Culture

The New Age of Performance Anxiety

With the rise of screen culture, all the world has stage fright.

First published in The Atlantic on April 21, 2026.

by Megan Garber, The Atlantic

April 23, 2026 | reading time: 12 Min.

The beta-blocker propranolol has been a mainstay of American medicine since the 1960s, when it was regularly prescribed as a first-line defense against hypertension, arrhythmia, and other cardiovascular problems. Recent years, though, have seen a boom in the medication’s prescription rates—in part because as the drug regulates the heart, it also settles the nerves. Off-label, propranolol is used to calm the assorted storms of stage fright: the sweaty palms, the belly churn, the racing heart. Even professional performers have publicly alluded to using it. Robert Downey Jr., accepting an award at the 2024 Golden Globes, said casually, “I took a beta-blocker, so this is going to be a breeze.” Last fall, a People magazine headline asked, “Why Is Everyone Suddenly Taking the Decades-Old Chill Pill Propranolol?”