Shy Bladder Syndrome and CBT (Part One)

Exactly what is Shy Urinary Syndrome?

Shy bladder symptoms is a social terror affecting an incredible number of individuals through the globe. Social fears affect sufferers by creating them to feel especially anxious when performing a task facing other people, bringing them to the centre of their attention. This will make them vulnerable to the “audience’s” scrutiny and the criticism of which they are genuinely scared. pee shy

For someone with timid bladder syndrome (or paruresis since it is also known), this anxiety about public performance and overview manifests itself in the general public restroom or toilet environment. For someone with self conscious bladder syndrome, the bathroom is their ‘stage’ and the group contains all the other individuals using the facility at that same time. The dread and anxiety that they experience because of this of this, manifests itself within an inability to urinate with others around regardless of physical need or immediacy. 

Precisely what is CBT?

CBT focuses how intuition (our thoughts) affect our feelings, behaviour and feelings. In short, it is ‘ground-breakingly’ simplistic and effective in its approach; often being referred to as the ‘psychology of common sense. ‘ For that reason, it may be the ‘therapy’ of choice for several researchers and counsellors.


Identifying unrealistic thoughts – get to know your enemy
Write down those thoughts
Analyse thoughts for evidence that they are true
Set goals to tackle the problem
Break the condition down into workable parts
Move towards goal one step at a time
CBT And Its Effectiveness In Dealing with Shy Bladder Syndrome

Self conscious bladder syndrome being a social phobia is triggered generally by the specific having unrealistic thoughts about what other people are thinking about them. These kinds of thoughts (or cognitions) therefore cause them to become incredibly anxious (feelings), which in turn has the devastating effect of them not being able to pee (behaviour) with others around.

As you can see from the break down of the actual CBT process, the key focus generally is getting the individual to firstly identify any impractical thoughts they may be having concerning their problem (Eg. “I’m standing at this urinal struggling to pee and that guy over there keeps looking at me. I know this individual thinks I’m some type of weirdo”)

A thought such as this may seem to be like a natural thought to have given the circumstance (it basically ‘normal’ to be was standing at an urinal but not to be peeing). Yet , the essential part of the thought is what the individual is pondering regarding whether or not the other guy is making any sort of judgment about him (“I know he thinks Now i’m some sort of wierdo”). Thoughts like these come thick and fast and quickly grow out of control to fully swamp the individual. CBT triggers the person to identify their thoughts, write them down (get to know your enemy) and then find evidence for them. In other words, they would be asked to find hard, concrete data for “I really know what he could be thinking about me”. The fact is, unless the other guy comes over and tells him therefore, he can’t possible know. He is assuming. When these unrealistic thoughts have been identified, written down and refuted due to deficiency of evidence, they can plainly be seen for what they are. Impractical – not based in reality – not primarily based on fact. This then helps anyone to get started to identify these ‘automatic’ thoughts more easily.

This really is one stage in the CBT process. In further articles I will discuss how goal setting is so important to go front towards increasing shy urinary syndrome.