Stage fright

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View of a performance on stage from the wings View of a performance on stage from the wings.jpg
View of a performance on stage from the wings

Stage fright or performance anxiety is the anxiety, fear, or persistent phobia that may be aroused in an individual by the requirement to perform in front of an audience, real or imagined, whether actually or potentially (for example, when performing before a camera). Performing in front of an unknown audience can cause significantly more anxiety than performing in front of familiar faces. In some cases, the person will suffer no such fright from this, while they might suffer from not knowing who they're performing to. In some cases, stage fright may be a part of a larger pattern of social phobia (social anxiety disorder), but many people experience stage fright without any wider problems. Quite often, stage fright arises in a mere anticipation of a performance, often a long time ahead. It has numerous manifestations: stuttering, tachycardia, tremor in the hands and legs, sweaty hands, facial nerve tics, dry mouth, and dizziness.

Contents

People and situations

Stage fright can occur in people of all experiences and backgrounds, from those who are completely new to being in front of an audience to those who have done so for years. It is commonly recognized in the population. Stage fright may, for example, have a negative impact on the individual's performance, such that it affects their confidence during job interviews, presentations, etc. [1] It also affects athletes, teachers, actors, comedians, musicians, [2] and politicians. Many people with no other problems in communication can experience stage fright, but some people with chronic stage fright also have social anxiety or social phobia which are chronic feelings of high anxiety in any social situation. Stage fright can also be seen in school situations, like stand-up projects and class speeches.

Effects

When someone starts to feel the sensation of being scared or nervous they start to experience anxiety. According to a Harvard Mental Health Letter, "Anxiety usually has physical symptoms that may include a racing heart, a dry mouth, a shaky voice, blushing, trembling, sweating, lightheadedness, and nausea". [3] It triggers the body to activate its sympathetic nervous system. This process takes place when the body releases adrenaline into the blood stream causing a chain of reactions to occur. This bodily response is known as the "fight or flight" syndrome, a naturally occurring process in the body done to protect itself from harm. "The neck muscles contract, bringing the head down and shoulders up, while the back muscles draw the spine into a concave curve. This, in turn, pushes the pelvis forward and pulls the genitals up, slumping the body into a classic fetal position". [4] This is also noted to have effects on sexual performance and physiology, which can be sometimes attributed to psychological barriers. [5]

In trying to resist this position, the body will begin to shake in places such as the legs and hands. Several other things happen besides this. Muscles in the body contract, causing them to be tense and ready to attack. Second, "blood vessels in the extremities constrict". [4] This can leave a person with the feeling of cold fingers, toes, nose, and ears. Constricted blood vessels also gives the body extra blood flow to the vital organs.

Negative emotionality indicated more than 50% of individual variations in performance anxiety in musicians, according to research on performance anxiety and the roles of personality and experience in musicians. Additionally, a discussion revealed that many years of formal education might counteract the performance anxiety linked to personality type. Given various conditions, performance anxiety reduced with time, indicating that the diary style of self-monitoring may have therapeutic benefits. [6]

Treatment

Propranolol is occasionally prescribed off-label to treat performance anxiety. [7] As a beta-blocker drug, Propranolol prevents the adrenaline released from the "fight or flight" bodily response from attaching to the heart, lungs and other parts of the body. This reduces or eliminates the physical symptoms of performance anxiety including increased heart rate (tachycardia), rapid breathing (hyperventilation), dry mouth, trembling, shaky voice, and sweating. Propranolol is not an officially approved treatment for performance anxiety; however, past studies [8] and patient experiences [9] indicate the drug is effective at reducing physical symptoms. Propranolol does not help with the mental symptoms of anxiety including the emotional feeling of nervousness since the drug does not alter the neurochemistry of the brain unlike typical medications prescribed for other forms of anxiety such as anti-depressants. [10] [11] [12]

There are also ways to treat performance anxiety without the use of medication. Relaxing the body with deep breaths, mentally preparing oneself, and redirecting one's attention are techniques that may help with minimizing stage fright. [13] Although it is a common assumption that alcohol can be used to calm nerves, other forms of treatment prove to be much better at treating stage fright. Alcohol consumption may actually affect one's performance and lead to lapses in memory and overall absentmindedness. [14]

