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What therapy taught me about the courage to speak out loud

There is a particular kind of silence that fills a therapy room in the minutes before you say the thing you have been avoiding. I have learned to recognise that silence because I now recognise its cousins: the hush before a camera rolls, the breath before a keynote begins, the pause before you answer a question you genuinely do not know the answer to. Years of sitting in that chair, week after week, have given me a vocabulary for the nerves that used to floor me on stage. They have also given me permission to treat those nerves as information rather than as failure. That shift, more than any breathing technique or vocal warm-up, has shaped the way I now walk into a room full of strangers and speak.

This is not a clinical paper and it is not advice in the strictest sense. It is a collection of observations from the other side of the consulting room door, written for anyone who has ever felt their voice disappear the moment a microphone was clipped to their lapel. Some of it comes from working with audiences of fifty, some from crowds of five thousand, and some from the small, fierce conversations that happen after a corporate event in a hotel ballroom in Sydney or Melbourne. The Australian corporate circuit has its own rhythms — the breakfast keynotes that start at seven sharp, the gala dinners where the MC has to wrangle three hours and a roomful of tired executives, the lunchtime forums where you have twenty minutes to land a message before the sandwiches arrive. If any of these reflections land, I hope they land the way a good therapist's question lands: gently, and a little inconveniently.

The chair, the room, and the first quiet question

In my therapist's office there is a green velvet armchair that I have come to think of as a co-conspirator. It is the chair I sit in when I am being asked the question I do not want to answer. The first time I noticed that my body responded to that chair in the same way it responded to a studio floor, I was halfway through describing a difficult live broadcast and felt my shoulders rise towards my ears. The same shoulders, the same protective hunch, the same shallow breath. It turned out that the live TV studio and the therapist's room were asking me the same thing: who are you when you cannot hide behind the script?

I started paying attention after that. I noticed that the warm-up I do before a panel discussion — the shoulder rolls, the soft hum, the gentle jaw release — is almost identical to the sequence my therapist suggested for the moments when an old memory surfaces. We have been taught, in both settings, that the body keeps the score. The difference is that on stage you have to keep going; in the chair, you are allowed to stop. Understanding that contrast gave me a new kind of respect for the audience. They are sitting in their own version of the green armchair, hoping the person in front of them will tell the truth.

Reading a room, as I explored in what hosting a live TV show taught me about reading a room, is something I had thought of as an external skill. Therapy quietly insisted it is an internal one first. You cannot read a room if you have not read your own pulse.

Naming the nervous system before it names you

A few years ago, halfway through a corporate hosting gig at a glittering awards night in Brisbane, I felt the familiar swoop in my stomach that used to send me reaching for the nearest exit. Instead of fighting it, I did what my therapist had practised with me: I named it. Not "panic", not "anxiety", not anything dramatic. Just "ah, there you are, old friend". The body softened, my throat opened, and the script came back. The audience saw a presenter in flow. They did not see the two seconds of internal negotiation that bought me another twenty minutes of steadiness.

This naming practice comes straight from the therapy couch. When a feeling arrives, my therapist taught me to describe its texture rather than its story. Is it hot or cold? Where does it sit? Does it have a colour? The same exercise works brilliantly before you walk on stage. A pre-speech ritual that asks you to be curious about your own physiology, rather than to suppress it, turns the dreaded adrenaline into useful fuel. It also means you stop wasting the first three minutes of a presentation apologising to yourself for being nervous.

Australian audiences, in my experience, are unusually kind to a speaker who admits they are human. A small, honest "fair dinkum, I am so glad to be here in Adelaide tonight" lands differently here than a polished opener does in some other markets. The room rewards authenticity, and authenticity begins in the body, not in the autocue. There is an ease to speaking here that I have found in few other places — a sense that the contract between speaker and listener is built on mutual goodwill rather than performance.

When the mask slips on stage

Therapy is, among other things, a long education in the difference between a mask and a face. I wore a very convincing mask for years. It was the mask of the breezy, unflappable broadcaster who never missed a cue and never cried at the wrong moment. It worked beautifully on screen. It worked less beautifully at home. The work of taking the mask off in the consulting room has made me a better, rougher, more honest public speaker. I no longer pretend that the topic I am discussing does not move me. When my voice catches, I let it catch.

This is not the same as performing vulnerability. There is a school of speaking that encourages you to manufacture a "personal story" for emotional impact, and I have nothing against it, but it is not what I am describing. The slip I am talking about is the unscripted moment when your real feeling meets the microphone. It happens more often when you have done the inner work. Audiences sense the difference between a rehearsed tear and a real one, and they will forgive the real one every time.

I have lost count of the conferences where a chair, a glass of water, and the willingness to stop talking for ten seconds have done more for a room than any slide deck. Therapy taught me that silence is not a void to be filled. On stage, silence is a gift you hand to the listener. They need it to feel what you are saying.

