I don't know what will work for you, but for me it was a matter of forcing myself into public performance. Kinda like the game playing, but on stage. I had a real fear of the publicity of my speech, but on stage, I was a character and could pretend to be someone else. Eventually, I learned to be comfortable being me and was able to then talk to almost anyone.
Maybe you should go and audition to be in an amatuer production of Macbeth or something. . .
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