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I'd like to ask Andrew and others who subscribe to this board for some advice.
I have a fairly severe form of paruresis and since I was eleven have not been able to use public urinals and frequently have been unable to pee even in the cubicles in restaurants, pubs, other people's homes, etc.
About three years ago I summoned up my courage and attended one of the UKPT workshops. It was a fantastic experience and I came back from the workshop not cured, but certainly much better able to manage my condition. I went on the second workshop some months later and then followed this up by working with a fellow sufferer who I met at the workshop. We met up once a week for several months and both found that we were making pretty good progress. We live quite a long way apart and it took about an hour to travel each way, but even so I think we both felt that it was worth the effort. Continued desensitisation meant that I while was still not able to use urinals, but, I was usually able to use cubicles in public places and even sometimes managed to go without shutting the door.
Unfortunately, time pressures/work/laziness/complacency all kicked in and I called a halt to the training. I've found that as time rolls by I have started to get worse again and now find that I am restricting my social life for fear that I will not be able to pee. The bad experiences have begun to take their toll! For example, I went up to London a few weeks ago to meet a friend and had one of those awful experiences where I found I just couldn't go anywhere. I spent about two hours roaming around the public toilets of London trying to find one that was quiet enough and private enough to enable me to pee. In the end, I did manage to go. But as you all will know, these really bad experiences leave their mark and however much "positive self talk" I indulge in, I find I'm turning down more and more social opportunities.
I am starting to fight back. Most of my friends know about this condition and I have recruited a couple of male friends to act as "pee buddies". This works out reasonably well, but it's hard to do this on enough of a regular basis to really make good progress. I'm now wondering what to do next. I'm sure I cannot be the only UKPT recidivist! Have others had this experience of making some progress but then sliding back down again?
One possibility would be to extend the number of friends who I ask to help, but I do feel rather uncomfortable with this. I have gone quite a long way in overcoming my shame at suffering from paruresis, but not yet confident enough to want to share it with everyone I know! I have thought about employing somebody for a couple of hours a week to help me with the desensitisation training; however I'm not at all sure how I would go about advertising for this position! Another possibility would be to meet up with one or more fellow sufferers are asked to help each other. I live on the south coast near Portsmouth. Are there any local support groups?
Any thoughts would be really welcome.
Rob
Re: Recidivism
Posted by Andrew on 5/4/2010, 9:58 pm, in reply to "Recidivism"
Hi Rob
Only just managed to get the internet connection working so will get back to you tomorrow.
Andrew
Re: Recidivism
Posted by JJS on 6/4/2010, 1:05 pm, in reply to "Recidivism"
I regularly travel to the Pompey area especially during the spring/summer months. E-mail if you fancy a chat.
Re: Recidivism
Posted by Andrew on 6/4/2010, 6:17 pm, in reply to "Recidivism"
Hi Rob
One key phrase is "we met up once a week for several months". During that time you made progress. However as you probably know, several months is not long enough; this condition has to be chipped away at until it is beaten. Admittedly boredom can set in, as well as resentment at having to put time aside to do it; but there is no choice. If you had not stopped, things may well have been different.
Do others regress? Well yes they do. We did explain that progress is often of the two steps forward, one step back variety. Steve, who helps on workshops, slid all the way back to the beginning, then pulled himself up to the point where he says he can go anywhere.
You say "I am starting to fight back". That is a very good sign of potential success. You now realise that complacency is a danger; you will not get better unless you work at it i.e fight it.
About pee buddies. Do you actually need them? Many others have progressed successfully on their own. Or could you mix it: practice on your own most of the time, and use a buddy when one is available.
As for local support groups: we do not have the resources to organise such things. You have just volunteered yourself to organise one in your area!! But seriously, be selfish - if a support group of some sort would be helpful to you, then set one up.
WDYT?
Andrew
Re: Recidivism
Posted by Rob on 17/4/2010, 8:28 am, in reply to "Re: Recidivism"
Thanks, andrew. good advice, as ever. I'll think abou the idea of a local support group. In the meantime it's back to practising. My ambition is to fly to the US (volcanic ash permitting, of course).
Re: Recidivism
Posted by tonto on 13/4/2010, 8:11 pm, in reply to "Recidivism"
Hi Rob, I'm in a similar situation to yourself and have really set my mind to adressing the problem this year and would be happy to meet up. The problem is I live in south Bucks which is a fair treck to Portsmouth but if you would like a chat and see if we can sort something out then I'm sure Andrew will pass on my emial address.
Regards
Tonto
Re: Recidivism
Posted by Colin on 27/6/2010, 9:23 am, in reply to "Re: Recidivism"
I really like the pee buddies thing. There's nothing worse than arriving at the urinals at the same time as the only other guy in the room, who's a perfect stranger, and neither of us can pee because of the other. And I know we're both thinking and feeling the same things as the room is perfectly silent. I always wish I could say something like, "I understand--don't feel bad." Instead, we kind of wait each other out and one of us finally gives up, flushes, and walks away. Usually, if I "win" and the other guy walks away I immediately start peeing. Sometimes I wonder--since I've experienced this whole chain of events hundreds of times--whether if it were somehow acceptable for us to be open about it--the other guy and me--we'd just both loosen up and start peeing.
Re: Recidivism
Posted by Andrew on 27/6/2010, 5:13 pm, in reply to "Re: Recidivism"
Hi Colin
There's nothing lost in saying in exasperation "Shit sometimes i just can't get started". One guy did this and the other guy said something like "yea I call it stage fright". That reduced the tension.
Andrew
Re: Recidivism
Posted by Davie on 8/8/2010, 10:44 pm, in reply to "Re: Recidivism"
You probably are unable to initiate a stream due to anticipatory anxiety which is causing you to freeze up.
Re: Recidivism
Posted by Davie on 8/8/2010, 6:50 pm, in reply to "Recidivism"
You face a dilemma many paruretics have, the ability to create the very conditions which cause the inhibition. You must realize it may be impossible for you to have the optimum desensitization apparatus at your disposal and therefore you may never be fully cured. I would recommend using public restrooms whenever you can and try to imagine a successful outcome however, if you fail you are not alone and you must keep fighting very hard.
Re: Recidivism
Posted by Rob on 9/8/2010, 5:46 pm, in reply to "Re: Recidivism"
Thank you, Dave, for the encouragement. The fight goes on!
Re: Recidivism
Posted by jonny on 9/8/2010, 11:13 pm, in reply to "Re: Recidivism"
I have found that it is a two steps forward, one step back progression many many times. With this ingrained knowledge I have been better able to make sustained progress as I know that it is easier to return to the point I left off at after each set back. Although always daunting again after a set back you will soon have a good understanding of a route you can take to gain confidence. So once you know from experience that you can and will make progress again, you will learn that set backs are normal and progression will happen again soon