Performance Anxiety: 5 Proven Ways to Overcome It

a person standing on the edge of a diving board
Discover 5 science-backed methods to overcome performance anxiety. Learn effective techniques to boost confidence and reduce stress naturally.

It’s normal to feel a few butterflies before a big moment. But when your heart starts pounding like a drum before public speaking, your hands go clammy before a friendly pickleball match, or your mind goes completely blank before a test—you may be dealing with performance anxiety.

Also known as stage fright, competitive anxiety, or “choking,” this intense fear of being judged or failing in high-stakes situations can affect anyone—students, athletes, executives, musicians, even romantic partners. And it’s far more common than most people realize.

In fact, up to 60% of individuals experience performance anxiety at some point in their lives, according to research in Frontiers in Psychology.

The good news? You don’t have to keep living at the mercy of your nerves. With the right strategies, you can train your brain and body to respond with calm instead of panic when you’re under pressure.

In this blog, we’ll explore science-backed stress management strategies to reduce performance anxiety—so you can step into the spotlight, the arena, or the boardroom with confidence and clarity.

Also known as stage fright, competitive anxiety, or “choking,” performance anxiety involves an intense fear of being judged or failing in high-stakes situations. And it can affect anyone.

UNDERSTANDING PERFORMANCE ANXIETY

Performance anxiety is not considered a diagnosable mental health condition. Rather it falls under the umbrella of anxiety disorders, such as social anxiety or generalized anxiety disorder.

It typically occurs in situations where you’re expected to perform, be evaluated, or deliver results under pressure. It can show up in a wide variety of settings:

  • Professional environments
  • Academic challenges
  • Athletic competitions
  • Social interactions
  • Dating

While a little nervous energy can motivate you, excessive anxiety can interfere with your ability to think clearly, communicate confidently, and perform at your best. You may experience common symptoms like:

  • A racing heart
  • Heavy breathing/hyperventilating
  • Nausea or upset stomach
  • Tight muscles or tension headaches
  • Negative self-talk
  • Sweating
  • Freezing, or your mind going blank

In some instances, it can lead to a full-blown panic attack. If any of this sounds familiar, you’re in the company of some high-performing athletes, executives, and actors. The key to overcoming this is learning tools to manage those reactions and retrain your mind and body.

STRATEGY #1: PRACTICE RELAXATION TECHNIQUES TO OVERCOME PERFORMANCE ANXIETY

One of the most effective ways to overcome performance anxiety is through intentional relaxation techniques that calm your nervous system. These methods help shift your body out of fight-or-flight mode and into a calmer, more focused state mentally, emotionally, and physically.

How Relaxation Reduces Physical Symptoms of Performance Anxiety

When you’re anxious, your body releases stress hormones such as cortisol and adrenaline. This ramps up those physical symptoms and can make your thoughts race faster than you can think through them.

Relaxation techniques have been shown to reduce anxiety naturally by soothing your parasympathetic nervous system, which results in slower breathing, lower heart rate, and easing muscle tension.

Simple Relaxation Exercises to Incorporate into Your Routine

Here are a few simple stress management strategies you can try:

  • Deep breathing: Inhale through your nose and visualize filling your belly for four seconds, hold for four, exhale through your mouth for six. Repeat for two to five minutes.
  • Box breathing: Inhale for four, hold for four, exhale for four, hold for four. Repeat for at least 5 minutes to reset your nervous system.
  • Progressive muscle relaxation: First, find a comfortable place to lie down and breathe. Then, tense and release each muscle group, starting at your toes and moving upward.

The Long-Term Benefits of Relaxation for Anxiety Relief

Practicing relaxation regularly trains your body to respond more calmly in high-pressure situations wherever you are. Over time, these techniques can reduce anxiety naturally and become your go-to tools for navigating stress in healthier (and easier) ways.

Strategy #2: Build Confidence with Visualization Techniques

Another powerful strategy to overcome performance anxiety is through visualization—mentally rehearsing success. Visualization is one of the top boost confidence techniques used by athletes, public speakers, and performers because it works.

The Power of Visualization in Overcoming Anxiety

Visualization helps you tap into your brain’s ability to simulate experiences. When you vividly imagine yourself performing well, your brain fires off the same neural pathways as it would if you were actually doing it.

By making the event or goal feel familiar and less threatening, you end up reducing performance anxiety and achieving more than you thought you would.

