I unfortunately have severe avoidant paruresis. It is especially bad in public restrooms, so much so I can not go in them at all. This makes road travel difficult, though I have learned to look for smaller "mom and pop" type gas stations, which usually have a private bathroom. This is also useful for diaper changes on the road, but thats a bit off topic here. I am not sure how much has been considered on the psychological aspects of paruresis, but I can actually remeber where mine started, which was in fifth grade. I was always modest, but with puberty hitting classmates, there was a lot of pressure to measure penis size for bragging rights, and I did not want to participate. On several occasions, classmates tried to look when I was peeing to see how "developed" I was. I must emphasize that there was never any touching involved. I also got bullied a lot, and the bathrooms never had teacher supervision, so it was a prime spot to be bullied. Over time, I started not being able to go around other people, at times having my kidneys in searing pain, but still not being able to urinate. To this day, that holds true, though working in a small office makes it easier to know that none of my co-workers are in the bathroom when I go in. Even the medicines my psychiatrist prescribed for social anxiety and depression do not help with this issue. Is it really possible that this could cause long term damage to my urinary tract? Sometimes, after I finally manage to go, I get a small dribble into my underpants afterwards, and worse off are the times when I have pains in my kidneys lasting well after I urinate.
Changed "psins" to "pains"