Public Speaking Anxiety & Fear of Being Noticeably Nervous: Mind Surgery for High Performers
SEASON
1
EPISODE
7

The Power of Alcohol and the Pharmaceutical "Cocktail"

Sam describes anxiety beginning in adolescence and becoming debilitating in college. Reliance on Xanax, beta blockers, and alcohol gradually became an ingrained coping strategy for avoiding visible anxiety symptoms. After a DWI, he transformed a personal crisis into an opportunity for meaningful treatment and change.
Episode Overview

What This Episode Is About

“Sam” describes an anxiety problem that began around age 15 whenever he became the focus of attention. By college, introductions, classroom participation, presentations, and workplace meetings could trigger intense panic and avoidance. He began relying on Xanax and beta blockers, keeping medication available whenever there was a possibility he might have to speak. His obsessive preparation included analyzing meeting agendas in advance so he could determine exactly when medication might be needed. Alcohol also became deeply integrated into his social life, beginning with heavy drinking during his teenage and football years. Over time, Sam recognized that both medication and alcohol had become methods of controlling or escaping anxiety rather than resolving it. A DWI became an important turning point. He discusses discovering the significant effect binge drinking had on his mood, mental clarity, physiology, and anxiety, and how changing his relationship with alcohol became an important part of his treatment and recovery.
At a Glance

This podcast is best for:

CEOs, executives, clinicians, attorneys, students and performers whose careers depend on speaking — and who have found that competence alone did not resolve the fear.

Episode Details:

8
 min, 
50
 sec
May 9, 2024
Full Transcript

This episode's transcript:

[00:00:00]
I’m talking to Sam and I appreciate your sharing. First, would you just give a description of your ongoing struggle with anxiety? Yeah, I’d probably say since I was about 15 years old, I’ve struggled with anxiety. Just became very anxious and pretty much any classroom situation where I was singled out, sort of put on the spot presentation, or going around the room and introducing yourself or things of that nature. And I knew that it went above and beyond what was normal, because I wasn’t like this at an earlier age. But it really just grew from there, and it became a bigger problem when I got into college and high school I could always deal with it somewhat, but in college it became almost debilitating to the point where I would actually skip the first day of school, because I knew that we would have introductions and go around the room, say something about yourself, and that always made me terrified.
[00:01:15]
And by the time it got to me, I was then just an all-out panicked. So that’s when my avoidance began. And really, I started to learn how to deal with it with medication. But eventually that becomes a crutch that you feel like you can’t do anything without the medication, that you’re completely relying upon it. And I used to keep a Xanax in my pocket in case we got called into a meeting which is something where maybe at work I had to give an account review or something to that effect. And anything that was going to put me in the spotlight for any period of time would just be very threatening to me. If I was sent a meeting notice, it would always come with an agenda, and I would open that thing up, and I would analyze that agenda to look and see, okay, we’ve got a meeting starting at this time.
[00:02:17]
Today, probably going to be some introductory sessions at that time, and then we’ve got breakout sessions maybe later on in the day. So I would actually analyze what are the possible scenarios where I could be put on the spot in these meetings. So I got good at sort of anticipating what was about to happen. And that’s the way I battled it. I would always take my medication maybe an hour and a half before when you’re self-medicating to the point where I was. I mean, I was literally using a combination of a beta blocker and a Xanax. So it’s a lot of medication, and you can’t really think straight when you’re that drugged up, but I wanted to hide every possible symptom that I could. In the last few years, you have had a very interesting relationship with alcohol.
[00:03:12]
Could you please describe that? Yeah, about… I probably started drinking beer about age 17, and my senior year in high school, and I had a group of friends, and that was sort of the common theme. We were beer drinkers, and for whatever reason, it was a partying lifestyle that really appealed to me. That sort of broke off into the wind and just had fun and lived for the moment. But I think what I was basically doing was medicating myself to where I didn’t feel any of the issues of being an insecure 17-year-old kid. So alcohol was a great escape for me. I would drink before… I would actually drink before going to a party, because that was a way to calm my nerves, but it was nothing.
[00:04:08]
Now, back then, I could drink a 12-pack of beer in high school and obviously in college, and once you start to drink that way, what I call power drinking, you literally… I mean, your tolerance goes up. So me throwing back 18-20 beers on a Friday or Saturday watching football games or whatever with friends, that was an every weekend occurrence. And I did that for 20 years. And, you know, at the time, I justified it in thinking that I really didn’t have an alcohol problem, because, well, I’m just a weekend drinker, and I have a good job, and I take care of my family, and I’m responsible. I just like to drink beer, so that was my justification for believing that I was not an alcoholic, because I didn’t wake up craving it.
[00:05:02]
It was my reasoning. But, you know, every Friday, when you get off a work and you go home and you head straight to the beer store to begin your binge drinking for the weekend, obviously there’s a serious problem there, and I didn’t recognize that until, you know, this past year. And I had a huge, you know, a huge part of my life was just rock. And when I got arrested for driving while intoxicated, and, you know, it was sort of one of those positions where four months earlier, I had just gotten a promotion. I was building a house. You know, my kids were moving back to my wife’s hometown. Everything was going great. And that just happened, but I was still dealing with anxiety very much so.
[00:05:55]
But that was sort of a defining moment to where I realized I’ve got to get my life straight. This is way beyond, you know, what a 40-year-old should be doing. I was 39 at the time. But, you know, obviously it was humiliating. And to know that my kids were, you know, their father had just gotten a DWI, and I obviously had to hide it from them as best I could. But, you know, it was an eye-opener for me, and I knew I had to make changes. Now I’m going to ask you the punchline question of this interview. So you’ve had a little journey of discovery since this DWI. What have you discovered in your new relationship with alcohol? What are you finding out? Well, basically I found out that alcohol was poisoning my brain and screwing up my brain chemistry.
[00:06:50]
And I would really say that my anxiety issues were no less than 50%, probably more, just caused by, you know, altering my brain chemistry through binge-drinking. Because I would, you know, it would honestly take me about two days, Monday and Tuesday, to get rid of the shake, to think clearly, to be able to, you know, really work effectively. And, but, you know, I had grown accustomed to that, and I just didn’t realize what it had done to me until it was taken away by the law.
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Meet the Speaker

