Performance Anxiety Specialist Therapy & Help

Using the latest evidence based therapies to overcome performance anxiety, including stage fright, presentation fears, and performance blocks, all in a supportive environment.

Why do I panic before giving a speech?

Why do I feel like everyone is judging my every word and movement?

Why can't I just relax?

Why do I panic so much when I need to perform?

Why do I get so distressed public speaking?

Do you find yourself asking…

It’s understandable if you feel this way. You may have addressed this in talking therapy or not, but the answer often lies in the idea that your nervous system is stuck in a state of threat. This then elicits a strong emotional response during performance situations.

Talking therapy can go some way to addressing this and giving you skills to manage it, and EMDR can be a way to target this difficulty at the root and find relief.

How does CBT help for performance anxiety?

cbt social anxiety

CBT (Cognitive Behavioural Therapy) is a powerful, evidence-based approach that helps you identify and transform the thought patterns and core beliefs underlying performance anxiety—without getting trapped in cycles of avoidance or perfectionism that hold you back.

For some, this means addressing specific performance-related fears or past negative experiences, while for others, it's about challenging broader patterns of self-judgment and excessive self-consciousness that affect various performance situations. CBT delivered online is effective for both targeted performance fears and more generalised performance difficulties.

Backed by decades of research and endorsed by major psychological organisations, CBT provides effective tools for overcoming performance anxiety, building confidence in your abilities, and developing healthier ways of approaching performances that align with your authentic talents and creative expression.

How does EMDR help for performance anxiety?

EMDR (Eye Movement Desensitisation and Reprocessing) is a powerful, evidence-based therapy that helps your brain reprocess the root experiences behind performance anxiety—without having to endlessly analyse past performances or fear future ones.

For some, this may involve processing specific instances of performance failure or criticism, while for others, it addresses deeper patterns of self-doubt that have shaped how you approach high-pressure situations. EMDR is effective for both specific performance fears and more pervasive performance anxiety.

Backed by over 30 years of research and endorsed by major psychological organisations, EMDR provides an effective pathway to healing performance blocks, stage fright, and the internal beliefs that keep you feeling inadequate or overwhelmed when sharing your talents with others.

How do we work?

We begin with a thorough assessment to understand your unique performance anxiety patterns and challenges. From there, we'll collaboratively create a personalised treatment plan drawing from evidence-based approaches like EMDR and CBT.

Your therapy journey is flexible and responsive—we'll regularly check in on progress and adjust our approach as needed to best support your path toward healthier relationships and authentic social connection.

performance anxiety therapy help

Free Public Speaking Anxiety Workshop

Get an understanding of the CBT approach to understanding public speaking anxiety with my free workshop.

Options for CBT/EMDR for Performance Anxiety

  • Single Session (50 min)

    Weekly ongoing CBT or EMDR sessions.

    Cost: £110 .

  • Single Session (90 min)

    One tailored 90-minute EMDR session to target a specific fear, anxiety, feeling, belief or memory. Ideal if you have one thing to focus on, or want to try out EMDR without committing to ongoing therapy.

    3 Sessions (90 min each)

    Three 90-minute EMDR sessions to target a specific fear, anxiety, feeling, belief or memory with thorough depth. Working in an intensive way, we may schedule these across 10 days (or longer as you prefer). Experiencing rapid healing and change at a deeper level, without committing to ongoing sessions.

    6 Sessions (90 min each)

    6 90-minute EMDR sessions, that may also combine elements of CBT, to target a specific fear, anxiety, feeling, belief or memory. Working in an intensive way, we may schedule these across 2 weeks (or longer as you prefer). Longer term sessions, but still short term and intense in nature, for those who want deep, transformational change.

    Payment plans available to spread the cost and make EMDR intensives accessible.

    You can read more on fees and payment plans for EMDR intensives in my FAQs.

Not sure what’s right for you? No problem! In our assessment we will discuss which is the most likely to access the best outcome for you. Packages are designed so that payment plans can be provided for the level of care you need and to make EMDR more accessible, rather than fixed options that you need to choose before we have had an assessment.

If you’re ready to perform without fear, we can have a free consultation to discuss your ultimate goal, answer questions, and see if you would like to move ahead - absolutely pressure free.

Ready?

FAQs

  • EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy that helps your brain reprocess difficult experiences and update unhelpful beliefs. Unlike traditional talk therapy, EMDR uses bilateral stimulation (typically eye movements, taps, or tones) to help your brain process "stuck" memories and beliefs that contribute to your anxiety.

  • We'll begin by identifying the specific social situations that trigger anxiety and the negative beliefs you hold about yourself in these situations. Then we'll use EMDR to target the memories that created these beliefs, helping your brain update its understanding. As treatment progresses, we'll also install preferred feelings and rehearse future scenarios with your new perspective.

  • Single 90 min session:

    Investment: £150

    Payment Options:

    • Full payment of £150

    • Two instalments of £75 (one pre-session and 2 weeks later)

    Three 90 min sessions

    Investment: £450

    Payment Options:

    • Full payment receives 10% discount = £405

    • Payment Plan: Initial payment of £150, two further payments of £150 to be completed over 6 weeks.

    6 90 Min Sessions

    Investment: £900

    Payment Options:

    • Full payment receives 10% discount = £810

    • Payment Plan: Initial payment of £150, five additional payments of £150 every 2 weeks. All payments completed over 12 weeks.

  • EMDR sessions can be 1 hour or 90 minutes to allow sufficient time for the processing to unfold naturally. Shorter sessions can mean interrupting the process just as it's getting to important material, which is less effective, which is why we might do 90 minutes for more ‘stuck’ memories.

  • Many clients report feeling shifts after just 1-3 EMDR sessions, though the number needed varies based on your history and the complexity of your anxiety. Some notice they're responding differently to performance situations almost immediately, while more complex patterns may take longer to shift fully.

  • Cognitive Behavioural Therapy is a structured, practical but empathetic, approach that helps you identify and change unhelpful thought patterns and behaviours that contribute to your emotional difficulties. It focuses on the connection between thoughts, feelings, and behaviours. It is the most evidence based therapy available.

  • This varies depending on your history and the complexity of your social anxiety. For specific, focused performance anxieties (e.g. public speaking), 1-6 sessions is often sufficient. More complex or longstanding difficulties (e.g. avoidance of all performance situations) may require additional sessions.

  • EMDR sessions are 90 minutes rather than the standard 50-60 minutes, providing nearly double the therapeutic time. The extended format is crucial for EMDR's effectiveness, allowing complete processing cycles without interruption. Additionally, EMDR requires specialised training, supervision and certification beyond standard therapy qualifications, representing a higher level of expertise and specialised care.

  • While the upfront cost may seem higher, EMDR often works out more cost-effective in the long run. Traditional weekly therapy for social anxiety can continue for months or even years, with gradual improvement. In contrast, EMDR typically requires fewer total sessions to achieve significant results, meaning your overall investment may be substantially lower while achieving more profound change.

  • Absolutely! CBT (Cognitive Behavioural Therapy) and EMDR work excellently together and can create a comprehensive approach to treating performance anxiety. While they work through different mechanisms, they complement each other well. CBT helps you recognise and challenge unhelpful thought patterns and develop practical strategies, while EMDR addresses the underlying emotional experiences and beliefs that fuel your anxiety at their source. Many clients find this combination particularly powerful.

  • Yes. In this case sessions would be weekly sessions of 60 minutes (£110). This allows us to work on an ongoing basis.

  • This is best discussed in our free call to determine your ultimate goals and difficulties, and what’s likely to be effective.