title: Desensitization of Triggers and Urge Reduction for Paruresis: A Case Report.
abstract: Paruresis is a special type of non-generalized social phobia that involves fear and avoidance of urination in public restrooms. We administered eight 60-minute sessions of desensitization of triggers and urge reduction (DeTUR), an addiction protocol of eye movement desensitization and reprocessing (EMDR) therapy, to a 29-year old man with paruresis of 10 year duration. Because phobic avoidance is the hallmark of any anxiety disorder, we applied DeTUR targeting the urge to avoid each anxiety-provoking situation in succession. After treatment, the participant no longer met the requirements for a diagnosis of social anxiety disorder, and the self-reported symptoms of social anxiety had decreased to non-clinical levels; furthermore, these treatment gains were maintained at the one-year follow-up. Further clinical studies are needed to generalize this finding.
authors.affiliation: Department of Psychiatry and Mental Health Research Institute, Hanyang University College of Medicine, Seoul, Republic of Korea.
authors.forename: Hyoin
authors.initials: H
authors.lastname: Park
authors.affiliation: Department of Psychiatry and Mental Health Research Institute, Hanyang University College of Medicine, Seoul, Republic of Korea.
authors.forename: Daeho
authors.initials: D
authors.lastname: Kim
authors.affiliation: Department of Psychiatry and Mental Health Research Institute, Hanyang University College of Medicine, Seoul, Republic of Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Jang
authors.affiliation: Department of Psychiatry, Myongji Hospital, Goyang, Republic of Korea.
authors.forename: Hwallip
authors.initials: H
authors.lastname: Bae
keywords: Desensitization of triggers and urge reduction; Eye movement desensitization and reprocessing therapy; Paruresis; Social anxiety disorder; Social phobia; Treatment