PERFORMANCE ANXIETY
Anxiety has always been part of the human condition, with accounts of its various manifestations,
including acute shyness and stage fright, dating back to classical antiquity. However, since the end of
the Second World War, reported levels of anxiety have risen alarmingly. Is this stunning development
in the mental health field during the past half century due to any social factors? Some observers point
that the ever increasing pace and demands of modem life. However, a larger body of evidence
suggests that the prevalence of anxiety is due less to these pressures themselves than to a prevailing
social code that teaches people that anxiety related symptoms are a socially and medically legitimate
sweating, dizziness, fainting, nausea, or heart palpitations, anxiety afflicted almost 20 million adult
Americans by the early 21st century. In 2001, the National Institute of Mental Health declared anxiety
the most common mental health problem in the United States. In 2002, the World Mental Health
Survey reported that anxiety was the most prevalent mental health problem around the globe.
Several international reviews of music performance anxiety (MPA) among professional orchestral
musicians indicate that MPA is widespread1 . For example, the International Conference of Symphony
and Opera Musicians National US study, distributed to 48 orchestras (2,212 respondents) reported that
24% of musicians frequently suffered stage fright, defined in this study as the most severe form of
However, since not all performers suffer the same degree of MPA, or indeed report the same levels of
account for variations in the degree to which musicians experience symptoms. A large number of
1 Kenny, Dianna T. 2005. "A Systematic Review of Treatments for Music Performance Anxiety." Anxiety, Stress & Coping 18,
no. p. 1.
1
treatment modalities2 (behavioral, cognitive, pharmacological and complementary) have been
developed for music performance anxiety (MPA). The terminology surrounding the concept is also
problematic. For example, MPA is sometimes referred to as stage fright and the terms are used
interchangeably, while others view stage fright as an extreme form of MPA. Recently, a number of
integrative theories have been proposed and these have the potential to direct future research into
DEFINITION
Most musicians, actors, speakers readily admit to some type of apprehension, tension, or anxiety in
performance situations. The reactions to this stress may range from sweaty palms to complete inability
to go onstage.
Hans Selye, having written thirty-eight books on the subject of stress modification, defines stress as
“the nonspecific response of the body to any demand”. Consequently, it could not and should not be
avoided; from complete freedom from stress is death.”3 It is apparent that not only can stress not be
avoided, but it is essential for survival, learning, and individual growth and for progress in society as
well. When stresses become excessive, tension also escalates, followed by maladaptive responses.
What occurs physiologically when you experience tension? Most often, the body is activated for
The moment your stress response is triggered, your heartbeat quickens to pump more blood to your
vital organs. Part of this additional blood is drawn from the peripheral blood vessels lying slightly
under the skin throughout the body, leaving you cold, clammy hands.
2 Kenny, Dianna T. 2005. "A Systematic Review of Treatments for Music Performance Anxiety." Anxiety, Stress & Coping 18,
no. 3: p.2.
3Whitaker, Charlotte Sibley, and Donald Ray Tanner. 1987."But I played it perfectly in the practice room!” Lanham, MD:
University Press of America: p. 11.
2
As your heartbeat quickens, your blood pressure rises. More blood is received by the muscles and the
brain, thus enabling you to react more clearly. Sugar is poured into the system from the liver,
supplying quick energy. The adrenal glands pump adrenalin for strength and quickened heart activity.
The digestive system shuts down so there will be no wasted energy. More red blood cells are produced
so the body can utilize additional supplies of oxygen. Stress activates the body’s entire mental and
physiological systems, precipitating more than 1,400 physiological changes. The speed with which this
transformation occurs is awesome. In a matter of seconds, the body is fully mobilized and ready for
action4.
This kind of response was appropriate when man faced life-threatening situations on a daily basis, but
fortunately, most of those situations have been removed from our everyday living. But yet, we often
react to our contemporary stresses as though they were physical threats. This is certainly an
Many researchers have found that the body reacts physiologically to the mental and emotional
concerns in our minds. When you think about an event about which you have some feeling, your
physiological system begins to react to that emotion, usually to activate and increase its operation. For
most of us, that activation occurs immediately upon awakening in the morning, as we consider the
As you mentally interpret situations to be stressful, your body reacts with the “fight-or-flight” response,
and your body systems become stressed. When you overload yourself with excessive stressful
situations, the body systems begin to break down, and you become ill.
If you can make yourself ill, perhaps you can also make yourself well. If your mind and body can be
voluntarily regulated to appropriate responses to stresses in the environment, then you may be able to
learn to cope with disorders as they occur, or even to train yourself to prevent some of them from
happening.
4Whitaker, Charlotte Sibley, and Donald Ray Tanner. 1987."But I played it perfectly in the practice room!” Lanham, MD:
University Press of America: pp. 11-12.