Notable people

Many well-known public performers have been afflicted with stage fright and were able to overcome their problem, including Ariel Pink, Al Jolson, Lily Pons, Brian Wilson, Virginia O'Brien, Michael Gambon, Grimes, Lorde, Carly Simon, [15] Jason Alexander, Mose Allison, Maya Angelou, David Brenner, Peter Coyote, Olympia Dukakis, Richard Lewis, Roy Orbison, [16] Barbra Streisand, [17] Adele, David Warner, [18] Niall Horan, Frankie Howerd, Mike Yarwood, Ian Holm, [19] Lady Gaga, Mariah Carey, Frankie Boyle, [20] Peter Gabriel, Donald Fagen, John Lydon, Meg White (which was so extreme that it led to her early retirement from the music industry) and Amanda Seyfried. [21]

In some cases, famous stars have struggled to cope with their anxiety. Hugh Grant said on starring in the 2007 film Music and Lyrics that he "did the whole film full of lorazepam." [22]

Not every performer suffers from stage fright. Ethel Merman said: [23]

What’s there to worry about? I know my lines. … Why should I be nervous on opening night? The people who paid for tickets for a new play, they’re the ones who should be nervous.

See also

Related Research Articles

<span class="mw-page-title-main">Anxiety</span> Unpleasant state of inner turmoil over anticipated events

Anxiety is an emotion which is characterised by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different from fear in that fear is defined as the emotional response to a present threat, whereas anxiety is the anticipation of a future one. It is often accompanied by nervous behavior such as pacing back and forth, somatic complaints, and rumination.

<span class="mw-page-title-main">Phobia</span> Anxiety disorder classified by a persistent and excessive fear of an object or situation

A phobia is an anxiety disorder, defined by an irrational, unrealistic, persistent and excessive fear of an object or situation. Phobias typically result in a rapid onset of fear and are usually present for more than six months. Those affected go to great lengths to avoid the situation or object, to a degree greater than the actual danger posed. If the object or situation cannot be avoided, they experience significant distress. Other symptoms can include fainting, which may occur in blood or injury phobia, and panic attacks, often found in agoraphobia and emetophobia. Around 75% of those with phobias have multiple phobias.

<span class="mw-page-title-main">Anxiety disorder</span> Cognitive disorder with an excessive, irrational dread of everyday situations

Anxiety disorders are a group of mental disorders characterized by significant and uncontrollable feelings of anxiety and fear such that a person's social, occupational, and personal functions are significantly impaired. Anxiety may cause physical and cognitive symptoms, such as restlessness, irritability, easy fatigue, difficulty concentrating, increased heart rate, chest pain, abdominal pain, and a variety of other symptoms that may vary based on the individual.

<span class="mw-page-title-main">Panic attack</span> Periods of intense fear

Panic attacks are sudden periods of intense fear and discomfort that may include palpitations, otherwise defined as a fluttering, rapid, irregular heartbeat, sweating, chest pain or chest discomfort, shortness of breath, trembling, dizziness, numbness, confusion, or a sense of impending doom or loss of control. Typically, these symptoms peak within ten minutes of onset and can last for roughly 30 minutes, though their duration can vary anywhere from seconds to even hours. While they can be extremely frightening and distressing, panic attacks themselves are not physically dangerous.

Specific phobia is an anxiety disorder, characterized by an extreme, unreasonable, and irrational fear associated with a specific object, situation, or concept which poses little or no actual danger. Specific phobia can lead to avoidance of the object or situation, persistence of the fear, and significant distress or problems functioning associated with the fear. A phobia can be the fear of anything.

Glossophobia or speech anxiety is the fear of public speaking. The word glossophobia derives from the Greek γλῶσσα glossa (tongue) and φόβος phobos The causes of glossophobia are uncertain but explanations include communibiology and the illusion of transparency. Further explanations range from nervousness produced by a lack of preparation to, one of the most common psychiatric disorders, social anxiety disorder (SAD).

<span class="mw-page-title-main">Beta blocker</span> Medications for abnormal heart rhythms

Beta blockers, also spelled β-blockers, are a class of medications that are predominantly used to manage abnormal heart rhythms (arrhythmia), and to protect the heart from a second heart attack after a first heart attack. They are also widely used to treat high blood pressure, although they are no longer the first choice for initial treatment of most patients.

<span class="mw-page-title-main">Propranolol</span> Beta blocker drug

Propranolol is a medication of the beta blocker class. It is used to treat high blood pressure, a number of types of irregular heart rate, thyrotoxicosis, capillary hemangiomas, performance anxiety, and essential tremors, as well to prevent migraine headaches, and to prevent further heart problems in those with angina or previous heart attacks. It can be taken orally or by intravenous injection. The formulation that is taken orally comes in short-acting and long-acting versions. Propranolol appears in the blood after 30 minutes and has a maximum effect between 60 and 90 minutes when taken orally.

