1) I have been a student for two years now and still suffer from terrible anxiety when it comes to doing a presentation or speaking in class. When it comes to presenting in front of my classmates I become so nervous that I can barely speak. I perspire; there is minimal shaking; feel so embarrassed that it even makes me want to cry. Now I even feel physically ill. It has gotten to the point where I refused to do a presentation last semester and my grade was badly affected. I know everyone becomes anxious in such situations but I truly feel there is something else going on with me because I've had to do presentations before coming to school but never felt this terrible. Even speaking in class is a very hard struggle, and my grades depend on it!

2) I have an extreme problem with speaking in front of groups of people (especially speeches). I can't do them! My voice either doesn't say anything, or it shakes like I am going to cry or something. I know public speaking is like the most common fear, but mine is one I must confront. What kind of options do I have besides books? Any ideas?

I am a New Yorker who is in college at the moment. Several of my friends from school are living and working in the city this summer, and I love having them around. Whenever I make plans with them, though, I feel a great pressure to make sure they have a good time. As the person who knows New York best (the subway, good restaurants, etc.), I feel like it is my responsibility to make plans and decisions when we go out, and I feel inordinately guilty or embarrassed if the plans ever go awry (e.g., if I mistake the address of a bar, if a restaurant turns out to be unexpectedly expensive, or even if the local subway line unexpectedly switches to the express — things that are often totally out of my control). I know this is silly; my friends can clearly take care of themselves, and I know they don't depend on me for fun. But the pressure that I create for myself is detracting from my own enjoyment. How can I stop holding myself to these absurd expectations and just enjoy myself?

I have terrible anxiety about writing papers. Because of this, I put them off, need to ask for extensions, and then have more anxiety about completing the assignment. In addition, when I start writing, I find it difficult to keep going, especially because I hit what may seem to others as small roadblocks, like uncertainty about citation format. I don’t experience nearly as much stress about other types of work (e.g., studying for and taking exams). What can I do to get over or at least cope reasonably with this fear?

Could you comment on therapists who violate boundaries with their patients — sexual and non-sexual (i.e., emotional, personal, financial, professional) boundary violations? Do you know if there are any resources for people who have been exploited by therapists? Thanks.

I recently found out that I am being deployed. I am so concerned with it every minute of the day that I find myself becoming depressed and overwhelmed. What are some good ways to manage these anxieties?

I have sensitive hearing. This is a major problem when I am trying to go to sleep. I find myself singling out every noise. Currently, I live in an apartment close to a major ventilation system. I can hear a very low frequency sound coming from it. It wouldn't bother me except for the fact that it is a random, consistent noise. Think of a ticking clock that doesn't tick at an exact rate, but ticks once, twice, maybe three times every second.

However, my roommate cannot hear this sound and my girlfriend can only hear it if she really strains to. Myself, I can hear it over music, TV, running water, etc...

I am beginning to envy people with hearing disorders. I am at the point I'd be happy to be deaf.

My question is: Is there a way to decrease my hearing ability at least in the lower frequency range?

Thank you.