3
Psychological stress may occur in the form of debilitating emotions, particularly
negative ones, such as fear, anger, sadness, or a sense of loss or separation; it may also appear as
mental hypo-functioning, involving excessive forgetting and excusing, minimizing, repressing and
substitution5.
Whether coping with a stressful situation results in a gain or loss depends entirely upon the person’s
reaction to the situation. In order to respond constructively to the stressors, you must know yourself,
1. Physiological component: sweating, shortness of breath, increased heart rate, shaking, and
other body’s changes;
2. Cognitive component: here, it is about our thoughts and worries about a given situation;
3. Behavioral component: changing the way we behave or think, to avoid situations that will
cause anxiety;
4. Psychological component: how our perceptions of a given situation affect our responses to it.
Although each of these components may be experienced separately, they are usually
and learning how to overcome their effects are important steps toward improving musical
performances.
A LEARNED REACTION
5Whitaker, Charlotte Sibley, and Donald Ray Tanner. 1987."But I played it perfectly in the practice room!” Lanham, MD:
University Press of America: p. 13
6 Ely, Mark C. "Stop performance anxiety!" Music Educators Journal 78, no. 2 (October 1991): p.35
4
Since our perceptions of various situations are shaped by our experiences, it seems likely that
our tendency to experience anxiety when performing in public is learned. Evidence for this belief is
the fact that young children sing and dance in front of people with no fear whatsoever. In fact, most
young children get very excited about performing for others. They simply love the attention.
with performing in front of one's peers becomes quite common. Even prior to adolescence, this
excitement is often replaced by fear. One possible explanation for this is that at some point during
childhood, other people laugh at or make fun of us for something we do or try to do. As a result, we
feel embarrassed and experience various symptoms of anxiety. To avoid future embarrassment, we
avoid the situations in which these feelings occurred. According to Paul Lehrer7, this type of avoidance
behavior is one to the major likely that this type of behavior is generalized to other, similar experiences
later in life and that the forms of distress associated with these experiences may change.
social anxiety (social phobia) using criteria set out in DSM-IV-TR8 (Diagnostic and Statistical Manual of
Mental Disorders, published by the American Psychiatric Association) as the inclusion criteria may be
too restrictive, particularly if the musician presenting for treatment experiences MPA as a focal anxiety
(does not meet other criteria for social anxiety). Few of the intervention studies reviewed
acknowledged that performers need a certain amount of arousal or anxiety to maximize their
performance. For example, increased anxiety may facilitate performance, especially for performers
with high task mastery, and be associated with better adjudicator ratings. Experienced performers
Standard treatments for anxiety do not seem to be directly transportable to treatment for
7 Ely, Mark C. "Stop performance anxiety!" Music Educators Journal 78, no. 2 (October 1991): 36
8Kenny, Dianna T. 2005. "A Systematic Review of Treatments for Music Performance Anxiety." Anxiety, Stress & Coping 18, no.
3: p.204
5
POSSIBLE WAYS TO COPE WITH MUSIC PERFORMANCE ANXIETY9
Realistic Expectations
Be sure to set realistic expectations when choosing appropriate repertoire. Selected repertoire
should be well within one’s capability. The time prior to performance also needs to be considered
when choosing the music, allowing ample time for the person to learn the music and have time to live
Memory Stations
Selecting specific measures throughout a composition to be memory stations, one could jump
to these confidently if the need arose. These stations should coincide with the phrase structure of the
piece, and should be well marked within the score. Such notation will be especially helpful for visual
learners.
Video/Audio Recording
Video or audio record practice sessions. Reviewing the file and critiquing the performance.
While viewing the video (or listening to the audio), you could identify places in the music where
tension is present. To help the feeling of being threatened by the critique, listen or view the tape as an
Performance Rehearsals
possible, try to have a rehearsal in the actual performance space. This would be especially helpful for
pianists, allowing them to become familiar with the instrument. A few rehearsals prior to a
performance permit the individual to feel more secure with the music, as well as identify any weak
9 Kirchner, Joann. "Managing Musical Performance Anxiety." American Music Teacher 54, no. 3 (December 2004): 31-33
6
Perform Frequently
Performing frequently may not always be possible. Performances increase the musician’s
confidence level, and the performer is able to gain self-knowledge within the performance venue.
Take care of the non-musical matters well in advance. If you are responsible for the programs,
be certain they are proofread and assembled and know who will distribute them. Think about what
you will wear for your performance. For women, it always is a good idea to practice in the shoes you
will wear for the concert, especially if the shoes are being worn for the first time.
Engage yourself in the present moment. Avoid allowing your mind to focus on an upcoming
difficult passage, a slip that just occurred or any other irrelevant thought.