<span class="mw-page-title-main">Shyness</span> Feeling of apprehension, discomfort or awkwardness in the presence of other people

Shyness is the feeling of apprehension, lack of comfort, or awkwardness especially when a person is around other people. This commonly occurs in new situations or with unfamiliar people; a shy person may simply opt to avoid these situations. Although shyness can be a characteristic of people who have low self-esteem, the primary defining characteristic of shyness is a fear of what other people will think of a person's behavior. This fear of negative reactions such as being mocked, humiliated or patronized, criticized or rejected can cause a shy person to retreat. Stronger forms of shyness can be referred to as social anxiety or social phobia.

<span class="mw-page-title-main">Avoidant personality disorder</span> Personality disorder

Avoidant personality disorder (AvPD) or anxious personality disorder is a Cluster C personality disorder characterized by excessive social anxiety and inhibition, fear of intimacy, severe feelings of inadequacy and inferiority, and an overreliance on avoidance of feared stimuli as a maladaptive coping method. Those affected typically display a pattern of extreme sensitivity to negative evaluation and rejection, a belief that one is socially inept or personally unappealing to others, and avoidance of social interaction despite a strong desire for it. It appears to affect an approximately equal number of men and women.

<span class="mw-page-title-main">Paruresis</span> Inability to urinate in the real or imaginary presence of others

Paruresis, also known as shy bladder syndrome, is a type of phobia in which a person is unable to urinate in the real or imaginary presence of others, such as in a public restroom. The analogous condition that affects bowel movement is called parcopresis or shy bowel.

Emetophobia is a phobia that causes overwhelming, intense anxiety pertaining to vomit. This specific phobia can also include subcategories of what causes the anxiety, including a fear of vomiting or seeing others vomit. Emetophobes might also avoid the mentions of "barfing", vomiting, "throwing up", or "puking."

A wallflower is someone with an introverted or shy personality type who will attend parties and social gatherings, but will usually distance themselves from the crowd and actively avoid being in the limelight. They are also social around friends but not strangers, though once around friends, the strangers become less impactful. The name itself derives from the eponymous plant's unusual growth pattern against a wall as a stake or in cracks and gaps in stone walls. "Wallflowers" might literally stand against a wall and simply observe others at a social gathering, rather than mingle.

Test anxiety is a combination of physiological over-arousal, tension and somatic symptoms, along with worry, dread, fear of failure, and catastrophizing, that occur before or during test situations. It is a psychological condition in which people experience extreme stress, anxiety, and discomfort during and/or before taking a test. This anxiety creates significant barriers to learning and performance. Research suggests that high levels of emotional distress have a direct correlation to reduced academic performance and higher overall student drop-out rates. Test anxiety can have broader consequences, negatively affecting a student's social, emotional and behavioural development, as well as their feelings about themselves and school.

A sympatholytic (sympathoplegic) drug is a medication that opposes the downstream effects of postganglionic nerve firing in effector organs innervated by the sympathetic nervous system (SNS). They are indicated for various functions; for example, they may be used as antihypertensives. They are also used to treat anxiety, such as generalized anxiety disorder, panic disorder and PTSD. In some cases, such as with guanfacine, they have also shown to be beneficial in the treatment of ADHD.

Mental health professionals often distinguish between generalized social phobia and specific social phobia. People with generalized social phobia have great distress in a wide range of social situations. Those with specific social phobia may experience anxiety only in a few situations. The term "specific social phobia" may also refer to specific forms of non-clinical social anxiety.

Social anxiety is the anxiety and fear specifically linked to being in social settings. Some categories of disorders associated with social anxiety include anxiety disorders, mood disorders, autism spectrum disorders, eating disorders, and substance use disorders. Individuals with higher levels of social anxiety often avert their gazes, show fewer facial expressions, and show difficulty with initiating and maintaining a conversation. Social anxiety commonly manifests itself in the teenage years and can be persistent throughout life; however, people who experience problems in their daily functioning for an extended period of time can develop social anxiety disorder. Trait social anxiety, the stable tendency to experience this anxiety, can be distinguished from state anxiety, the momentary response to a particular social stimulus. Half of the individuals with any social fears meet the criteria for social anxiety disorder. Age, culture, and gender impact the severity of this disorder. The function of social anxiety is to increase arousal and attention to social interactions, inhibit unwanted social behavior, and motivate preparation for future social situations.

<span class="mw-page-title-main">Social anxiety disorder</span> Anxiety disorder associated with social situations

Social anxiety disorder (SAD), also known as social phobia, is an anxiety disorder characterized by sentiments of fear and anxiety in social situations, causing considerable distress and impairing ability to function in at least some aspects of daily life. These fears can be triggered by perceived or actual scrutiny from others. Individuals with social anxiety disorder fear negative evaluations from other people.

