The point is you're not going to die or lose your loved ones. You'll always have another chance; there will always be other opportunities to shine. Don't think of your speech or presentation as an event; think of it as part of the process of life. Fear is part of it. Have courage and faith, you'll get through it.
Last word:
If you have the means, or your company will pay for it, hire a speech coach. Most top executives have been coached along the way. Coaching helped my anxiety and certainly improved my presentation skills. A good coach can teach you relaxation techniques and ways to control your breathing.
The absolutely worst thing you can do is ignore your fear and shy away from speaking publicly. Reducing your fear and anxiety is all about reducing your isolation and boosting your confidence. The only way to do that is to understand it, work at it, and get out there and speak.
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