Paruresis is a phobia that makes it difficult or impossible for people to urinate in the presence of others. The phobia causes obvious issues, and some people with paruresis will avoid public places or will get into emergency situations in these places. They can’t voluntarily urinate in a public bathroom, but they obviously will have to relieve themselves if their bladders become full enough. There are many different ways to treat paruresis, although doctors don’t all agree on how to treat this phobia.
One way to treat paruresis is similar to the treatments used for other phobias: cognitive-behavioral therapy. Through this process, a therapist will gradually expose paruretics to situations with which they are uncomfortable. The process, which can take a few weeks of treatment, can be very helpful for treating paruresis.
Some people will also take medication for paruresis. The medications are generally anti-anxiety medications similar to those that are used with other people who have phobias. Medication can be helpful, but it should also be used in conjunction with other types of treatment, which could include group therapy, another helpful long-term treatment.
One final treatment for paruresis, which should only be used in emergencies, is intermittent self catheterization. When you use a catheter, you should be sure that you use it according to the directions. Also, be sure that you actually wash your hands and follow basic hygiene precautions, since catheter use can cause urinary tract infections.
While you can’t use a catheter in every situation, you can keep them on you in case of an emergency. For many paruretics who are going through therapy of other sorts, a catheter can be a good way to help yourself during the recovery process. You can use a catheter easily in a public restroom, so it can be a very helpful way to get you through tough spots.
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