This study examines trends and demographic variations in Public Speaking Anxiety (PSA) among Malaysian students from 2021 to 2024, using data from 34 PSA-related statements. Key findings indicate significant differences in PSA levels across gender and academic intake, with females and matriculation students reporting higher anxiety levels, corroborating prior studies on demographic influences in PSA. Temporal analysis through ANOVA revealed a gradual decline in PSA over time, likely reflecting student adaptation and increasing comfort with public speaking. Correlation analysis highlighted interdependencies among physical, cognitive, and anticipatory symptoms, reinforcing the multidimensional nature of PSA. Factor analysis identified four primary dimensions of PSA: high anxiety, confidence, physical tension, and positive post-speech reflections, consistent with McCroskey’s (1970) theory of communication apprehension. These findings suggest the need for targeted interventions that address both demographic differences and specific PSA symptoms. Tailored strategies, such as anxiety management programs for female and matriculation students and exercises focusing on physical and cognitive anxiety symptoms, may help students become more confident in public speaking. This study underscores the importance of a comprehensive approach to managing PSA within educational settings, promoting both skill development and psychological resilience.