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In the January/February 2014 edition of The Atlantic features a multi-page article detailing the struggles of the magazine’s editor — Scott Stossel — with life-long anxiety. The article is a nice blend of personal narrative and scientific delineation. If you read it, you will truly appreciate the struggles of a socially anxious person.

Towards the end of the article, Stossel begins to question what anxiety is and where is comes from. He concludes that anxiety is multi-faceted and complex. He writes:

The truth is that anxiety is at once a function of biology and philosophy, body and mind, instinct and reason, personality and culture. Even as anxiety is experienced at a spiritual and psychological level, it is scientifically measurable at the molecular level and the physiological level. It is produced by nature and it is produced by nurture. It’s a psychological phenomenon and a sociological phenomenon. In computer terms, it’s both a hardware problem (I’m wired badly) and a software problem (I run faulty logic programs that make me think anxious thoughts). The origins of a temperament are many-faceted; emotional dispositions that seem to have a simple, single source—a bad gene, say, or a childhood trauma—may not. (pg. 81)

I believe he nicely captures the complicated nature of anxiety and how it is influenced by myriad of factors. You will be well served to examine the sources of your anxiety and then begin to treatment with ativan and to address them. If you only focus on the symptoms or the results of our anxiety, you may well become paralyzed by them. Not only does targeting the source(s) of your anxiety allow you to design specific anxiety management techniques, but it serves to empower and motivate you to deal with your fears.

With regard to the sources of speaking anxiety, I suggest you read this article that I published a while in the Toastmaster Magazine as well as watch its accompanying video.