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Ask a Therapist: Is My Face Twitching Caused By Anxiety?

Q: Sometimes, when I am in front of a group of people, my face starts to twitch. For example, today I did a presentation in front of my class and my face began to twitch. When I pursed my lips, it stopped.

I’m not sure if other people can see, though — no one looked at me strangely or anything when my face twitched. I think this may be due to a subconscious anxiety or something, because I don’t actually feel afraid. So, my question is, how do I get rid of this?

Should I try some relaxation or breathing exercises before presentations? Any suggestions are appreciated.