Teaching roles in academic libraries can be accompanied by a great deal of anxiety. This study surveyed librarian attitudes toward their teaching role and librarians' experiences with teaching anxiety. Sixty-four percent of librarians participating in the survey said they experienced teaching anxiety, including 65.10 percent experiencing physical symptoms and 73.43 percent of librarians who experienced teaching anxiety experiencing psychological symptoms. Findings indicate tension between sustaining a work-life balance and managing physical and psychological symptoms. Based on these findings, the researchers propose supports that can help mitigate the adverse effects of teaching anxiety on library instructors.