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Speech anxiety
Virtual visit

Speech anxiety

Get expert care for your Speech anxiety by completing a brief questionnaire and video consult with our medical team.

Licensed providers in all 50 states

Expert-guided, evidence-based treatments

Skip the trip to the doctor's office

Visit options

We'll check any insurance and show you your options before you book.

Video Visit

$25

Est. or $100 w/o insurance

Most insurance accepted

Board-certified

No hidden fees

Available nationwide

What to expect from a Speech Anxiety visit

1

Share your health story

Answer a few questions about your goals and concerns. And, we'll gather your full health history from past providers.

2

Meet your clinician

Pick a time that works for you to speak with a licensed clinician. They'll review your health story beforehand, so your visit can be used to listen and dig deeper.

3

Get your care plan

Leave with clear next steps and a personalized care plan. If you need medication, labs, or to see a specialist, your clinician will take care of the details for you.

4

Own your health

Track your progress, schedule follow-ups, and adjust care as your needs evolve. Your care team and General AI is only a few taps away.

Virtual visit with clinician

Ongoing support, always available.

You’ll be supported by experienced clinicians who care for a wide range of health needs, from everyday concerns to more complex conditions.

Our clinicians track your progress over time and adjust your care as needed. If medication is prescribed, we’ll manage dosing and monitor for side effects. If lab testing is recommended, we review results and refine your plan accordingly. You’re never left to navigate care on your own.

All your care in one place. That’s the General Medicine difference.

We help you understand your options, connect you to the right clinicians, manage prescriptions, coordinate any needed evaluations, and keep an eye on your overall health along the way. It’s comprehensive care that looks at the full picture — your goals, your history, your lifestyle — and makes it simple to move forward with confidence.

Your care plan
Clinician

Reasons to book your speech anxiety visit

Fear of speaking in front of others is far more common — and far more treatable — than most people realize. This visit helps you find the right approach.

Public speaking, presentations, or phone calls trigger significant anxiety

Physical symptoms like shaking, sweating, or voice changes happen when you speak

Speech anxiety is affecting your career, school, or social opportunities

You avoid situations that require speaking in front of others

You want to know if medication can help in high-stakes situations

You're looking for a referral to a therapist who specializes in this area

What our customers have to say

“I feel like I’m finally on the right path to improving my health with the right support now! It’s so refreshing and reassuring.”

Emerald

“My experience with General Medicine was amazing. The understanding and care that was taken to figure out what is exactly going on with me. I feel like a weight has been lifted off of me.”

Kaylee

“I couldn’t be happier with my experience with General Medicine! They are fast, responsive, kind and knowledgeable. It is much easier, more affordable and faster.”

Nika

Get the care you need, without the wait.

Frequently Asked Questions

Is speech anxiety a medical condition or just nervousness?

Significant speech anxiety — particularly when it consistently impairs performance, triggers physical symptoms, or leads to avoidance of situations where speaking is required — meets criteria for social anxiety disorder. It exists on a spectrum from normal performance nerves to clinically significant impairment.

Do I need medication or will therapy alone help?

Cognitive behavioral therapy (CBT) is the most evidence-supported treatment and produces durable results. Beta-blockers like propranolol are effective for situational performance anxiety by blunting physical symptoms — heart racing, tremor, voice shaking — without sedation. For generalized social anxiety, SSRIs are the first-line medication.

How quickly do beta-blockers work for speech anxiety?

Propranolol typically reaches peak effect within 1–2 hours and is taken 30–60 minutes before a speaking event. It reduces the physical manifestations of anxiety — palpitations, tremor, flushing — without impairing cognitive function or causing significant sedation in most people.

Can speech anxiety be treated permanently?

CBT — particularly through graduated exposure to feared situations — produces long-lasting improvement and in many cases near-complete resolution of performance anxiety. Unlike medication, therapy addresses the underlying cognitive patterns that drive avoidance and physical symptom spiraling.

What side effects are associated with speech anxiety treatments?

Propranolol may cause fatigue, low blood pressure, and is contraindicated in asthma and certain heart conditions. SSRIs may cause GI symptoms and sexual side effects, improving over weeks. CBT has no physical side effects — initial sessions may temporarily increase anxiety through exposure exercises. Speech Anxiety visit What to expect from a Speech Anxiety visit
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