&lt;h1&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What Does Being Pee Shy Mean?&lt;/strong&gt;&lt;/span&gt;&lt;/h1&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Pee shy&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;, or shy bladder syndrome, or paruresis, is a social &lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/anxiety-treatment-and-therapy&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;anxiety&lt;/strong&gt;&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; disorder where a person struggles to urinate in the presence of others. It is a common type of social phobia, ranking just behind the fear of public speaking, and often appears during school years. Affecting both men and women across all races, being pee shy ranges from occasional performance &lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/generalized-anxiety-disorder-all-you-need-to-know&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;anxiety&lt;/strong&gt;&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;, such as being unable to urinate alone at home. This condition is also referred to as avoidant paruresis, psychogenic urinary retention, and pee-phobia.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Struggling to urinate in public restrooms regardless of the urgency, driven by a strong fear of being heard or seen can often lead to avoiding situations where public restrooms might be needed, such as social events, travel, or work. To minimize the need to urinate, they might decide to drink less fluid, feel anxious or nervous when attempting to use public toilets, prefer empty restrooms or have only one toilet, and might even return home during breaks to avoid using public facilities.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;The True Definition&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;When someone wants to take a shit, but noticed someone else around so he/she/they couldn&#39;t shit.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;When someone wants to fart, but there are people around so they can&#39;t/won&#39;t fart or try very hard to fart discreetly.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;When someone wants to get fucked but try very hard to squeeze their hole.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Book a consultation with us&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt; if you have concerns.&amp;nbsp;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;To book an appointment, please email us at&lt;/span&gt;&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;a href=&quot;mailto:info.bkk@pulse-clinic.com&quot;&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;info.bkk@pulse-clinic.com&lt;/span&gt;&lt;/strong&gt;&lt;/a&gt;&lt;strong style=&quot;color: #99ccff;&quot;&gt; &lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;or chat on your preferred platform:&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
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&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What Causes Shy Bladder?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Shy bladder syndrome is not a physical issue, as there is nothing wrong with the urinary tract. The problem lies in the need for the urinary sphincter to relax for urine to flow from the bladder through the urethra. Anxiety about peeing can overstimulate the nervous system, causing the sphincter to tighten. This inability to urinate increases anxiety, especially when the bladder is uncomfortably full.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Being pee-shy can grow from various causes. For some, a lingering sense of insecurity in public restrooms from a young age gradually develops into the condition. Others may begin experiencing it after abuse, assault, or other traumatic events. In some cases, the cause remains unclear, adding to the distress. Shy bladder occurs when anxiety about peeing in the presence of others overwhelms the mind, leading to fear, worry, and panic.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Unsuccessful attempts to urinate increase feelings of embarrassment, frustration, and shame, reinforcing a pattern of avoidance that exacerbates the issue. Each time this pattern is followed, anxiety intensifies, making them feel trapped and defeated. However, it is possible to overcome these challenges!&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What Are The Symptoms?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;People with pee shyness often have sensitive, shy, and conscientious personalities and fear being judged or criticized by others. The condition can vary in severity, from mild to severe.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Severe shy bladder syndrome may manifest through:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;A strong need for complete privacy when using the toilet&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Fear of others hearing the urine hitting the toilet water&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Fear of others detecting the smell of urine&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Negative self-talk while trying to urinate, such as, &amp;ldquo;I can&amp;rsquo;t do this. I will never be able to pee. I&amp;rsquo;m so stupid.&amp;rdquo;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Difficulty peeing in public restrooms or at others&amp;rsquo; homes&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Unable to pee at home when guests are present&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Difficulty peeing at home if someone is waiting outside the toilet&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Anxiety about needing to use the toilet&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Restricting themselves from drinking to lessen the need to pee&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Avoiding travel and social events&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Why it is Similar to Agoraphobia&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Severe shy bladder syndrome, or being pee shy, can impact a person&amp;rsquo;s life similar to agoraphobia, which involves anxiety about being in places or situations where escape appears difficult, such as crowds or being away from home.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;If someone can only pee successfully when alone at home, they may begin to avoid leaving their house, which can destroy their quality of life and limit job opportunities.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Diagnosis&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Various physiological conditions can interfere with urination. For example, &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://pulse-clinic.com/basic-things-prostatitis&quot;&gt;prostatitis&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt; can make it difficult for men to pee. Typically, a doctor will conduct a series of tests to rule out any physical issues with &lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://pulse-clinic.com/mens-uti-symptoms-diagnosis-and-treatment&quot;&gt;&lt;strong&gt;the urinary tract&lt;/strong&gt;&lt;/a&gt;&lt;/span&gt;&lt;/span&gt;&lt;strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;.&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;If you are unable to pee successfully when alone at home the diagnosis is likely shy bladder syndrome. The doctor might recommend short-term use of medications such as tranquilizers or antidepressants to ease anxiety, though these will not cure the condition. In severe cases, learning self-catheterization may be suggested. This involves using a slender tube inserted through the urethra into the bladder to drain urine.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Treatment&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;You may want to start looking to join a shy bladder syndrome support group in your area. In severe cases, seeing a psychologist would be a helpful treatment option. Treatments may include:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Relaxation techniques&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; &amp;ndash; to learn various techniques for getting rid of anxiety&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Psychotherapy&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; &amp;ndash; a form of counseling that focuses on addressing current issues and teaches problem-solving skills&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/cognitive-behavioral-therapy-for-anxiety&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;Cognitive behavioral therapy&lt;/strong&gt;&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; &amp;ndash; changing the way you think and behaviors&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Graduated exposure therapy&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; &amp;ndash; a gradual program where they intentionally attempt to pee in progressively more challenging locations. Approximately 80% of people with shy bladder syndrome benefit from this graduated exposure therapy&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Graduated Exposure Therapy Explained&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;In this treatment option, you will follow your psychologist&#39;s advice for graduated exposure therapy:&lt;/span&gt;&lt;/p&gt;
&lt;ol&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Rank locations&lt;/span&gt;:&lt;/strong&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; List places from easiest to hardest for peeing, starting from home and moving to more challenging public restrooms.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Use a pee partner&lt;/span&gt;:&lt;/strong&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; Have a trusted person support you.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Gradual practice&lt;/span&gt;:&lt;/strong&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; Begin with your partner close to your home toilet, and gradually move them closer while practicing peeing.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Increase Noise&lt;/span&gt;:&lt;/strong&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; Make noise while urinating to desensitize yourself, with your partner nearby.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Move to public restrooms&lt;/span&gt;:&lt;/strong&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; Once comfortable at home, practice in quiet public restrooms, then progress to busier ones.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Practice regularly&lt;/span&gt;:&lt;/strong&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; Aim for 3-4 times a week, drink plenty of water before sessions, and avoid negative self-talk.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Be patient&lt;/span&gt;:&lt;/strong&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; Progress slowly and expect improvement after about 12 sessions.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ol&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;

Pee Shy - What is Pee Shy (Paruresis)

WHAT ELSE DO YOU NEED TO KNOW