Nicole Arzt

LMFT
Headshot of Benjamin Troy, MD
Reviewed by:

Benjamin Troy

MD

Stage fright is a common type of anxiety that refers to feeling anxious when presenting before an audience. These anxiety symptoms may be either physical or emotional. In severe situations, they can feel incredibly debilitating. Stage fright can affect anyone—it may even impact people who seemingly appear comfortable in front of a crowd.

You don’t have to try and tackle your stage fright alone. 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

Stage Fright Definition

Stage fright is a type of anxiety that describes feeling anxious when speaking or performing in front of a group of people. It isn’t just limited to literal stages. In general, stage fright is a colloquial term used to describe performance anxiety, presentation anxiety, or the fear of public speaking.

Is Stage Fright Common?

According to the National Institute of Mental Health, this fear impacts approximately 73% of the population, making it the most commonly cited fear.1 Performance anxiety can happen to anyone, even in people who regularly speak or perform in front of crowds. Many professional athletes, actors, and musicians report instances of feeling insecure or anxious. While some people can avoid public speaking or performances, (and, subsequently, avoid dealing with this fear), others face it on a routine basis.

When & Where Does Performance Anxiety Happen?

Performance anxiety can happen in any setting where you feel worried about being judged for your performance. This fear can happen even if you identify as being gifted with public speaking or whatever you may be performing. It may emerge in front of large audiences and in front of smaller, intimate groups or one-on-one settings.

A person may experience stage fright during the following events:

  • Job interviews
  • Class presentations
  • Exercise classes
  • Work meetings
  • Speaking to customer service representatives
  • Making small talk with strangers
  • Making speeches or toasts

Symptoms of Performance Anxiety

Stage fright symptoms may emerge long before your presentation or performance. You might start feeling nervous in the days or hours leading up to the event. As the actual time gets closer, the symptoms tend to become more pervasive and noticeable.

While everyone experiences the anxiety differently, common stage fright symptoms include:

  • Excessive dread or worry about the event
  • Feeling distant or withdrawn from others
  • Experiencing a sense of numbness
  • Dry mouth
  • Throat tightness (which can make talking painful)
  • Racing heartbeat
  • Perspiration
  • Nausea or vomiting
  • Stomach pains
  • Excessive blushing
  • Desire to escape and leave the scene
  • Intense paranoia about rejection or judgment

Causes of Stage Fright

Stage fright is extremely common, and some experts believe that it is a subset of social anxiety disorder, a condition rooted in fear of judgment and rejection.2 Someone may also have a severe fear of failure or embarrassment.

Similarly, neuroscientists suggest that it simply might represent the fight-or-flight response: the phenomenon where our body reacts to how it perceives certain dangers.3 During the fight-or-flight response, the amygdala sends the stress response throughout the body, which stimulates epinephrine (commonly known as adrenaline). This adrenaline accounts for the physiological symptoms experienced during stage fright. The patterns happen so quickly that we don’t recognize when it’s happening until we’re in the middle of it.

Is Stage Fright Genetic?

Research shows that genetic factors can play a prominent role in anxiety disorders. While there aren’t many studies examining the origin of stage fright, up to 30% of generalized anxiety disorder cases appear to be genetic, meaning anxiety runs in families.4

Is Stage Fright a Form of Anxiety?

Yes, even the Anxiety & Depression Association of America classifies stage fright as the fear of public speaking or performance anxiety.5 Stage fright shares many similar symptoms with other phobias and anxiety disorders.

Can Stage Fright Be Prevented?

The best way to treat a mental health condition is to prevent it from emerging in the first place, but due to the nature of stage fright, preventing it can be challenging. Still, knowing the material, lowering the fear of judgment, and building confidence can all help prevent the condition from growing. People may do well to also decrease their preexisting anxiety. Someone with high stress, worry, and tension would be more likely to develop a case of stage fright.

How Is Stage Fright Treated?

Therapy is the primary way mental health professionals would address presentation anxiety, stage fright, or performance anxiety. By working to identify the thoughts, feelings, and behaviors connected to the stress, a therapist can offer helpful interventions for anxiety.

As with other anxiety conditions, exposure therapy would be one of the key treatment options. This treatment involves a person performing or presenting in various settings to fight back against the anxiety while fostering a sense of power and control.

