Not as terrible as the warm fuzzy grip of a spider down there -- but worse.
In the most severe cases, paruresis sufferers are only able to pee in their own homes when they know that they are completely alone -- and some even have to resort to the use of catheters to lure out the elusive stream. Paruresis becomes especially problematic in drug testing situations, which is why it has now become accepted as a valid reason not to participate in drug testing in the United Kingdom. Likewise, in the U.S., the recognition of paruresis as a legitimate medical condition has led to it becoming a valid reason for being excused from jury duty.
"Stand up and pee right now or justice cannot be done!"
People with paruresis often need to enlist the help of psychologists, therapists and support groups to help them get over their affliction. One of the most popular treatments is called graduated exposure therapy, which is said to help eight out of every 10 paruresis sufferers who try it. There are several steps to the treatment. The first is to enlist the help of a person whose friendship you don't mind losing, and having them gradually stand closer and closer to you every time you visit the restroom. When you either stop being friends or fall wildly in love (the only two options), you can then alternately make a ranked list of pee destinations -- ranging from easiest to pee at to most difficult -- and gradually working your way up the list.