<span class="mw-page-title-main">Telephone phobia</span> Fear of making or taking phone calls

Telephone phobia is reluctance or fear of making or taking phone calls, literally, "fear of telephones". It is considered to be a type of social phobia or social anxiety. It may be compared to glossophobia, in that both arise from having to engage with an audience, and the associated fear of being criticized, judged or made a fool of.

Autophobia, also called monophobia, isolophobia, or eremophobia, is the specific phobia or a morbid fear or dread of oneself or of being alone, isolated, abandoned, and ignored. This specific phobia is associated with the idea of being alone, often causing severe anxiety.

References

Notes

  1. Dolan, Eric W. (2023-06-08). "Psychology experiment reveals the impact of anxious nonverbal behavior on job interview ratings". PsyPost. Retrieved 2023-06-09.
  2. Guyon, Amélie J. A. A.; R. K. Studer; H. Hildebrandt (August 2020). "Music performance anxiety from the challenge and threat perspective: psychophysiological and performance outcomes" (PDF). BMC Psychology. 8 (87): 87. doi: 10.1186/s40359-020-00448-8 . PMC   7448432 . PMID   32843074.
  3. Beyond Shyness 2003.
  4. 1 2 Cyphert 2005.
  5. "Erectile Dysfunction: Why Some Men Are Secretly Afraid of Sex | The Inspirational Lifestyle". 2018-11-16. Retrieved 2023-04-17.
  6. Sadler, Michael E.; Miller, Christopher J. (2010). "Performance Anxiety: A Longitudinal Study of the Roles of Personality and Experience in Musicians". Social Psychological and Personality Science. 1 (3): 280–287. doi:10.1177/1948550610370492. ISSN   1948-5506 via Research Gate.
  7. Davidson, JR (2006). "Pharmacotherapy of social anxiety disorder: what does the evidence tell us?". The Journal of Clinical Psychiatry. 67 (Suppl 12): 20–6. doi:10.1016/j.genhosppsych.2005.07.002. PMID   17092192.
  8. Elman, M. J.; Sugar, J.; Fiscella, R.; Deutsch, T. A.; Noth, J.; Nyberg, M.; Packo, K.; Anderson, R. J. (1998). "The effect of propranolol versus placebo on resident surgical performance". Transactions of the American Ophthalmological Society. 96: 283–291, discussion 291–294. ISSN   0065-9533. PMC   1298399 . PMID   10360293.
  9. "Propranolol User Reviews for Performance Anxiety". Drugs.com. Retrieved 2022-11-30.
  10. "What To Know About Using Propranolol for Performance Anxiety". GoodRX Health. 2021-07-16. Retrieved 2022-11-29.
  11. "How quickly does propranolol work for anxiety?". www.medicalnewstoday.com. 2022-09-29. Retrieved 2022-11-30.
  12. McGinn, Daniel (2017-08-04). "Can This Drug Cure Performance Anxiety?". The Atlantic. Retrieved 2022-11-30.
  13. "Conquering Stage Fright | Anxiety and Depression Association of America, ADAA". adaa.org. Retrieved 2022-11-11.
  14. Rapp, Joshua. "Stage Fright | Electrical and Computer Engineering Design Handbook" . Retrieved 2022-11-11.
  15. Hall, Jane (August 17, 1987). "After An Onstage Collapse and a Six-Year Battle with Stage Fright, Carly Simon Braves a Comeback". People Magazine . Archived from the original on November 9, 2014
  16. "Roy Orbison | Memphis Music Hall of Fame". memphismusichalloffame.com. Retrieved 2022-06-13.
  17. "I Can't Go On!" by Joan Acocella, The New Yorker , 3 August 2015
  18. 'The Vanishing', interview with David Warner, 'The Guardian', 5 February 2002.
  19. "Ian Holm, star of Lord of the Rings, Alien and Chariots of Fire, dies aged 88". TheGuardian.com . 19 June 2020.
  20. "'For a long time, having to do a stand-up gig would ruin my day'". Scotsman.com. 24 July 2007. Retrieved 5 March 2022.
  21. Berry, Mick (2009). Stage fright 40 stars tell you how they beat America's #1 fear. Tucson: See Sharp Press. ISBN   978-1884365461.
  22. "Hugh Grant scared he will never find love". Daily Mirror. 8 December 2009.
  23. Caryl Flinn in Brass Diva, the Life and Legends of Ether Merman ISBN   978-0-520-22942-6 pp. 205 & 306

Sources

Further reading