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10 years ago 0 11216 logo logo logo logo logo logo logo logo logo logo 0
Welcome George,
 
Fear of public speaking is probably the top fear on most people's list. It makes sense that this was triggered in university when you were likely experiencing lots of other stresses and possibly insecurities. Socail anxiety and fear of public speaking can certainly be controlled. It does take lots of work. You will need to systematically challenge and change your thoughts that lead to the physical symptoms of fear. You will also need gradual exposure. Only you can decide what fear level is a good starting point. Work the program and challenge yourself when you are ready. You also want to ensure you focus your thoughts on what you want to say and how pumped you are to get your message across. Focus on outside stimuli and not on your internal worries. Sometimes asking questions to audience members can make the public speaking process a bit more natural and less you focused.  To start this program I encourage you to check out the sections on worry and relaxation techniques.
 
Hope to hear from you more soon!
 

Ashley, Health Educator
10 years ago 0 6252 logo logo logo logo logo logo logo logo logo logo 0
Hello George. 

It is very easy to have only one thing in your life bother you and many people live around it mostly by practicing avoidance. It is also possible for it to show up later in life. The worst part is that it can transfer to other things. People who have never had a panic or anxiety disorder have no need for knowledge on why and how that we who do have and need. There is not that much information out there in cyber land and some that is is misleading and inaccurate. Some is outdated. 
Using me for an example. I used to travel a lot working, living in a holiday trailer and shopping and banking wherever. Never a problem. In the store, get what I wanted, chat with people and leave. A few years later I couldn't go to town to shop. Some times I could get there but couldn't get out of the car. Ativan worked for a bit but not well enough. Four years of Ativan and a year to get off it. I've been off for five years now. CBT in the form of changing thought patterns replaced it. Wanting to real bad, made it possible. For a while I made a mantra out of it and similar words, but the theme was the same. I had hit bottom. The only way I was going to do it was because I wanted to. It took time and repetition but every success felt good and made the next one easier. There was joy in shopping now. I didn't need the mantra anymore and I didn't need to think that I wanted to. Memory was so loaded with "want to" that it couldn't access any thing else. It was like I couldn't remember not wanting to. I can remember all right but I have to look for it and why would I.
This is CBT. At least the practice is up to the point that you do it with out conscious thought or any negative triggering, at that point it becomes cure. CBT is still there for relapses.
Before you try exposure you need an escape route. Agoraphobia prevention. This is in the form of relaxation techniques and coping skills. "want to" is a coping skill as is distractions. Box breathing is both. Progressive muscle relaxation is both. Visualization is both but like "want to" is more coping.

These can all be done before getting to the heart of the problem, that being why is this happening. Every thing we do is dictated by past experience even if that past experience is only seconds ago. The more times we do or don't do something the more they influence what and how we do things. These guides are called core beliefs and core thoughts. Core beliefs are well established principles we use to make decisions and many started at child birth and were built on by repetition. If they are started wrong and built on wrong they will be wrong but because they are core beliefs they will appear right. Core thoughts are thought that come from not having a core belief to dictate their action as in the case of a new experience. They can be short lived if they are not relevant or if relevant they can become core beliefs if built on. "want to" starts off as a thought that needs to be practiced to see if it is relevant, if it is it, it becomes a core thought. With more practice and nothing to say it is wrong it becomes a core belief and now dictates thought in situations it has some relevance to. This is the CBT process of changing thought patterns. It is easy with something new but not so if it is trying to change an existing Core belief. They are core beliefs because they are strong and they are believable. It takes work to challenge them and prove them wrong. 
At some point you built a core belief about speaking. Because this core belief is not affecting other things you do, it must be related to speaking. Use Occams razor to pare away everything that could not be influencing speaking as a trigger and you may be able to find the reason for this core belief. It could be from another core belief only mildly related. 

Self hypnosis in the form of navel gazing as we ex long hairs used to call it is a good way to sort out core beliefs and challenge any that may be false.

