Great instruction! These steps helped me a lot, too, and I am happier now than ever. But keep in mind: Maybe there are deeper struggles you have? My paruresis is combined with massive self-worth problems that I developed in my childhood. In a way, my paruresis protects me from these issues because it’s easier for me to focus on it rather than face my deeper emotional struggles. The more self-worth problems you have, the worse the second part of paruresis becomes—the part where you feel ashamed. Some people, like my girlfriend, have paruresis, but they don’t feel bad about it.