Jonathan Berent, LCSW

Psychotherapist & Author — Social Anxiety and Performance Anxiety

Jonathan Berent, L.C.S.W., A.C.S.W., is a psychotherapist who has been practicing since 1978. He has created the Berent Treatment Method for Social Anxiety, which is the result of his clinical work with thousands of individuals of all ages with social anxiety since 1978. He has extensive clinical experience with avoidance and dependance personality disorder, and is the author of Work Makes Me Nervous: Overcome Anxiety and Build the Confidence to Succeed (Wiley, 2010), Beyond Shyness: How to Conquer Social Anxieties (Simon & Schuster, 1992), and Social Anxiety: The Untold Story, which is a training course for mental health professionals in using the Berent Method to treat social anxiety. (Andrew Kukes Foundation, 2011).
SocialAnxiety.com, has served millions of unique visitors as a multimedia clearinghouse for patients, parents, and fellow mental health professionals in search of articles, educational materials, and books on social anxiety and related subjects. His library of clinical interviews appears to be the most documented clinical success with social anxiety.

Guest Speaker

Frequently Asked Questions

Common Questions About Social Anxiety Treatment

Beta blockers are sometimes prescribed to reduce physical effects of adrenaline, such as rapid heart rate or trembling, during performance situations. They may reduce certain physical symptoms, but they do not address the underlying thoughts, emotions, avoidance patterns, or fear of anxiety itself. There is a right and wrong way to use beta blockers. While they can be quite effective, they inhibit one’s ability to learn the skill of “surfing” which is based on adrenaline-energy acceptance! Medication decisions should always be discussed with a qualified medical professional.

High-performance use of medication for public speaking requires effective diagnostics and treatment protocol. When used productively pharmacology is a great tool. When used inappropriately it will breed over-dependence!

Alcohol can temporarily reduce one’s internal critical script, self-consciousness, inhibition, and anxiety, which can make it appealing to someone struggling with social or performance anxiety. Using alcohol as an anxiety-management strategy will only worsen the problem.

Because it takes a lot of misplaced energy. Trying desperately to conceal anxiety requires constant self-monitoring. Instead of focusing on the conversation, audience, or message, attention becomes focused inward: “Am I blushing? Is my voice shaking? Can they see me sweating?” This heightened monitoring can increase anxiety and make normal physiological sensations seem more threatening.

Yes. Avoidance can strengthen public speaking anxiety because the person never gets the opportunity to develop a different response to the feared situation. Each avoided presentation or meeting can reinforce the belief that anxiety is unmanageable. Gradually developing the ability to tolerate and work through anxiety is an important part of long-term improvement. Common sense will tell you that practice is required for learning anxiety control skills.

Take the Next Step

You Do Not Have to Manage This Alone

Public speaking anxiety, performance anxiety, and social anxiety respond to treatment. If this episode described your experience, a conversation is the great next step.