Avoid inner dialogue while performing. Such dialogue could only leave the individual feeling
replace the negative thoughts with positive ones. It is helpful to program positive thoughts during
practice sessions so the musician can readily recall such thoughts when needed during a performance.
Visualization
7
Many performers may already visualize playing a piece from start to finish, but visualizing
playing an entire program also may reduce anxiety. Using a pianist for example, this process may
include:
The techniques mentioned above are offered as ways to assist individuals with dealing with
performance anxiety. Some individuals may need to employ multiple coping strategies. Finding a
particular technique, or techniques, that work for a student is vital in the preparation of young
performers. Sometimes an individual’s performance anxiety is so severe they may need professional
assistance.
PROFESSIONAL TREATMENT
The following are strategies that require professional intervention or training. These
techniques involve a greater time commitment than those previously discussed to effectively master
the technique.
Alexander Technique
Developed in 1904 by Australian actor Frederick Matthias Alexander, this is a procedure where
an individual learns to free the body of harmful tension and stress, and cultivate relaxation. Through
changing body movements, an individual acquires the necessary coordination for a particular activity
with greater ease and efficiency. The results can be improved posture, balance and coordination.
Autogenic Therapy
8
The word autogenic comes from the Greek word autos, meaning “self”, and genous, meaning
“produced by”. Autogenic therapy involves a state of deep relaxation, created by a feeling of warmth
and heaviness throughout the body. It is a rather lengthy procedure, taking about three months to
complete.
Beta Blockers
be the most effective coping strategy in dealing with performance anxiety. Beta blockers prevent the
flow of adrenalin to the beta-receptor sites in the autonomic nervous system. They are known to
substantially reduce the physiological manifestations of performance anxiety such as increased heart
rate, sweaty palms and shaking. Propranolol, is the most commonly used beta blocker for treating
performance anxiety. This usually is administered in a small dose of ten to twenty milligrams one to
Biofeedback
Biofeedback was developed in 1969 as a way for an individual to receive feedback to develop
relaxation and stress management skills. Biofeedback therapy utilizes a sensitive instrument to
measure physiological processes such as muscle tension, heart rate, blood pressure and blood flow.
Electrodes are connected to sites on the body where measurements are taken. The information is then
“fed back” to the individual through either a tone or visual display. If the tension increases in the
muscles, the instruments display this information to the individual, who is then able to monitor his
own relaxation. Deep breathing, relaxation and visualization techniques often are used in conjunction
with the biofeedback. The length of biofeedback therapy is dependent on the severity of the
symptoms.
Deep Breathing
10 Dowbiggin, Ian R. "High Anxieties: The Social Construction of Anxiety Disorders." Canadian Journal of Psychiatry 54, no. 7
(July 2009): 429-436
9
By simply changing your breathing pattern from shallow breathing to deep breathing, it is
possible to lower your stress level. One way to establish such a pattern is to think of the number one as
you exhale and then take a breath and think of the number two. Continue this process until you arrive
at ten or fifteen. Deep breathing should come from the abdomen and not the chest area.
Eastern Disciplines
Eastern cultures have developed several practices to help individuals regulate the tension in
their bodies. Zen, yoga, t’ai chi, transcendental meditation or other similar exercises all are examples.
The first step involves deliberately tensing certain groups of muscles, and the second step centers on
relaxing the muscles and getting in touch with the resulting feelings. When applying tension, simply
squeeze a particular muscle group as hard as possible for about eight seconds, then let go of the
tension, allowing it to flow out of the muscles as you exhale. Remain relaxed for about fifteen seconds,
and then move to the next muscle group. Over time, an individual will learn to recognize and
The following muscle groups are involved, beginning with your feet and progressing upward:
• Right foot
• Left foot
• Right hand
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• Left hand
• Abdomen
• Chest
• Face
Systematic Desensitization
Systematic desensitization uses the imagination to recall an anxiety producing situation, and is
These above techniques are mentioned as possible ways of dealing with musical performance
anxiety. Each technique can be used independently or in combination with one or more of the others.
Often, individuals employ multiple coping strategies because one particular strategy is not sufficient.
Since there is no one correct treatment for musical performance anxiety, each individual’s needs must
be considered.
CONCLUSION
As one learns to accept himself as a worthy person, he/she can confidently place themselves in
vulnerable position, which require risk taking. Any time they take a risk, they are inviting potentially
Since the absence of stress is death, a tensionless state may not be as desirable a goal as one
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What man actually needs is not a tensionless state, but rather, the striving and struggling for
some goal worthy for him. What he needs is not the discharge of tension at any cost, but the call of
Does performance has that meaning? Perhaps, using some of the techniques presented here, and
knowing and understanding the body and mind, we may better be able to communicate and enjoy
11 Whitaker, Charlotte Sibley, and Donald Ray Tanner. 1987."But I played it perfectly in the practice room!” Lanham, MD:
12
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