The biggest problem paruretics encounter is finding the cure for Bagful Bladder Syndrome that yields results. With so few knowledgeable therapists available, along with promises of success that never materialize, it is easy why paruretics suffer a tremendous level of frustration and despair in the search for a Bagful Bladder Syndrome cure.
It also is understandable that many paruretics, having tried so many things that don’t work, are reluctant to even attempt any further treatment, instead resigning themselves to merely accommodating this traumatic condition.
But if you suffer from paruresis, don’t give up. With all due respect to the frustration and doubt you justifiably feel, there is a cure that is effective. The purpose of this article is to provide you with definitive help that has worked for many other paruretics. You can work on this problem yourself, or with a therapist if you so choose.
Step one. As with any condition that has a physiological component, the first step in treating BBS is to rule out a purely physical reason for the urinary dysfunction. This requires a visit to a medical professionalto make sure that there is no physical impediment to your ability to urinate.
Step two. Reviewing the history of your BBS. After visiting a medical professional and ruling out a physiological cause of your BBS, the next step is to review the nature of your bashful bladder problem in detail. It is helpful to keep a separate journal to record your thought about BBS.
Step three.Understanding graduated exposure therapy. The best cure for bashful bladder syndrome is referred to as graduated exposure therapy. Graduated exposure therapy is widely used for-overcoming many fears and fobias, including fears of heights, enclosures, small animals, flying and driving.
Step four.In order for graduated exposure therapy to be most helpful, it is important to try to urinate as many times as possible during each practice sessions. Consequently, a substantial amount of urine is needed. You know what that means! You will need to drink a lot of fluids, to the point that you feel you are going to burts. This process is called ‘fluid loading.”
Step five. Keeping an urgency scale. In order to keep track of your success with various levels of urgency, you will need to keep an urgency scale. After fluid loading, use a scale of zero to ten to rate your physical sense of urinary urgency, with zero indicating no urgency and ten equaling extreme urgency. Do not try your initial exposure exercises until your urgency is at the level of seven or above.
Step six. Secrecy about paruresis is common among most paruretics, and is understandable given the embarrassing nature of the problem. However, in treating BBS it is invaluable to have a partner , or a “buddy”. The buddy can be a professional therapist or a trusted family member or friend. If you know someone else who had BBS, you can serve as buddies to one other.
Step seven. Exposure process beginning BBS exercise. Through exposure therapy, you will learn to urinate in gradually more challenging locations. The starting point for your exposure therapy is to identify in which situation you are able to successfully urinate. The critical issue is to begin your self treatment session in a situation where you feel confident that you will be successful.
You may be thinking that there is not any situation where you are confident of success. That is okey. If you cannot be confident at all, then determine the least difficult situation for you ans start working on your problem from that point. For example, you might begin at home alone and imagine people are standing next to you while you use the toilet.
Step eight. Advanced graduated exposure exercise. Once you have has mastered the ability to urinate with your buddy just outside the closed door, the next step is to open the rest room door slightly. At this point, tell your pee buddy to move a distance away from the door.
Once you have successfully urinated two times with the door slightly ajar, direct your pee buddy to stay in the same position and open the door a little each time, until you are unable to urinate with your pee buddy at a distance and the door fully open. Remember, after each trial you should take a break, whether you were able to initiate a urine stream or not.
Step nine. You are not in your own. After several successful trials in isolated public rest rooms with your buddy present, you are ready to complete the treatment on your own. If you haven’t used a partner up until this point, the treatment from here forward is the same as for those who did decide to engage the assistance of a partner.
It is at this point in self treatment that something amusing may happen. Instead of waiting for people to leave the rest room, the paruretic ironically has to wait for people to come into the rest room, to serve as opportunities to practice urinating.
The best strategy at this point is to wait discreetly outside a public rest room that has a light to moderate flow of people. Once someone enters the rest room, enter the rest room yoursefl and attempt to urinate before the other person leaves. If the other person leaves before you can get started, simply step out the rest room and wait for another opportunity.
Step ten. Maintenance phase. The maintenance phase of treatment involves continuing to practice in public rest rooms with other people present. We recommend urinating in one public rest room daily for at least thirty days after completing the formal exposure sessions. Once the thirty day period of daily attempt over, it is prudent to take advantage of any opportunity to urinate with people nearby whenever possible.