Step-by-Step Guide to Effective Visualization for Anxiety Reduction

  1. Find a quiet place and close your eyes.
  2. Imagine the scenario where you feel performance anxiety—a meeting, stage, sports tournament, or test, for example.
  3. Visualize yourself feeling calm, confident, and in control.
  4. Include all five senses. What do you hear, see, feel, touch, or smell?
  5. Repeat daily leading up to the event.

Why Visualization Works: Understanding the Mind-Body Connection

Visualization strengthens the mind-body connection by reinforcing positive expectations. When you “see” yourself succeeding, your body follows suit in action, which reduces performance anxiety and boosts self-trust over time.

You can also try guided imagery to help you relax and fall asleep when needed. Basically, this technique involves envisioning yourself in an imaginary environment—a tropical beach, a flower-filled meadow, or a cozy fireplace, for example—and taking in the sights, scents, and sounds. After visiting this imaginary place, you feel more relaxed.

STRATEGY #3: USE COGNITIVE BEHAVIORAL THERAPY (CBT) TO REFRAME NEGATIVE THOUGHTS

Cognitive behavioral therapy, or CBT, is a psychological approach that helps you identify and challenge the unhelpful thoughts driving your anxiety. By shifting your mindset, CBT allows you to reduce anxiety naturally and respond to stress with a plan.

Related: Cognitive Behavioral Therapy: What Is It and Who Can Benefit?

How CBT Helps You Change Your Perception of Performance Anxiety

One of the best stress management strategies CBT offers is cognitive restructuring. Instead of thinking…

“I’m going to fail.”

…CBT can help you reframe your thoughts to…

“I’ve prepared for this, and I can handle it.”

This mental shift allows you to take back the mental control you need to reduce panic and restore balance in your life.

H3. CBT Techniques You Can Use to Manage Performance Anxiety

Try these CBT-inspired tools to help manage your performance anxiety:

  • Thought records: Write down your anxious thoughts and find evidence that supports or disproves them.
  • Exposure therapy: Test your fears by gradually taking small steps toward the thing you’re avoiding.
  • Affirmation replacement: Replace anxious self-talk with confidence-boosting affirmations.

Related: Gain Control Over Negative Self-Talk

Finding Professional Support for CBT

If you’re struggling to cope with persistent performance anxiety, working with a mental health professional can help you apply CBT principles in a more personalized way. Therapy offers a safe space to explore deeper fears and reduce anxiety naturally over time.

STRATEGY #4: ADOPT MINDFULNESS PRACTICES FOR BETTER FOCUS AND CALM

Mindfulness—the practice of being present without judgment—is one of the most reliable stress management strategies for reducing anxiety naturally. You can learn to stay focused during high-stakes moments by taking a moment to recenter yourself.

The Role of Mindfulness in Managing Anxiety

Mindfulness interrupts that spiral of anxious thoughts by grounding you in the present. This helps reduce anxiety naturally by shifting your attention away from what could go wrong and toward what is happening right now.

Easy Mindfulness Techniques to Practice Before a Performance

These can boost confidence techniques that help you center yourself before stressful events. Choose one or more to use when you need them:

  • 5-4-3-2-1 grounding: Name five things you see, four you can touch, three you hear, two you smell, and one you taste.
  • Mindful walking or stretching: Move your body slowly while paying attention to each movement.
  • Body scan meditation: Bring awareness to each part of your body from head to toe.

How Mindfulness Can Improve Long-Term Stress Management

Consistent mindfulness practice improves emotional dysregulation, sharpens focus, and builds stress resilience. It makes this one of the most sustainable stress management strategies for managing performance anxiety long-term.

STRATEGY #5: DEVELOP HEALTHY LIFESTYLE HABITS TO MANAGE STRESS AND ANXIETY

Your everyday habits—how you eat, sleep, and move—play a major role in how your body responds to stress. Healthy routines can help you stay grounded and reduce the intensity of performance anxiety.

Research shows that eating the wrong foods can trigger anxiety at the moments when you need to be at your best. For example, eating a high-fat diet, getting inadequate amounts of protein, and consuming excessive amounts of sugar and refined carbohydrates can negatively impact focus, energy, and memory—all things you need when it’s time to perform.

Press Play to Learn How Caffeine Affects Anxiety

If you struggle with performance anxiety, you may want to check your caffeine intake. Too much java may be giving you the jitters.

Click below to tune in.

How Regular Exercise Can Reduce Anxiety and Boost Confidence

Decades of research on physical activity shows that it boosts mood-enhancing brain chemicals like serotonin and dopamine. Regular exercise is a beneficial way to reduce anxiety naturally, improve sleep, and help you feel more capable and in control.

