A 43-year-old medical representative attends the general practice surgery requesting a sick note. Cascade of Evidence for Stage Fright She is due to deliver a presentation next week to the national team, upon which hinges her hope of a promotion. She says that the thought of doing this presentation is making her feel very panicky. She has always had stage fright and even the thought of speaking in public makes her tremor worse. When asked to speak in public she develops palpitations, sweating, dizziness and a feeling of butterflies in her stomach.
She feels that she will make a fool of herself in public and therefore goes to great lengths to avoid such situations. When she has had to make presentations in the past to her local team, she has used a ‘couple of drinks’ to calm herself. She is single and is also nervous about dating and meeting senior doctors. She feels that her problems…