Shy Bladder (Paruresis): Causes and Treatments

Hypnotherapy and Hypnobalancing™ in Berlin
Shy Bladder (Paruresis): Causes and Treatments





The fear of urination


Unexpectedly many people are terrified of public toilets. Fear can make peeing impossible. They are not concerned with the disgust in the environment, but the presence of other people. Paruresis is an anxiety disorder with often quite high suffering. Whereby there are big gradations. Many sufferers are in the presence of other people completely unable to urinate in a foreign environment, others feel uncomfortable. In extreme cases, affected people try to drink as little as possible and hardly ever leave the house. They renounce social contacts and increasingly isolate themselves, which affects their professional and private lives. An aggravation to a depression is possible.




Paruresis, Shy Bladder syndrome, timid bladder


Paruresis is colloquially referred to as a shy bladder. It is a bladder emptying disorder. The severity ranges from more or less long waiting until the beginning of the urine flow, an incomplete bladder emptying to the impossibility to urinate at all. Affected suffer mainly on public toilets or outside the private environment.

It is a form of social phobia classified as ICD-10 in the classification as F40.2 Specific (isolated) phobia.

On average, humans empty their bladder four to eight times a day. Visiting a public toilet triggers physical stress reactions. The body reacts as if in a dangerous situation. It comes to an activation of the sympathetic nervous system, which has, among other things, the fact that the inner and outer circular muscle is tense to the bladder. This makes urination difficult or impossible. For the urination is a degree of relaxation, so a minimum sense of security necessary.

Most sufferers hide their paruresis from others, which results in paruresis being relatively unknown. Affected people rarely talk about their problem because they are ashamed. The fear of being mocked or not taken seriously ensures the increasing social isolation of a patient. Although there are many sufferers, some with very great suffering, very few people know about the paruresis. Only a few therapists deal with paruresis and so the therapy is largely based on the treatment of social phobias.




Treatment of Paruresis


Many proven interventions are intensified by hypnosis. Convenient states can be experienced through hypnosis and previously unused resources are activated. Excessive control has to be discarded so that more inner security is experienced. But that is not attainable with conscious will alone. The vicious circle of fear of anticipation, catastrophic thoughts, and physical anxiety symptoms can be resolved through appropriate psychotherapeutic support. Paruresis is in need of treatment if you feel impaired. Even if it is a mild form.

Many affected people suffer from paruresis for many years or even decades before seeking help. It is probably because the disease, although relatively common, is not well known even among therapists.

If Paruresis restricts your life, let an experienced therapist help you resolve it.

The chances of a successful treatment are very good for the excessive fear of urinating. In the treatment of paruresis, hypnotherapy in combination with Hypnobalancing™ has proved helpful. Paruresis is based on a psychologically conditioned muscular tension that makes urination difficult or impossible. This cramping of the bladder muscles is caused by mental factors such as anxiety and shame. When affected people learn to relax before or during urination or to perceive the situation differently, this tension is released. After only a few sessions, the symptoms can usually be completely eliminated or at least significantly improved.

Hypnobalancing promotes good inner states, such as serenity. Relaxation exercises such as autogenic training and deep relaxation can help sufferers to regain control of the bladder muscles. There are also a number of other self-help techniques to choose from. Each therapist has different tools that he teaches.

Hypnotherapy with Hypnobalancing™ helps to improve the quality of life. And through easy-to-learn techniques, personal influence can be further enhanced.




Duration of therapy


The first therapy session has a duration of 90 minutes, follow-up sessions can be 60 minutes long. The number of sessions required is as diverse as the personalities and experiences of the clients. The treatment requires 7 to 10 sessions on average. This can usually be assessed by the patients after the second session. For clients traveling to Berlin, early reservations allow them to have 2 sessions per day on subsequent days. In a telephone conversation, it is important to clarify in advance whether this is a recommendable option because appropriate prerequisites are required for this. Any source of additional pressure should be considered in the interest of therapeutic success.

NOACK Praxis für Angsttherapie Berlin
Specialized treatment for anxiety disorders with hypnotherapy
Budapester Straße 39
10787 Berlin
Tel. 030 – 864 213 69

Information about Hypnotherapy in Berlin.

I am specialized to help people with fears and anxiety disorders.


These pages are intended to provide information to those interested in psychotherapy and hypnotherapy. They are neither intended to replace psychotherapy nor a personal consultation, examination or diagnosis by a licensed physician.

I am not a medical doctor. There are no medical diagnoses, no promises of cures or medication. Any necessary medical or psychiatric treatment should never be replaced by hypnotherapeutic work.

If you have questions about psychotherapy with hypnosis, please do not hesitate to contact me. I am happy to inform you.



Self-hypnosis has helped many patients with stress. Many sufferers usually report very quickly a noticeable improvement. Pondering, fears, mental and physical tension can be additionally reduced by self-hypnosis. Therefore, I teach my patients self-hypnosis to supplement the hypnosis sessions.

After positive trance experiences have been made with my support, self-hypnosis can be learned very quickly. This helps them to progress self-determined outside the therapy. It accelerates the process, deepens and consolidates the achievements. This also promotes the independence of the clients. A good therapist will be superfluous as soon as possible. Self-hypnosis is an excellent self-help method that can be used beyond the actual topic.

Just ask me personally


Let's get into a conversation. If you are interested, for questions and appointments you can reach me by e-mail (, phone 030/86421369 and mobile phone 01577/7045356. By phone, you reach me best from Monday to Thursday from 10:00 a.m. to 6:30 p.m. During the sessions, there is an answering machine. Leave a message and your telephone number and I'll call you.

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