“Bill” had achieved a relatively high level of success in sales relying on one to one scenarios and spontaneous interactions with physicians in hospitals. Career pressure and advancement required that he face the anxiety scenarios that he had been very adept at avoiding; group presentations and meetings. In fact he had been avoiding job opportunities due to his anxiety, which he described as “anelephant sitting on my chest when trying to talk”. He had gone to a psychiatrist for help, but did not like the medication route. In this interview he discusses his high performance learning curve which was characterized by confidence implementing the paradoxical technique required for psycho-physiological control and management of sweating and blushing.