Cognitive Behavioural Therapy for Paruresis or “Shy Bladder Syndrome”: A Case Study

Abstract

This report adds to the scarce literature regarding effective treatments for individuals suffering with paruresis. Limitations of the design are acknowledged and ideas for further research in this area are discussed.

Tradução para a língua portuguesa do artigo original em inglês “ The International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction”

“…1.13: O termo "parurese" não é de uso comum, em bora o sintoma seja bem conhecido. (20) Parurese é defi nida como um medo de ser capaz de urinar em situações em que outras pessoas estão presentes. Diagnóstico e manual estatístico de desordens mentais.…”

Latest thinking on paruresis and parcopresis: A new distinct diagnostic entity?

“…In one case report, a patient presenting with a 10-year history of paruresis exhibited reduced symptom severity on completion of a 10-week CBT program, whereby they were able to regularly use public restrooms one month post-intervention. 17 During treatment, clinicians employed techniques including psychoeducation (eg education on physiological effects of anxiety on bladder function), cognitive restructuring (eg reappraisal of unhelpful thoughts) and in-vivo exposure (eg exposure to busy restrooms). 17 CBT was similarly administered to a patient presenting with an eight-year history of parcopresis, resulting in partial clinical improvement of symptoms.…”

“…17 During treatment, clinicians employed techniques including psychoeducation (eg education on physiological effects of anxiety on bladder function), cognitive restructuring (eg reappraisal of unhelpful thoughts) and in-vivo exposure (eg exposure to busy restrooms). 17 CBT was similarly administered to a patient presenting with an eight-year history of parcopresis, resulting in partial clinical improvement of symptoms. 3 Other psychologically focused strategies such as stress management, including mindfulness, may also promote more adaptive emotion regulation and in turn a lessening of anxious arousal.…”

Virtual Reality and Simulation for Progressive Treatments in Urology

“…“Paruresis refers to the inability to initiate or sustain urination where individuals are present due to the fear of perceived scrutiny from others” [ 31 ]. Few therapies exist for this type of anxiety also called the “shy bladder syndrome” [ 32 ]. A study about a cognitive behavioral therapy example for Paruresis was published by Hambrook et al [ 32 ].…”

“…Few therapies exist for this type of anxiety also called the “shy bladder syndrome” [ 32 ]. A study about a cognitive behavioral therapy example for Paruresis was published by Hambrook et al [ 32 ]. While the overall result was subjectively perceived positive, many aspects remain to be researched.…”