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    SDR Shy Bladder

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    Rosca Marcel
    Paruresis, also known as shy bladder syndrome, is a social anxiety disorder where people find it difficult or impossible to urinate when others are present. It is believed to be the second most common social phobia after public speaking. Treatment options include relaxation techniques, psychotherapy, cognitive behavioral therapy, and graduated exposure therapy, which involves practicing urinating in increasingly difficult public places with a "pee partner" until being able to do so in crowded public restrooms. Graded exposure therapy has been shown to help about 80% of people with paruresis.

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    SDR Shy Bladder

    Uploaded by

    Rosca Marcel
    80 views10 pages
    Paruresis, also known as shy bladder syndrome, is a social anxiety disorder where people find it difficult or impossible to urinate when others are present. It is believed to be the second most common social phobia after public speaking. Treatment options include relaxation techniques, psychotherapy, cognitive behavioral therapy, and graduated exposure therapy, which involves practicing urinating in increasingly difficult public places with a "pee partner" until being able to do so in crowded public restrooms. Graded exposure therapy has been shown to help about 80% of people with paruresis.

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    Shy Bladder

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    sdr shy bladder

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    Paruresis, also known as shy bladder syndrome, is a social anxiety disorder where people find it difficult or impossible to urinate when others are present. It is believed to be the second most common social phobia after public speaking. Treatment options include relaxation techniques, psychotherapy, cognitive behavioral therapy, and graduated exposure therapy, which involves practicing urinating in increasingly difficult public places with a "pee partner" until being able to do so in crowded public restrooms. Graded exposure therapy has been shown to help about 80% of people with paruresis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    80 views10 pages

    SDR Shy Bladder

    Uploaded by

    Rosca Marcel
    Paruresis, also known as shy bladder syndrome, is a social anxiety disorder where people find it difficult or impossible to urinate when others are present. It is believed to be the second most common social phobia after public speaking. Treatment options include relaxation techniques, psychotherapy, cognitive behavioral therapy, and graduated exposure therapy, which involves practicing urinating in increasingly difficult public places with a "pee partner" until being able to do so in crowded public restrooms. Graded exposure therapy has been shown to help about 80% of people with paruresis.

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    of 10

    “Shy bladder sindrom”

    Introduction
    • A person with paruresis finds it difficult or impossible to urinate
    (wee) when other people are around. 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. In mild cases,
    paruresis is an occasional event, like a form of performance anxiety.
    For example, a man at a public urinal may find that he is unable to
    urinate when flanked by other men. In severe cases, a person with
    paruresis can only urinate when alone at home. 

    The condition is also known as ‘avoidant paruresis’, ‘shy bladder


    syndrome’, ‘psychogenic urinary retention’ and ‘pee-phobia’
    Simptoms
    A person with paruresis typically has a sensitive, shy, conscientious personality and
    is fearful of being judged or criticised by others. Paruresis can be mild, moderate or
    severe. Signs and symptoms of severe paruresis can include:
    • The need for complete privacy when going to the toilet
    • Fear of other people hearing the urine hit the toilet water
    • Fear of other people smelling the urine
    • Negative self-talk while trying to urinate: for example: ‘I can’t do it. I’m never
    going to pee. I’m such an idiot.’
    • Inability to urinate in public toilets or at other people’s homes
    • Inability to urinate at home when guests are present
    • Inability to urinate at home if someone is waiting outside the toilet
    • Feeling anxious about needing to go to the toilet
    • Restricting drinks to reduce the need for urination
    • Avoiding travel and social events
    Similarities to agoraphobia
    • Severe paruresis can affect a person’s life in a
    similar way to agoraphobia, which is anxiety about
    being in places or situations from which escape
    seems difficult (typically, fear of crowds or being
    outside the home). 

    If a person can only successfully urinate when home


    alone, they may avoid leaving the house. This can
    reduce quality of life and curtail job opportunities.
    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 in
    order 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.
    Diagnosis methods
    • Various physiological conditions can hamper urination.
    Prostatitis, for example, can make urination difficult for affected
    men. The doctor will usually perform a series of tests to make
    sure that nothing is physically wrong with your urinary tract. 

    Generally, the diagnosis is paruresis if you can urinate


    successfully when alone at home. The doctor may suggest the
    short-term use of drugs such as tranquillisers or
    antidepressants. However, these drugs will only reduce anxiety,
    not cure the condition. In severe cases, the doctor may suggest
    that you learn self-catheterisation. A catheter is a slender tube
    inserted up the urethra and into the bladder to drain urine.
    Treatment options
    • You may like to consider joining a paruresis support group. In severe
    cases, it may be helpful to see a psychologist. Treatment may include:
    • Relaxation techniques – to learn a range of strategies to help reduce
    anxiety.
    • Psychotherapy – a type of counselling that helps you deal with the
    here and now, and teaches problem solving.
    • Cognitive behaviour therapy – changing the way you think and
    behave.
    • Graduated exposure therapy – a step-by-step program that involves
    deliberately trying to urinate in increasingly more difficult places.
    About eight people out of every 10 with paruresis are helped by
    graduated exposure therapy.
    Graduated exposure therapy explained (1)
    • Make a ranked list of urination locations from easiest to most difficult.
    For example, most people with paruresis find it easiest to urinate at
    home alone. The hardest location is usually a crowded and noisy
    public toilet. The idea is to start with the easiest locations and work
    your way up in degrees to the most difficult.
    • Have a ‘pee partner’ to support you. This could be a family member or
    trusted friend.
    • Ask your pee partner to stand as close to your home toilet as you feel
    comfortable while you are trying to urinate. Urinate for a few seconds
    then stop for a few minutes.
    •
    Have your pee partner stand a little closer to the toilet. Go back into
    the toilet and urinate again for a few seconds, then stop.
    Graduated exposure therapy explained (2)

    • Keep practising, with your pee partner getting closer and closer
    to the toilet. This may take several sessions over a period of time.
    • Try to make as much noise as possible while urinating.
    Deliberately splash your urine into the toilet water. Do this with
    your pee partner nearby.
    • Pick a quiet public rest room (once you are comfortable with
    urinating at home) and then, with your pee partner standing
    outside the toilet door, practise the same way you did at home.
    • Use your pee partner and work your way up the ranked scale of
    difficult locations until you can successfully urinate in a crowded
    and noisy public toilet.
    Graduated exposure therapy explained (3)

    • Graduated exposure therapy is more successful if it is


    practised often, perhaps three or four times per week.
    • Drink plenty of water before your practice session to
    make sure that your bladder is full.
    • Avoid any negative self-talk while trying to urinate.
    Remember that paruresis is a common social phobia.
    You are not abnormal or ‘the only one’.
    • Take it slowly, step by step. Don’t pressure yourself.
    You should see considerable improvement after about
    12 sessions or so.

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