Medications may not be used to treat stage fright directly, but professionals could offer medicines to treat co-occurring mental health disorders. By targeting depression and anxiety with medication, a person could feel more comfortable with presentations.

Can Stage Fright be Cured?

There isn’t a permanent, one-size-fits-all cure for stage fright. However, it’s absolutely possible to overcome most of the fear and learn to perform without excess anxiety. With the right mindset and skills, people can learn how to feel more comfortable in social situations and be confident during presentations.

Overcoming stage fright is not something you have to do by yourself. 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

10 Tips for How to Get Over Stage Fright

It’s no secret that overcoming stage fright requires effort, intention, and continuous practice. Relief doesn’t happen overnight. And while you may never truly love to speak in public, you can become more comfortable and confident. Most people integrate several different coping skills to improve their stress response.

Consider these 10 tips for tackling stage fright:

1. See a Therapist

A therapist can help you explore the root of your stage fright and address other underlying concerns. For instance, sometimes, stage fright emerges in response to a traumatic experience. Or the stage fright may be so debilitating that it’s affecting your overall quality of life.

Cognitive-behavioral therapy (CBT) tends to be the gold standard of treatment for anxiety disorders.6 This therapy will help you target your automatic thinking and shift your negative associations about stage fright into more neutral or positive ones. In more severe cases, anxiety medication may be recommended. Your therapist can help facilitate an appropriate psychiatrist referral.

2. Practice Beforehand

Spend some time familiarizing yourself with your material. Practice as much as you reasonably can until things feel more natural. If possible, practice in front of trusted loved ones and ask for feedback. Ask them what you’re doing well and what they think you need to improve.

3. Tell Yourself a Positive Mantra

Before you enter a challenging situation, it’s a good idea to give yourself a small pep talk. To keep things simple, consider developing a mantra that helps ground you.

Some examples of positive mantras include:

  • Even if I feel nervous, I come across as confident.
  • People want to hear from me.
  • I am going to do a great job!
  • This situation is so temporary.

4. Practice Positive Visualization

Positive visualization can help people perform better and feel more confident during those performances. For example, one study found that student-athletes who visualized themselves performing the movement to the best of their ability or beyond demonstrated a 10-15-pound increase in weight lifted.7

Spend some time imagining yourself succeeding at the scary, daunting task. What do you envision? Close your eyes and meditate on this scene for a while. Think about how it feels to completely succeed and be at ease with your audience. Imagine the lightness in your body.

5. Engage in Deep Breathing

When you breathe deeply, you send signals to the body to relax and calm down. These signals can help counteract the adrenaline your brain sends when it senses danger. In response, slow breathing can decrease your heart rate and blood pressure.8

To practice breathing deeply, inhale your breath through your nose and hold for five counts. Use your mouth to exhale fully and hold for five more counts. Repeat several times. You should feel your belly expand and contract during this exercise.

6. Avoid or Limit Caffeine & Other Mood-Altering Substances

You may assume that a cup of coffee will perk you up. Or, an alcoholic drink may tempt you to help take the edge off. Be careful with these habits—any mood-altering substance can aggravate your nerves and actually worsen your anxiety. If you feel nervous, it’s best to avoid anything that could disrupt your headspace. That said, in most cases, it’s important to try to eat something (even if you feel a bit nauseous). A healthy snack or meal will provide you with the energy you need to perform.

7. Focus on Your Material

Most of the time, if an audience is watching you, they want to learn or feel entertained. They aren’t necessarily there for you—they’re there for what you can offer them.

Remember this the next time you’re worried about your nervousness showing through. Hone in on your material. Hone in on how you provide them with what they need at the moment. Even if they notice some anxiety, they’ll be more focused on what they’re learning/receiving than your performance. Subsequently, they will probably also root for your success!

8. Stick With What Works (And What You Know)

If you don’t normally wear high heels, don’t choose your presentation as the day you wear them. If you don’t like making wisecracks, don’t force yourself to “be funny” to fit in.

Instead, try to stick with what you already know works. It’s okay to venture outside of the comfort zone, especially if you need to take appropriate risks. But try to avoid making too many drastic changes at one time—doing so will likely make you feel more nervous and uncomfortable.

