Glossophobia

Symptoms range from mild nervousness to panic. The mechanism is a stress response: your nervous system treats a room full of people like a threat and releases adrenaline before you say a word, which is why your heart races and your mouth goes dry.

One of the most effective long-term approaches is graduated exposure: small, frequent speaking reps in low-stakes settings. Beta blockers can manage physical symptoms in performance situations under a doctor's care, but they don't build the skill.