Tinkleitis
Many people have brief, isolated episodes where they find it difficult or impossible to urinate in the presence of others (such as in a public restroom), or when people might observe or hear them. This condition is what we call Tinkleitis.
However, Paruresis - more commonly known as pee-shy or shy bladder - is a type of phobia that goes beyond simple shyness, embarrassment, self-consciousness, or fear of exposure. In severe cases, a person with Paruresis can urinate only when alone at home or even through the process of catheterization. Recent studies show that about seven percent (7%) of the public, or 21 million Americans (220 million worldwide), may suffer from this social anxiety disorder, ranking second only to the fear of public speaking.
Although most sufferers report that they developed the condition in their teenage years, Paruresis can strike at any age. Some people cope by deliberately holding in their urine, by refraining from drinking liquids, or locating unoccupied or single-occupancy public bathrooms. Severe cases of this disorder can have highly restricting effects on a person's life. Sufferers may not be willing to travel far from their home or be able to form intimate relationships.
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.
In moderate to severe cases, overcoming paruresis can be extremely difficult without the help of a psychologist, therapist or support groups. To learn more and receive support, contact the International Paruresis Association.
Something To "Go" On
Below are a few tips for overcoming Tinkleitis. Although they're no substitute for professional help, we hope it gives you something to "go" on!
> Think about flowing water. If there's flushing or taps running, concentrate on those sounds. Let your urine become one with the flow.
> Have someone you are comfortable sharing this with stand outside the bathroom when you pee. The next time have them stand in the doorway, and then by the sink. Eventually they can be standing next you and you won't have a problem. Like anything else, it takes practice.
> If possible, try to distract yourself by doing math problems, singing (or playing a song in your head), remembering a joke, or just thinking about the things you're planning to do later in the day.
> Be sure to take as much time as you need. Even if you "lock up" at first, wait it out- you may surprise yourself!
> All too often, people with shy bladder pee a little and then get tense and accidentally cut off the stream. Try not to let that happen. Once you begin urinating, relax as much as possible and keep the stream going.
> Once you’re in place, close your eyes and count silently to 20, with the goal of releasing the stream by 20. Gradually set a personal goal of releasing the stream at 15 – and then 10 counts. Closing your eyes isn’t that uncommon - many guys do, as if meditating, which takes your mind off your surroundings.
> If after a few minutes nothing seems to be helping, simply try again later or use a stall.
> If you’re feeling exposed, try to remember that if you’re not interested in looking at a stranger’s penis, chances are they’re not either. Also, peeing is not that intriguing of an activity. Most people just want to get the job done and leave, or, they’re preoccupied with their own thoughts. Try doing the same and you won’t be as apt to focus on your discomfort.