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Beta blockers are common in classical musicians

This is my kind of subject as a performance psychologist. Beta blockers are common in classical musicians, and also as stated with actors and executives who have to give presentations. Very little use in dancers, since the movement in itself clears the adrenalin.

I wouldn't actively recommend them because it's much better to have a toolbox of strategies and methods like breathing, mindfulness and relaxation. And since most anxiety is the product of previous bad experiences and the fear of "how do I know it won't happen again at any time" it's important to take a detailed performance history and deconstruct it so as to persuade the sufferer that the blow-up events were the product of a cluster of stressors which won't happen again in the same exact way. All this gives substantial relief. The goal is not to eliminate nerves but to substitute manageable discomfort rather than feelings of panic.

Beta blockers are most useful in the case of stubborn or extreme cases of rapid heartbeat which are hard to get at by talking them through - things like major bullying traumas from early years which have migrated to performance situations.

Most musicians want to come off them, or just keep them for very stressful gigs. There are various medical contra-indications, a big one being asthma, and they should always be prescribed and not shared out to colleagues.

Norman Lebrecht referred to them as "performance enhancing drugs" which is ridiculous, but what's new there.


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