How to handle a student's public speaking anxiety when teaching a class that requires presentations? In one of the courses I'm teaching this semester, each student has to give a 20-minute in-class presentation of a paper relevant to the topic of each class. One of the students has approached me asking to be excused for this requirement, on the grounds that she is terrified of having to speak in front of others. She is willing to do an alternative assignment that doesn't involve a presentation; more significantly, I think, is the fact when I pressed her a bit about this, she seemed willing to straight up forgo this assignment and get a zero grade for this particular part of the course. Conversations I've had with other faculty who have had her in previous courses confirm that she is, in fact, a good enough student that she should be able to properly understand the kinds of papers we are reading in this course. So, this seems to be a genuine anxiety problem.

Given that I had my own mental issues way back when I was an undergrad, I know that a just-suck-it-up type of attitude on my part is likely to cause more problems than it solves. I'm willing to accommodate her request for an alternative assignment. On the other hand, there are two reasons why I'm in principle against this decision. First, it is unfair to the rest of the students (and also, it might get me a reputation as a lecturer that students can sway). Second, giving her an extra assignment effectively amounts to kicking the can down the road: the more she delays dealing with her problem, the harder it will become to solve, and chances are that the kind of environments she will encounter after graduation will not be as speaker-friendly as my class is. 

How would you proceed here?
Fear of speaking in public is common. It is one of the major symptoms of social phobia. I'll work on the assumption that your student has diagnosed or undiagnosed SP (I used to work on SP data.)

SP is very amenable to classical cognitive behavioral therapy (CBT). You are a teacher, not a therapist. I would counsel against "rolling your own" therapy program. Instead, refer the student to on-campus counseling and strongly encourage her to seek professional help. As others write, the need to present will not go away; neither at college nor at the workplace. And college is probably the best place to start therapy. To repeat: this is a good point in time to start working on this; encourage your student to do so with a therapist.



So, that's the long-term answer I'd give. However, even if CBT frequently shows effects rather quickly in SP, your student will likely not have progressed far enough in her therapy to actually present her paper by the time she should. So you will likely need to make some kind of accommodation. I'd recommend that you contact your university's student service. There likely are some sort of guidelines on how to deal with such an issue - you probably are not the first professor to be confronted with this.

If you are afraid of getting a reputation as a professor who can be swayed, there are different ways around this:


You could require an official diagnosis of SP, or whatever doctor's communication your local privacy laws permit. In this, you could let yourself be guided by what kind of paperwork is required for a student to skip and retake an exam for medical reasons. (Student services could again be helpful here.)
You could make sure that the "alternative assignment" is not a bonus, but does add significant work to the student's workload. I personally would be careful here, since you don't want to penalize her for her disability.




That said, if the student does take your recommendation and starts therapy, it is quite possible that her therapist would assign making at least some kind of presentation as a piece of "homework" for her. Apart from possible confidentiality issues (your student may opt for waiving these, so you could talk directly to her therapist), this could allow you to help her much more than just doing a short-term fix. It may be worthwhile pointing this out to her. After all, you are willing to go to an effort to help her - her next professor or her employer may be less accommodating.