Symptoms include:

- intense anxiety prior to, or simply at the thought of having to verbally communicate with any group,

- avoidance of events which focus the group's attention on individuals in attendance,

- physical distress, nausea, or feelings of panic in such circumstances.

The more specific symptoms of speech anxiety can be grouped into three categories: physical, verbal, and non-verbal. Physical symptoms result from the sympathetic part of the autonomic nervous system (ANS) responding to the situation with a "fight-or-flight" reaction.

During the phobic response, adrenaline secretion produces a wide array of symptoms which enhances the "fight or flight" response. As Garcia-Lopez (2013) has noted, symptoms can include acute hearing, increased heart rate and blood pressure, dilated pupils, increased perspiration and oxygen intake, stiffening of neck/upper back muscles, and dry mouth. Uncontrollable shaking is also common and often occurs prior to the phobia-eliciting stimulus. Symptoms may sometimes be alleviated or mitigated by medications such as beta-blockers.

Verbal symptoms of the fight or flight response include (but are not limited to) a tense or quivering voice, and vocalized pauses (which tend to comfort anxious speakers). One form of speech anxiety is dysfunctional speech anxiety in which the intensity of the fight-or-flight response prevents an individual from performing effectively.

Glossophobia or speech anxiety is the fear of public speaking. The word "glossophobia" derives from the Greek γλῶσσα "glōssa", meaning tongue, and φόβος "phobos", fear or dread. Some people have this specific phobia, while others may also have broader social phobia or social anxiety disorder.

Stage fright may be a symptom of glossophobia.

A variety of symptoms can be seen in someone suffering from telephone phobia, many of which are shared with anxiety. These symptoms may include nervous stomach, sweaty palms, rapid heartbeat, shortness of breath, nausea, dry mouth and trembling. The sufferer may experience feelings of panic, terror and dread. Resulting panic attacks can include hyperventilation and stress. These negative and agitating symptoms can be produced by both the thought of making and receiving calls and the action of doing so.

A fear of receiving calls may range from fear of the action or thought of answering the phone to fear of its actual ringing. The ringing can generate a string of anxieties, characterized by thoughts associated with having to speak, perform and converse. Sufferers may perceive the other end as threatening or intimidating. Anxiety may be triggered by concerns that the caller may bear bad or upsetting news, or be a prank caller.

Fear of making calls may be associated with concerns about finding an appropriate time to call, in fear of being a nuisance. A sufferer calling a household or office in which they know several people, may be concerned at the prospect of failing to recognize the voice of the person who answers, with resultant embarrassment. Some sufferers may be anxious about having to "perform" in front of a real or perceived audience at their end of the line: this is a particular problem for those required to use a phone in the workplace.

Fear of using the phone in any context (for either making or receiving calls) may be associated with anxiety about poor sound quality, and concerns that one or other party will not understand what has been said, resulting either in misunderstandings, or in the need for repetition, further explanation, or other potentially awkward forms of negotiation. These fears are often linked to the absence of body language over a phone line, and the individual fearing a loss of their sense of control. Sufferers typically report fear that they might fail to respond appropriately in the conversation, or find themselves with nothing to say, leading to embarrassing silence, stammering, or stuttering. Past experiences, such as receiving traumatic news, or enduring an unpleasant and angry call, may also play a part in creating fear.

Mental health professionals often distinguish between generalized social phobia and specific social phobia. People with generalized social phobia have great distress in a wide range of social situations. Those with specific social phobia may experience anxiety only in a few situations. The term "specific social phobia" may also refer to specific forms of non-clinical social anxiety.

The most common symptoms of specific social phobia are glossophobia, the fear of public speaking and

the fear of performance, known as stage fright. Other examples of specific social phobia include fears of intimacy or sexual encounters, internet phobia, using public restrooms (paruresis), attending social gatherings, and dealing with authority figures.

Specific social phobia may be classified into performance fears and interaction fears, i.e., fears of acting in a social setting and interacting with other people, respectively. The cause of social phobia is not definite.

Symptoms of social phobia can occur in late adolescence when youths highly value the impressions they give off to their peers. Clinical experience of the prognosis of social phobia shows that it can prolong for many years but that it improves by mid life.

Treatment of social phobia usually involves psychotherapy, medication, or both.