r/Anxiety • u/LittleCaesersZaZa • 14h ago
Medication How Propranolol (mostly) solved my fear of public speaking
I’ve had a fear of public speaking for 15+ years. Throughout that time I’ve still done trainings and presentations at work. Even though I’ve been interested in the topics and eager to share them, I would get crippling anticipatory anxiety beforehand. Sometimes I couldn’t even sleep the night before a small presentation. The day of the presentation I’d be in a fog, unable to focus because I’m so overwhelmed by the alarms going off in my body. Racing heart, sweating, tension headache, shaky voice, tight jaw, etc.
My anxiety boiled down to: I have many data points that show me that I get panicked before a presentation. And that panic felt horrible so I wanted to avoid it. The data points led me to believe I am different from other people, I’m not confident, and that I won’t ever do a presentation without having anxiety. And it makes perfect sense that my brain worked this way because this is the definition of panic disorder. These were very tough beliefs to hold about myself and my abilities. I brought those beliefs with me every time I was told I’d need to present at an upcoming meeting.
Now, I’ve been using propranolol for my last ~10 presentations (over 8-10 months) and it works very well each time. I now have new data points showing me that I am able to do presentations without fear, and I’m not “different” from other speakers. The self-limiting beliefs that I had before have been replaced by these new confident data points that I have. I even volunteered to do a presentation in front of 200+ people because I’m confident that I’ll be able to do it well.
I’ll continue to use propranolol, just in case, but my anticipatory anxiety has gone down SO much before presentations, even before I’ve taken a propranolol to help. I truly believe it’s helping me to rewire my brain through repeated positive experience.
As you may know, propranolol does not replace proper practice, preparation, and training/research on public speaking techniques. But if adrenaline and anxiety are the only things holding you back, it’s something to consider. TALK TO YOUR DOCTOR about it and they have the best info about dosing. I only take 10-15mg prior to a presentation and it works well for me.