Performance Anxiety and Test Anxiety
Overview
Performance anxiety refers to intense fear or nervousness about performing well in high-pressure situations. These situations include public speaking, artistic or athletic performances, or important exams.
Test anxiety is a specific type of performance anxiety that occurs in academic testing contexts. Both involve fear of failure or negative evaluation, but test anxiety specifically relates to worries about exams or tests.
While feeling some nervousness before a performance or exam is normal and can sometimes improve focus, anxiety becomes problematic when it is overwhelming and impairs the ability to perform or fulfill daily responsibilities.
Signs & Symptoms
• Intense Pre-Event Fear: Persistent worry or dread before a performance or exam, often with catastrophic thoughts about failure or embarrassment
• Physical Symptoms: Headaches, nausea, sweating, shortness of breath, rapid heartbeat, or trembling commonly occur before or during the event.
• Panic Attacks: In some cases, anxiety may escalate to sudden, intense fear with chest tightness, hyperventilation, or a sensation similar to a heart attack.
• Cognitive Effects: Experiencing a “mind going blank,” racing thoughts, or difficulty recalling information during crucial moments due to anxiety.
• Concentration Difficulties: Intrusive anxious thoughts interfere with focus and task performance.
• Negative Self-Talk: Excessive self-criticism and fear of harsh judgment from others.
• Avoidance Behaviors: Avoiding or procrastinating on performances, exams, or public speaking, which may hinder academic or career progress.
• Feelings of Helplessness: Persistent feelings of inadequacy or hopelessness about performance despite preparation.
When to Seek Help
Consult a mental health professional if anxiety significantly disrupts daily functioning or personal goals. This includes situations where anxiety prevents attending exams, giving presentations, or participating in important meetings, or when panic symptoms persist despite preparation. Early intervention can provide coping strategies to manage symptoms effectively.
Treatment Approaches
1. Psychiatric Evaluation and Personalized Plan
A thorough assessment identifies specific triggers, severity, and any related conditions such as generalized anxiety, depression, and others. Treatment often includes psychoeducation about how moderate stress can enhance performance but excessive anxiety hinders it. Cognitive-behavioral therapy (CBT) is effective, teaching skills such as reframing negative thoughts, relaxation techniques, visualization, and gradual exposure to feared situations.
2. Medication Management
When anxiety symptoms are severe, medication may be helpful. Low-dose beta-blockers can be taken before acute situations to reduce physical symptoms such as rapid heartbeat and shaking without sedation. For broader anxiety or frequent panic attacks, daily medications like selective serotonin reuptake inhibitors (SSRIs) may be prescribed. Medication is used alongside therapy and coping strategies to improve overall functioning.
3. Ongoing Support and Monitoring
Managing performance and test anxiety is a gradual process that is supported by regular follow-up sessions with a well-trained and experienced psychiatric provider. These providers can help track progress, adjust treatments, and reinforce coping strategies. Coordinated care between psychiatric providers and therapists optimizes outcomes, enabling individuals to approach high-pressure situations with greater confidence and resilience.
Support & Next Steps | YOU Psychiatry Clinic
At YOU Psychiatry Clinic, we are committed to providing compassionate, expert mental health care. Here’s what you need to know as you take the next step toward wellness.
1. Seeking an Evaluation
If you’re considering psychiatric care, our team is here to guide you. We provide comprehensive evaluations for anxiety, depression, autism spectrum disorder, and other mental health concerns.
2. Insurance & Payment Information
We accept most major insurance plans and offer out-of-network billing options.
Self-pay rates and affordable monthly payment plans are available for those without insurance.
Contact our office for specific coverage details.
3. Schedule An Appointment
Our team is ready to support you. We offer in-person, hybrid, and online psychiatry with immediate intake availability. Reach out to book your initial consultation today.
📍 Clinic Address: 110 North Wacker Drive, Suite 2500, Chicago, IL 60606
📞 Phone: 708-765-6340
📧 Email: admin@youpsychiatryclinic.org
🌐 Fax: 708-273-5527
4. What to Expect During Your First Visit
Our approach includes a detailed discussion of your medical and mental health history, followed by personalized treatment recommendations—whether that involves therapy, medication, or lifestyle adjustments. We pride ourselves on offering a supportive, judgment-free environment where you can feel comfortable and truly heard.