Online therapy for performance anxiety
What is performance anxiety?
Performance anxiety refers to the feelings of fear, nervousness, and dread surrounding the completion of tasks that rely on your individual performance. This is often due to a fear of failure or being negatively perceived by others.
There are different types of performance anxieties, including:
- Public speaking
- Artistic performance
- Sports performance
- Examination performance
- Sexual performance
Performance anxiety is a common mental health concern, but although it is not a diagnosable condition.

Types of performance anxiety
There are different types of performance anxiety, which can be split into different categories:
Stage fright and public speaking anxiety
Sports performance anxiety
Sexual performance anxiety
Testing and examination anxiety
Symptoms of performance anxiety
There are a range of symptoms an individual with performance anxiety might experience when engaging in a performance-based task, like public speaking or having to give a presentation at work. Symptoms can be both physical and emotional.
Many symptoms are similar to those of Generalised Anxiety Disorder, including:
- Increased heart rate
- Difficulty breathing
- Nausea
- Dry mouth and tight throat
- Sweating
- Trembling hands and voice
- Cold hands and/or feet
- Feeling dizzy or lightheaded
- Persistent thoughts of failure
- Freezing up
- Feeling irritable and on edge
- Becoming withdrawn

Therapy for performance anxiety
As a trusted provider of evidence-based therapies, we can help you learn how to cope with performance anxiety. This includes learning how to overcome the fear of public speaking and how to deal with performance anxiety at work.
We offer Cognitive Behavioural Therapy (CBT) for performance anxiety, as there is evidence to suggest it can be of support in terms of reducing symptoms and improving both daily functioning and quality of life.
Cognitive behavioural therapy for public speaking and performance anxiety can help you uncover the root cause of your anxiety and teach you strategies to help you manage it.
Book therapy for performance anxiety
You must be aged 18 years or above to access our therapy services.
Performance anxiety FAQs
Tips for overcoming performance and public speaking anxiety that you can implement into your everyday life include:
- Practising before the performance and making sure you feel prepared
- Eating well and limiting caffeine and sugar intake on the day of the performance
- Shifting your focus from the negatives to the positives
- Practising breathing exercises and meditation
- Walking, stretching, shaking out your muscles, and moving your body before your performance
Seeking professional help, such as cognitive behavioural therapy, can also help you overcome performance anxiety by changing the way you approach public performances, presentations, and speeches, and teaching you coping mechanisms to help you manage the condition.
- Focus on friendly faces: If you have friends or family in the audience, turn your attention to them rather than the strangers in the room. If you don’t know anyone in the audience, choose people who look engaged and friendly. Smiling at them and making eye contact can help you think of them as friends and calm you down.
- Take it slowly: Try to concentrate on speaking slowly and clearly. If you lose your place or start to feel worried, take a moment to stop, gather your thoughts, and take a deep breath.
- Make yourself presentable: Dressing up and making yourself look good can make you feel more confident, helping ease your nerves about having to perform in front of people.
If you still struggle, seeking professional therapy can also teach you strategies to help you cope. Medical professionals might also be able to prescribe you medication to help ease your anxieties.