Beta adrenergic receptor antagonists (beta blockers) are routinely used by people who have a physical reaction (shortness of breath, tachycardia) to public spea

Beta adrenergic receptor antagonists (beta blockers) are routinely used by people who have a physical reaction (shortness of breath, tachycardia) to public speaking. If the other techniques that people here are recommending are not enough to get you exactly where you want to be regarding comfort, it is reasonable to talk to your internist. It's worth noting that having a crutch like this can make a bigger mental impact than physical (you feel more confident because you believe the beta blockers will help keep you from messing up). Also, like a crutch, most people grow not to need beta blockers after some experience. I'm not saying that you should immediately turn to medication, but since public speaking is more feared than death, I think it's only fair to mention something like beta blockers, confidence in which can help reduce the fear.