The Paruresis Can Be Treated

What is paruresis?

Paruresis is the inability or difficulty to urinate in front of others. It's a psychological problem that occurs when urinating in public restrooms or in people's homes.

Before Treatment

It is important to check if there is no organic problem paruresis behind by a urological examination, even if the person can urinate if they do not look, then you can say with some certainty that the problem is paruresis.

Confessing the problem may be a good first step but not necessary. You can start to tell on an internet forum. Be cautious about sharing the problem in the real world. It's good to get rid of the heavy burden of secrecy that many weight for years, but it should be noted that the mere fact of sharing the secret is not going to magically heal anyone.

Dispose methods do not work

We must not lose time on the road to recovery with treatments that have failed to produce tangible results.

Traditional psychological therapy is useless to cure paruresis. Do not waste your money on expensive traditional psychotherapy sessions. Most psychologists are not trained to treat this condition.

They will try to find the origin of this disease in a traumatic event, with the belief that if they find the cause will gain important insight will allow them to treat you. But the truth is that paruresis is something that comes alive, regardless of the causes that have originated.

To illustrate this, one can note that the fact of knowing that someone has started smoking as a youth because of pressure from a group of friends does not mean that the person will be cured helps to confront the pressures of the group when the person has matured.

Practitioners of dynamic psychotherapy will tell you that paruresis is just a symptom of unresolved emotional conflicts, and if they can overcome paruresis will disappear by itself. But they have no evidence to support that claim.

One of the main problems with insight therapy is that everyone has a great imagination for the mind games. We can all imagine causal events and then react emotionally to our own fantasies.

There are psychiatrists who prescribe medications to treat paruresis. Some doctors prescribe alpha blockers such as Flomax, or SSRL's like Paxil, which helps to reduce anxiety. They offer a temporary improvement in some patients, but as a psychological problem, no medication can cure the fear that is experienced by urinating in public situations. In the best single drug will be helpful when used in combination with gradual exposure therapy .

Outside of academia are those who promote the use of hypnosis or NLP to treat paruresis, they are usually very skilled marketing techniques, but when asked specific evidence disappear. Not all those who practice hypnosis have an official license to practice, and in the few cases that do have are not necessarily trained to treat phobias.

The real solution

The only treatment that has been consistent reports of success is cognitive behavioral therapy, and has two aspects: on the cognitive challenge sought paruretic false beliefs and the behavioral part seeks to desensitize the anxiety-producing situations to cope with such situations gradually, the latter is called graduated exposure therapy.

No amount of talk therapy is sufficient to treat paruresis. When it comes to primitive emotions such as fear, the brain focuses its attention on the feeling of fear, and therefore it is necessary to teach through practice that has nothing to fear. This is done as we go step by step through a range of challenging situations defined by the same person.

Only to face the fear is like to conquer fear is achieved, but it is necessary to do dose form.