"Shy bladder syndrome" (or Paruresis) can be defined as the impossibility or great difficulty to urinate in the presence of other people who can hear or see, when under time pressure, or on vehicles such as trains or planes. Voiding ability is however normal when those constraints or factors are absent, typically when in the bathroom at home.

Research in America suggests that about 1% of the population could suffer with this problem, with degrees of severity varying between a moderate difficulty using urinals, to a total inability to use toilets elsewhere than at home. Men seem to be affected more than women, probably due to the different social arrangements ( i.e. more exposed ) that apply to them. Despite the probable high number of sufferers, the condition is little known; this is thought to be due to a) the embarrassing nature of the problem, and b) ( related to this,) the small number of actual sufferers presenting to the Medical Profession.

Paruresis can be socially disabling and can often completely take over the individuals' life. Examples would be avoiding travel, social functions, sports arenas and so on. Just as serious are the psychological consequences, such as depression, and anxiety related symptoms. Job choices and career decisions are often adversely affected.

The aim of this site is to break the silence about Paruresis, and provide a Forum for advice and discussion as well as support. Simply finding that you are not " the only one in the world " to suffer this debilitating condition is often a revelation for sufferers. If you know someone who seems to have it, you could consider passing on the address of this page.

A recent publication offers a succinct summary of treatments for Paruruesis as well as an appraisal of current theories concerning the causes, therapies and implications for sufferers and their families. The book is entitled " Shy Bladder Syndrome" and is available in many bookstores, including the online ones (here under, a direct link to Proxis). Other recommended publications include "Free 2 Pee" by C. McCullough, and the Phobease Literature by Howard Liebgold.