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Public speaking is very different. Those reactions can’t be gauged so the primal fear of rejection sets in. This often leads to anxiety and even panic and the fear that speaking in public will go wrong can become a self-fulfilling prophecy as all of that leads the speaker to ‘fluff their lines’.

Sometimes you can look in the mirror and not like what you see. And you may no longer feel like the energetic New Yorker that hustles effortlessly uptown for work then downtown for drinks that you once were. You used to be able to do several activities at once but these days, not only do you lack the energy, you lack the confidence—because you have gained weight.