Listening as a speaking skill

The most counter-intuitive lesson my therapist ever gave me was that speaking well begins with listening well. In a session, the work is to listen to yourself — really listen — and to be heard. In a keynote, the work is to listen to the room. Both skills require you to slow down, drop the agenda, and trust that the right words will arrive if you give them space.

I host a lot of fireside chats and panel conversations, and the speakers who land best are the ones who treat the audience's reactions as a kind of co-authoring. A nod from the third row, a shift in posture, a small laugh — these are all data points. Therapy taught me to read my own internal weather; on stage, I now read the room's weather too. The two practices feel almost identical in the body. You tune in, you notice, you respond. The difference is simply the size of the room.

Australian audiences, particularly in regional settings from Tamworth to Hobart, are remarkably generous with their feedback in real time. They will smile, they will sigh, they will shift in their seats. Speakers who ignore those signals end up talking to themselves. Speakers who notice them end up in conversation.

The audience is not a jury

For most of my broadcasting career I treated every public appearance as a trial, with the audience cast as the prosecution. Therapy dismantled that assumption, gently and over time. The people in front of you are not there to catch you out. They are there because some part of what you have to say matters to them. The work is to remember that, especially in the moments when you would rather be anywhere else.

Once you stop seeing the audience as a jury, the dynamic of a presentation changes. You begin to speak with them rather than at them. You begin to ask questions rather than deliver verdicts. You begin to leave space for the difficult bit, the bit that might make someone in the back row tear up, the bit that might make someone in the front row finally feel seen. None of that happens if you are still defending yourself. Australian audiences, with their larrikin streak and their suspicion of pretension, are particularly quick to sniff out a speaker who is performing rather than connecting.

This is also why I spend time before any event, big or small, reminding myself why the topic matters to me. A therapist would call it connecting to your values. A speaker would call it finding your hook. They are the same thing, wearing different clothes.

Boundaries, breath, and the art of stopping

Therapy is a practice in boundaries, and so, it turns out, is professional speaking. The two have taught me the same thing: you cannot serve anyone well if you are running on empty. I have learned to pace my corporate engagements more deliberately, to leave white space between appearances, to refuse the back-to-back schedules that used to feel like a badge of honour. The breath between events is not lost time. It is the work.

The breath itself is something my therapist returned to again and again, and it has become the single most reliable tool in my speaking kit. Not the kind of breath you take before you dive underwater. The kind that arrives when you stop gripping. A soft exhale before a difficult question. A slow inhale before you stand. A deliberate pause between paragraphs. None of this is glamorous. All of it works.

I have written elsewhere about the practical side of preparing a space to speak from, including how to design a home office that boosts your confidence on camera, but the inner architecture matters as much as the outer one. A clean desk cannot fix an unsettled mind. Therapy, for me, has been the practice of clearing the desk inside.

Carrying the work forward

What I want to leave you with is this: the work of speaking well in public is, in the end, the work of being honest in private. The two practices reinforce each other. The more you understand yourself in the chair, the more fluent you become at the podium. The more you risk on stage, the more material you bring back to the chair. It is a virtuous circle, and it is one you can start at any point in your career.

If you are curious about working with me on a corporate stage, a leadership offsite, or an event you are hosting, you can find out more on my corporate speaking page. Whether you book me or not, I hope something in these reflections encourages you to find your own green armchair, and to sit in it often enough that the stage feels a little less like a courtroom and a little more like a conversation.

There is one last thing therapy has taught me about speaking, and it is the one I forget most often. You do not have to be the most polished voice in the room. You only have to be the most present one. The rest, as they say, takes care of itself.

Moment in therapy Moment on stage What it teaches
Naming a feeling when it arrives Naming the nerves before a keynote Curiosity softens the body
Sitting with a difficult question Holding silence after a hard point Listeners need space to feel
Pausing to hear your own voice Pausing to hear the room Slowing down is a skill
Noticing where the breath catches Noticing where the throat tightens The body signals the truth
Leaving the session on time Closing the talk with intention Boundaries protect the work
Saying the unsayable out loud Telling the real story Honesty travels further than polish
A studio microphone on a stand in front of an audio mixing board, lit with deep red tones against a dark background, conveying a broadcast studio mood

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Andrea anchors the ITV lunchtime talk show Loose Women, which she joined in 2007, following 11 years as a core presenter on ITV's breakfast programme GMTV, a role she left on New Year's Eve 2008.

Alongside broadcasting, she has written for Red, Best, Scottish Woman and numerous weekly women's titles since starting as a freelance travel writer in 1993.

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Contact details published on this site have appeared as +44 (0)20 7371 5444 / angharad.marsh@officialandreamclean.com and, on an earlier page, 020 7482 3282 / admin@officialandreamclean.com — please treat both as points of contact.