Understanding Bashful Bladder Syndrome (Paruresis): Causes & Solutions

Bashful bladder syndrome, technically called avoidant paruresis, is the inability to urinate in a public restroom or anywhere near other people. This condition is more likely in boys and men trying to use a urinal, reports the Netdoctor website.

Identification

• Bashful bladder syndrome is considered a social anxiety disorder or phobia. It may result from a combination of physical factors and environmental conditioning in childhood.

Mild to Moderate Cases

• A mild case of paruresis can be solved by using a stall instead of a urinal. Some people, however, are unable to urinate when others are in a public restroom, or even in a nearby area.

Severe Cases

• In severe paruresis cases, the individual cannot urinate anywhere except at home. This can severely limit social activity and cause problems with employment.

Behavioral Therapy

• People with paruresis can benefit from behavioral therapy, according to HealthScout.com. A counselor coaches them through urinating in semi-private situations to progressively more public areas.

Medical Treatment

• In moderate or severe paruresis cases, a doctor can prescribe anti-anxiety medication. People with severe cases may need to rely on a catheter to empty the bladder.