CBT can't fail because it is a process and static but has to be practiced. People fail, not CBT.

Davit.

10 years ago 0 4027 logo logo logo logo logo logo logo logo logo logo 0
Toastmasters helped me greatly with confidence, in my career too. There's even a free online course for public speaking at coursera.org, and you can keep the video's private.
10 years ago 0 2 logo logo logo logo logo logo logo logo logo logo 0
I appreciate what you are saying davit and I certainly want to overcome this obstacle rather than just feel like I have to. I'm just curious as to weather CBT is actually effective at specific situational anxiety. It's quite strange because in all other aspects of my life I don't experience anxiety. It is solely in speaking to larger groups that I have this strong sympathetic nervous system response.  

I'm also just not quite sure how to start this whole process. I understand that I have to slowly expose myself to public speaking but what would be the best way? I believe that toastmasters is quite good in helping people become more confident speakers, but would that not be throwing myself completely in the deep end. 

What are your thoughts on self hypnosis?

10 years ago 0 6252 logo logo logo logo logo logo logo logo logo logo 0
Welcome George. 

Agoraphobia is the umbrella that most if not all phobias fall under so it is what you look at rather than the specific phobia. Agoraphobia is actually a fear of not having control and a fear of outdoors is only a manifestation as is fear of speaking, spiders, bridges etc.
In almost all cases the root of the problem is not wanting to do something. Even if you are good at it. The cure is one of two things. Either accept this and don't do it, or convince yourself you really want to. That one might be tough. especially if it has got too easy and boring. Or if it is a necessary part of your life. 

CBT is the process of changing thought patterns from negative to positive. Two word phrases that sound similar are actually very different and without facial expression can have two different meanings. They are "have to" and "want to"
One is positive and one negative. You have to be pretty dedicated to do something you have to in which case you probably are thinking want to. Where as it is a whole lot easier to do something if you want to. 
Getting back to agoraphobia, "wanting to" gives you back control where "having to" takes it from you. And control is what this is about. If you are in control then none of the surrounding situations are. They in effect have no power and either will not happen or won't be noticed. 
Sounds simple, well it is but believing it and believing in yourself enough to believe it is the hard part. You can do anything you want if you want to bad enough, you can even do things you have to if you really want to.

Mood, and attitude play a lot in how well you can do this. And they more often trigger the symptoms rather than the actual thought of what you are going to do. 

Agoraphobia tends to manifest itself outdoors mostly because that is where you have the least control. If you think about it there are a lot of things we have no control over. Many are routine and accepted barely just so we have a modicum of control but they silently build over the years increasing the chances of Agoraphobia becoming a reality. Routine can build tolerance or it can make it worse. Boredom or anger are the two markers of which way it is going.

CBT is the changing of how you think and see things. How you do it is a personal choice. The forums are where we state what works for us. Not all things work for everyone. Propranolol will handle the symptoms but it won't handle the Agoraphobia.

Davit. 


10 years ago 0 2 logo logo logo logo logo logo logo logo logo logo 0
Hello everyone.

So I have a fear of public speaking, to put it lightly.

I have never been a natural performer nor have I shied away from the lime light. I have in the past been involved in theatre production, debate, poem recitals etc. Never really enjoyed participating but nonetheless never had a problem with it either. 

It wasn't until I was in university that I started to notice that something wasn't quite right. With increasing intensity, every time I stood up to deliver a presentation I would begin to shake, breathe heavily, stammer - all the typical symptoms of someone - not in control. Not sure where it came from, there wasn't any one single event that caused it - at least I don't think so, but one thing for sure is that it got progressively worse form that point.

I am now pretty much incapable of talking to a group without completely losing control of all my faculties. It is affecting my career, my confidence and my relationships. I am completely fed up with it.

Time to change.

- enter the panic centre 

Yours in health.

George

Ps: has anyone had success on this forum with CBT/public speaking?


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