My Therapist Said Practice More: Why That Advice Does Not Work for Phobia
750+ executives helped. 99.6% success rate. Robert Summa is the only certified public speaking phobia specialist in the United States.
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Therapists who advise practicing more for public speaking fear are applying a general anxiety management principle to a condition that requires a specific clinical approach. For individuals with public speaking phobia, more exposure without proper preparation does not reduce the phobia. It can reinforce it.
Why Therapists Often Default to Exposure
Exposure therapy is one of the most well-validated approaches in clinical psychology. The principle is that gradual, repeated contact with a feared object or situation, under controlled conditions, teaches the nervous system that the threat is not real. For many anxiety presentations, this works well.
However, effective exposure therapy requires specific clinical structuring. The exposure must be conducted at the right level of intensity, with the right pacing, and ideally with a practitioner who specializes in phobia treatment. Unstructured exposure, which is what most people experience when they simply practice more, does not reliably produce the neurological recalibration that eliminates a phobic response.
The Difference Between Anxiety and Phobia
General therapists are trained to treat anxiety disorders, and many do excellent work in that domain. But public speaking phobia is a specific phobia, classified separately in the Diagnostic and Statistical Manual. It has a distinct neurological signature and responds best to treatment protocols developed specifically for phobias, not general anxiety.
A therapist who has not specialized in phobia treatment may not have those protocols in their toolkit. Recommending practice more reflects a genuine attempt to help using available tools. It is not negligent advice for general anxiety. It is, however, insufficient for a clinical phobia.
What Proper Phobia Treatment Looks Like
Certified phobia treatment uses structured protocols that target the threat classification at the root of the phobia. The goal is not to habituate the person to a fear they still carry. The goal is to remove the fear response entirely. This is a different clinical objective, and it requires different clinical training.
Robert Summa is the only certified public speaking phobia specialist practicing in the United States. He works exclusively with this condition and has developed a track record of 99.6 percent success across 750-plus executive clients. Executives who have completed therapy, practiced extensively, and still experience debilitating fear before presentations are not treatment failures. They simply have not yet received treatment designed for their specific condition. The program is HSA and FSA eligible and delivered one on one.
About Robert Summa
Robert Summa is the only certified public speaking phobia specialist practicing in the United States. He has worked with 750-plus executives and holds a 99.6 percent success rate. His program is HSA and FSA eligible and delivered via one-on-one coaching.
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Find out whether your fear is clinical and whether you have been receiving treatment matched to your actual condition.
GET YOUR FEAR SCORE NOWCommon Questions About Therapy and Public Speaking Phobia
Is my therapist wrong to suggest practice?
Not necessarily wrong, but the advice may be mismatched to your specific condition. For general performance anxiety, structured exposure can help. For clinical phobia, the same recommendation without a specialized protocol typically produces limited or no lasting results. It reflects a scope-of-practice gap, not bad intent.
I have been in therapy for years and still fear presentations. What should I do?
This is one of the most common situations Robert Summa encounters. Executives who have worked with capable therapists for years and still experience debilitating fear are almost certainly working with a clinician who has not specialized in this specific condition. The right intervention for phobia is different from the interventions for generalized anxiety.
Does Robert Summa work with executives who are currently in therapy?
Yes. Robert Summa's work is condition-specific and does not conflict with concurrent therapeutic relationships. His focus is the phobia itself. Many clients continue working with their existing therapist on other areas while engaging in phobia-specific treatment with Robert.
You Deserve Treatment Built for the Specific Condition You Have
Robert Summa is the only certified public speaking phobia specialist in the United States. 750-plus executives served. 99.6 percent success rate. HSA and FSA eligible.
GET YOUR FEAR SCORE NOWRobert Summa is a certified public speaking phobia specialist, not a licensed therapist or psychologist. The Public Speaking Cure program is an educational and skills-based coaching program. Results vary by individual. The 99.6 percent success rate reflects outcomes reported by one-on-one coaching clients.