The exact toll it takes on one's life is impossible to measure, but it is a problem that all who suffer from communication apprehension would like to control and eliminate if possible. It is believed that courses in speech and communication can be a great benefit if the individual builds confidence with thorough preparation. Communication apprehension and its lessor form, stage fright, are ego centered and can result from doubts not only about subject matter, but also doubts about oneself as a human being. If this is happening to you then you should seek professional help. It is good to admit to your speech fears and to talk over any past bad experiences with your instructor or a councilor.
Self image is very important to the speaker.
Fortunately, most students improve their self image when they attack their fears and speak before audiences when they have the opportunity. They discover that they can deal with their stage fright with proper preparation. Many successful public figures started their career terrified by audiences. Stage fright and speaker apprehension can be overcome if it is given proper attention and if expert guidance is sought. Practice and preparation are the main ways fears can be reduced and confidence developed.