Paruresis is a type of phobia in which the sufferer is unable to urinate in the real or imaginary presence of others, such as in a public restroom
Paruresis is believed to be a common type of social phobia, ranking second only to the fear of public speaking Paruresis is often first experienced at school
The condition affects men and women of all races. The condition is also known as ‘avoidant paruresis,' ‘shy bladder syndrome,' ‘psychogenic urinary retention’ and ‘pee-phobia
What Causes Shy Bladder Problem
It isn’t a problem with your urinary system. Rather, it’s nervousness about peeing when you’re around other people. It’s considered a social anxiety disorder.
The cause is psychological
Paruresis is not a physical condition because nothing is wrong with the person’s urinary tract. The urinary sphincter must be relaxed for urine to flow from the bladder down the urethra. Anxiety about urinating overstimulates the person’s nervous system and ‘clamps’ the sphincter shut. Failure to urinate heightens the person’s anxiety, particularly if the bladder is uncomfortably full.
For some people, an embarrassing incident starts the social phobia: for example, the inability to urinate into a cup in front of a doctor or nurse. Worrying about the embarrassing incident makes the person feel anxious about urinating in the presence of others.
How to Overcome It
Avoid Anxiety and conscious Anxiety, and conscious focus interrupts and prevents natural physical processes. When a natural function like urinating becomes a conscious effort, then the whole process gets disrupted.
When you are using the toilet at home, imagine you are in a public restroom, feeling relaxed. This will help prepare you for using one for real.
3.Recall good times
recall times when you were relaxed in a public restroom. Imagine seeing yourself from the outside looking calm and letting your body do what comes naturally. This will help realign your mind and body to the way things were and should be. Do this exercise regularly, and it will start to feel more normal again to just use public restrooms.
4.Get someone close to you to be close to you
Tell a trusted friend or family member and get them to be near you when you 'practice' going to the bathroom when out and about.
5.Don't give up.
Get the self-confidence. You will overcome it