
Q Every night before a presentation I cannot sleep, and on the day my hands and feet tremble. Is there any way to reduce anxiety in that moment?
A Diaphragmatic breathing and grounding techniques help stabilize the autonomic nervous system immediately. Regular aerobic exercise is also the most powerful self-management tool for reducing overall anxiety levels over the long term.
Detailed Answer
For in-the-moment relief, the 4-7-8 breathing method (inhale for 4 counts, hold for 7, exhale for 8) or diaphragmatic breathing is effective. Grounding techniques — such as feeling where your feet touch the floor and finding five sounds in your surroundings — also quickly lower amygdala overactivation. Over the longer term, many studies show that aerobic exercise 3–5 times per week for 30 minutes or more (brisk walking, swimming, cycling) reduces overall anxiety levels to a degree comparable to medication. Sleep quality is also directly linked to social anxiety, so maintaining good sleep hygiene — consistent bedtime and wake time — is equally important.
Korean Medicine Clinic Perspective
In Korean medicine, self-acupressure at Neiguan (내관), Hegu (합곡), and Taichong (태충) acupoints can also help stabilize the autonomic nervous system. At Dongjedang, we teach self-acupressure methods alongside acupuncture treatment, and we sometimes help patients find gentle walking routes near Dong-gu and Dong-Incheon in Incheon.
Related FAQs
-
Q
I get so nervous before job interviews or presentations that I ruin them every time. Can treatment improve situations like this?
#Possibility / Realistic Goals
-
Q
When I go to crowded places I suddenly feel short of breath and want to run away. Is this social phobia or panic disorder?
#Comorbidities
-
Q
How is social phobia different from avoidant personality disorder? I'm curious which one I have.
#Comorbidities
-
Q
Meeting people terrifies me and I find myself staying home more and more. How can I start tackling this on my own?
#Lifestyle Management
-
Q
Will herbal medicine make me drowsy or foggy? I need to work or study during the day and I am worried.
#Safety
