Communication apprehension, or stage fright, is a common fear that affects most people when speaking in public. It stems from a biological response where the body releases adrenaline to prepare for a potential threat. While meant to provide energy to flee or fight, in public speaking this surge of adrenaline can lead to physical symptoms like an upset stomach or flushed face. However, people in the audience often do not notice these signs of anxiety in speakers as much as the speakers fear. Re-framing one's perception of the audience and speech as a discussion rather than a performance can help build confidence. Practicing content, organization, and using notes are also recommended to establish confidence when speaking.