The Importance of Sleep and Nutrition in Anxiety Management

You may already know that a lack of sleep and poor nutrition spikes cortisol (stress) levels. But did you know that they can also make you more reactive to stress?

Prioritizing rest and eating balanced meals can help your brain and body perform optimally. Proper sleep and nutrition help calm your body’s nervous system, so you don’t get so fearful when you need to perform.

Creating a Healthy Routine to Support Stress Management

To recap, here are a few simple habits that enhance your daily stress management strategies to calm anxiety:

  • Stick to a consistent sleep schedule
  • Eat whole, nutrient-dense foods
  • Move your body regularly
  • Limit sugar and caffeine
  • Stay hydrated

Fortunately, even these small changes can add up to greater emotional balance and resilience.

COMBINING TECHNIQUES FOR MAXIMUM CONFIDENCE AND PERFORMANCE

In most cases, no single method will solve performance anxiety overnight. The most effective approach is to combine multiple confidence-boosting techniques that work for your unique personality and lifestyle.

Building a Personalized Strategy to Overcome Performance Anxiety

To manage your performance anxiety, feel free to mix and match strategies that you’ll enjoy doing again and again:

  • Use mindfulness to ground yourself
  • Practice visualization before a big event
  • Apply CBT when negative thoughts arise
  • Relax your body through breathing
  • Maintain a healthy, active, and purposeful lifestyle

Performance anxiety doesn’t have to control your life. Creating your own personalized toolkit will help you be better prepared to handle any high-pressure situation with clarity and confidence.

FAQ

Performance anxiety isn’t classified as a formal mental health disorder, but it falls under the broader category of anxiety-related issues. It’s closely related to social anxiety and can significantly impact quality of life if left unaddressed.

Yes. Performance anxiety isn’t limited to public speaking or performing on stage. It can show up during athletic competitions, academic testing, work presentations, romantic relationships, and even one-on-one conversations—any situation where you feel pressure to perform.

Try deep, slow breathing or box breathing to reset your nervous system. These techniques calm your body’s fight-or-flight response in minutes, helping you feel more grounded and in control when the pressure is on.

Amen Clinics

Founded in 1989 by double-board certified psychiatrist and neuroscientist Daniel G. Amen, MD, Amen Clinics Inc. (ACI) is known as the best brain and mental health company in the world. Our clinical staff includes over 50 healthcare specialists, including adult and child psychiatrists, integrative (functional) medicine physicians, naturopaths, addiction specialists, forensic psychiatrists, geriatric psychiatrists, nutritionists, licensed therapists, and more. Our clinicians have all been hand-selected and personally trained by Dr. Amen, whose mission is to end mental illness by creating a revolution in brain health. Over the last 35-plus years, ACI has built the world’s largest database of functional brain scans—over 250,000 SPECT scans on patients from 155 countries—related to how people think, feel, and behave.

National Center for Health Statistics. (2019). Health, United States, 2018 – Mental health. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK544286/

Rao, V., Rosenberg, P., Bertrand, M., Salehinia, S., Spiro, J., Vaishnavi, S., Rastogi, P., Noll, K., Schretlen, D. J., Brandt, J., & others. (2009). Aggression after traumatic brain injury: Prevalence and correlates. The Journal of Neuropsychiatry and Clinical Neurosciences, 21(4), 420–429. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2918269/

Kaźmierczak, I., Zajenkowska, A., Rajchert, J., Jakubowska, A., & Abramiuk-Szyszko, A. (2023). The Role of Anger Expression in Unmet Expectations and Depressive Symptoms. International Journal of Environmental Research and Public Health, 20(15), 1–20. https://doi.org/10.3390/ijerph20155900

Sukhodolsky, D. G., Smith, S. D., McCauley, S. A., Ibrahim, K., & Piasecka, J. B. (2016). Behavioral interventions for anger, irritability, and aggression in children and adolescents. Journal of Child and Adolescent Psychopharmacology, 26(1), 58–64. https://doi.org/10.1089/cap.2015.0120

Selman, S. B., & Dilworth‐Bart, J. E. (2024). Routines and child development: A systematic review. Journal of Family Theory & Review, 16(2), 272–328. https://doi.org/10.1111/jftr.12549

Contact Us

The podcast is back! Hosts Daniel Amen, MD and Tana Amen are changing the way we look at the brain.    Tune In

X