Performance Anxiety Treatment
Gold Coast Therapy for Performance Anxiety
The presentation is next week and you’re already dreading it. Or the exam, the interview, the meeting, the stage. Or as an athlete your nerves are getting the better of you. Your mind goes blank at the worst moment, your voice wobbles, your hands shake — and the harder you try to hold it together, the worse it seems to get.
Here’s the thing that catches so many people off guard: performance anxiety often hits the most capable, driven, high-achieving people. Being good at what you do doesn’t protect you from it. Sometimes it’s exactly what fuels it.
What performance anxiety really is
Performance anxiety is your threat system misfiring in the very moment you most want to be calm and sharp. Your body reads “everyone’s watching and this matters” as danger, and floods you with adrenaline — the racing heart, the shaky voice, the blank mind. It’s the same fight-or-flight response that would save you from real danger, just landing at completely the wrong time.
For a lot of people it’s tangled up with a harsh standard: I have to be impressive, I can’t be seen to fail, my worth is riding on this. Which piles pressure onto an already-activated nervous system.
You might notice:
- The sense that one wobble means you’ve failed completely
- Intense nerves before presentations, exams, interviews or performances
- Mind going blank, or racing thoughts, right when you need focus
- Physical signs — shaking, sweating, nausea, a tight or shaky voice
- Dread and anticipatory anxiety for days beforehand
- Avoiding opportunities, or holding yourself back, to sidestep the fear

How we work with performance anxiety
We work on both layers — the nervous system and the story driving it. On the practical side: reframing that adrenaline as readiness rather than threat, mental-rehearsal and solution-focused mind techniques, breathing and grounding tools, and, where it suits you, Clinical Hypnotherapy to reprogram that automatic anxious response.
On the deeper side, we gently unhook your worth from your performance — because when a shaky moment stops meaning “I’m not enough,” the pressure drops, and so does the anxiety. The aim isn’t to make you not care… it’s to let you bring your ability to the moment without your nerves stealing it.
Emergency and Crisis Support
If you are in crisis, or worried about your immediate safety, please seek help straight away. You can contact:
Lifeline – 13 11 14
Beyond Blue – 1300 22 4636
Suicide Call Back Service – 1300 659 467
Your GP, local hospital, or emergency services (000) in an emergency!
You don’t have to keep suffering to perform well. If any of this sounds like you, we’re here to help.
Other Types of Anxiety Disorders we Treat
Michelle van Namen is a registered Psychologist, Clinical Hypnotherapist, Life Coach and Integrative Health Practitioner with over 30 years of experience working with human behaviour and improving mental health. Michelle has been trained in a broad range of evidence-based therapies. She has worked in a variety of roles within private practice, corporate organisations, education, research, and community crisis support. Established in 2006, Integrated Health Specialists is her psychology practice located on the Gold Coast, providing individual and couples therapy for adults. Michelle focuses on providing a warm, authentic and non-judgemental therapeutic space to support clients and facilitate healing and personal growth. Read more about Michelle.
BA (Hons) in Psychology: University of Wollongong, 1995
Registered Psychologist with the Psychology Board (AHPRA) PSY0001395059
Member of the Australian Association of Psychologists Inc (AAPI) 15525
Qualifications verified by Psychology Today
Medicare and Health Insurance Provider.




