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Not surprisingly, many people fear public speaking. For people who suffer panic and anxiety attacks, it can become a major source of distress. Public speaking doesn't necessarily mean standing on a podium and giving a speech. It can be as simple as sitting in a classroom and having a discussion with peers and feeling tight-chested, short of breath, and incapacitated by anxiety just because of having to speak in front of other people. This fear is centered on giving verbal feedback to others. The fear experienced by people who suffer from panic attacks and anxiety disorders is different from the typical public speaking anxiety. Jitters and nervousness before giving a speech are quite common, but having a panic attack, which is a debilitating situation, is not something most people experience. People who have to deal with anxiety and panic attacks can fight the fear of public speaking in a few ways. The key is to build confidence, getting back to a non-anxious state of mind. Now, instead of experiencing anxiety and suddenly thinking "oh no, how am I going to deal with this?", we can instead turn the anxiety to our advantage. Thinking "I knew this was going to happen, and have been expecting it. I am not threatened by these sensations and will conquer my fears instead of being debilitated" can be a powerful antidote. Controlling fear and anxiety in this way can help you fight the fear of public speaking. These intense feelings can actually fuel your speech, giving you momentum instead of making you unable to continue delivering your speech.
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