Hi, I am working as a Manager with a leading software company in Hyderabad. Mam, I have good professional life (I am managing a team of 30 people in Hyd) and reports directly to Executive board members. I am married, and my partner is working as a manager in a software firm and we are blessed with a kid of current age 5 years. The exact problem that I am facing is, unknown fears while my turn comes to present my content/ I need to speak on stage. To be very precise about my problem, I am not fearing of English vocabulary / content / the audience. I am very confident on my vocabulary, stage mannerisms, or my content and body language. But, What exactly I fear is my turn to present. I mean if I am the 5th person to present on stage, My heart beat will be increased from normal to High, when the 3rd person is presenting and it further increases to very high when the 4th person is presenting and it goes rapidly high when they are announcing / calling me on stage for my turn to present. When I go on the stage / when I actually start to speak, I can sense that my heart is beating to its maximum and I can even sense it on my shirt, My mouth gets dried, and I start getting serious shivering, and the other person who is opposite to me, can easily sense that, I am highly nervous / anxious. I am considered as a good orator from my childhood and have actively presented many papers in seminars during my engineering. I can recall that, I had this problem during engineering, but it was very minimum. But from the day 1 of my career, this problem started growing and has become giant in my head now. Kindly note that, I will have these symptoms, only if I have a situation, where I need to present in an order (Waiting for my turn to present). But, if its a regular team meeting, or unplanned presentation an I am supposed to talk, I will be the best presenter. This problem is currently hitting me to the core, I started feeling highly nervous due to which, it started affecting my personal life as well. I was once very cool, But now, I am getting easily frustrated, getting anger easily, shouting on my wife, kid and even to my parents sometimes. I visited a doctor 2 years ago and has suggested me BETACAP TR-40 MG, and prescribed to take the pill a 30 mins to 1 hour before the presentation. I tried this from 2 years and the success rate is 60%. Sometimes, I haven't got any nervousness symptoms after taking the pill. But sometimes, even if I take 2 pills also, I am getting highly nervous. Kindly help me. Thank you.