Posted by Andrew on 29/4/2009, 6:05 am, in reply to "Size issues???"

Hi James I've come across two cases of severe anxiety over this issue. In both cases the belief of being under-sized was still in place. Talking through the reality of it, one case was sorted out straight away, ot his enormous relief; the other case, though faced with the fact that there was no issue, still found it difficult to take on board. With paruresis, the cause sets up the link between anxiety and performance (or lack of it). Thereafter the reinforcement of not being able to pee, takes over, and the original cause can become irrelevant. Hence why the CBT approach works; addressing the present issues by dealing with thoughts, and by introducing graduated exposure. Hope this helps Andrew

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