9. Expose Yourself to Speaking Situations Often

To get better at mastering stage fright, you must place yourself in situations where you need to practice this skill. Commit to speaking more in group meetings. Offer to attend business lunches or lead the presentations. Sit in the front of the room when taking a spin class.

By exposing yourself regularly, you desensitize yourself to all the excess nerves and uncertainty. You become better acquainted with your emotions, and they won’t feel as debilitating.

10. Reassess After Your Presentation

After your presentation, take some time to reflect on what went well. Try and identify at least two or three accomplishments, no matter how small they may seem.

It’s reasonable to reflect on how you want to improve. In doing this, aim to be nonjudgmental with yourself. You are growing and learning, and beating on yourself will only exacerbate shame.

Final Thoughts on Performance Anxiety

Most people experience performance anxiety and stage fright, and it can feel uncomfortable and frustrating. However, therapy, reaching out to a support network, and practicing positive coping skills can provide you with relief. It’s possible to overcome your anxiety and feel more confident when you perform!

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 top-rated psychiatrists. Take the online assessment and have your first appointment within a week. Free Assessment

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Mindfulness.com – Change your life by practicing mindfulness. In a few minutes a day, you can start developing mindfulness and meditation skills. Free Trial

Choosing Therapy Directory 

You can search for therapists by specialty, experience, insurance, or price, and location. Find a therapist today.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by Online-Therapy.com, Talkiatry, and Mindfulness.com

For Further Reading

  • Mental Health America
  • National Alliance on Mental Health
  • MentalHealth.gov
  • Learn more about the best online therapy options out there today
  • Get into mindfulness using Headspace or Calm on your phone just a few minutes per day

Stage Fright Infographics

What is Stage Fright? When & Where Does Performance Anxiety Happen? How to Get Over Stage Fright

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.

  • Public Speaking Anxiety and Fear of Brain Freezes (2017, February). National Social Anxiety Center. Retrieved from: https://nationalsocialanxietycenter.com/2017/02/20/public-speaking-and-fear-of-brain-freezes/.

  • Music performance anxiety in classical musicians- what we know about what works. (2017, May). US National Library ofo Medicine. Retrieved from: https://nationalsocialanxietycenter.com/2017/02/20/public-speaking-and-fear-of-brain-freezes/.

  • Chapter 4- The Fight-or-Flight Response: A Cornerstone of Stress Research (2016). ScienceDirect. Retrieved from: https://www.sciencedirect.com/science/article/pii/B9780128009512000042.

  • Genetics of generalized anxiety disorder and related traits (2017, June). US National Library of Medicine. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573560/

  • Conquering Stage Fright. Anxiety & Depression Association of America. Retrieved from: https://adaa.org/understanding-anxiety/social-anxiety-disorder/treatment/conquering-stage-fright

  • Cognitive behavioral therapy in anxiety disorders: current state of the evidence (2011, December). US National Library of Medicine. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263389/.

  • Positive Visualization and Its Effects on Strength Training. (2020, August). ResearchGate. Retrieved from: https://www.researchgate.net/publication/343834259

  • The physiological effects of slow breathing in the healthy human. (2017, December). US National Library of Science. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709795/.

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: May 6, 2021
    Original Author: Nicole Arzt, LMFT
    Original Reviewer: Benjamin Troy, MD

  • Updated: March 9, 2022
    Author: No Change
    Reviewer: No Change
    Primary Changes: Updated for readability and clarity. Added “Can Stage Fright Be Prevented?”, “How Is Presentation Anxiety Treated?”, and “Can Stage Fright be Cured?” New material written by Eric Patterson, LPC, and reviewed by Dena Westphalen, PharmD.

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Headshot of Nicole Arzt, LMFT
Written by:

Nicole Arzt

LMFT
Headshot of Benjamin Troy, MD
Reviewed by:

Benjamin Troy

MD
  • Stage Fright DefinitionDefinition
  • When & Where Does Performance Anxiety Happen?Triggers
  • Symptoms of Performance AnxietySymptoms
  • Causes of Stage FrightCauses
  • How Is Stage Fright Treated?Treatment
  • Tips for How to Get Over Stage Fright10 Tips
  • Final Thoughts on Performance AnxietyConclusion
  • Additional ResourcesResources
  • Stage Fright InfographicsInfographics
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