Paruresis, sometimes called shy bladder syndrome, is one of those disorders that we don’t talk about much, even though it can disrupt everyday life. This phenomenon, of psychological origin, can evolve to impact social, professional and intimate life. Based on the explanations of Dr Gérald Kierzek, here is what we need to understand about this disorder which is still very little known.
Understanding paruresis: a specific anxiety disorder
“Paruresis, also called shy bladder syndrome, corresponds to difficulty or inability to urinate when you are in the presence of others or when you fear being there, particularly in public toilets. he defines first.
“It is a disorder of psychological origin which is similar to a form of social phobia, where the fear of being seen or heard blocks urination.
The mechanism is often built around a fear of judgment or difficult past experiences. “Paruresis manifests itself as a urinary blockage that prevents urinating in certain stressful situations, particularly in public or in the presence of other people, with an irrational fear of judgment. further specifies Dr Kierzek.
In advanced forms, the consequences become serious. “It can progress from simple difficulties in public places to a complete inability to urinate, which ends up significantly affecting social life.”
What are the causes and symptoms of this disorder?
The manifestations are multiple. According to our expert, physiological anxiety is common. “Signs of anxiety such as sweating or palpitations may appear.”
Many adopt avoidance strategies as a solution. “Systematic avoidance of public toilets is common.” assures the doctor.
And when the urge becomes urgent, the situation gets worse. “A feeling of pressure or pain in the bladder may occur when you feel the need to urinate.
How to explain this disorder? “The causes are mainly psychological, without forgetting trauma or psychological stress, which can also contribute.”
Dr. Kierzek also points out that these factors are not the only ones. “Certain physiological causes, such as pelvic floor weakness or neurological disorders, can also be involved.
How to get out of paruresis: solutions that work
Treatment is primarily based on psychological support. “In particular on cognitive-behavioral therapy which aims to modify anxiety-provoking thoughts and behaviors”. This approach allows for gradual exposure to the feared situation.
Other therapies can complement this work. “Other approaches, such as progressive desensitization, EMDR, discussion groups or sometimes certain medications such as anxiolytics or antidepressants, can also help.”
Finally, for cases where a muscular factor is involved, “pelvic floor rehabilitation can sometimes be recommended as an adjunct. he concludes.