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Hi Thanks for your reply. It's good to know it's quite normal. Glad to say things have improved again over the last week and I am finding it easier to use the toilets at work even though I can only pee silently and am concious of the time - 2 or 3 minutes it can take me to get started despite having a high level of urgency. I accept it's part of learning to live with paruresis and will have to be patient with myself. I'm determined not to let paruresis dominate my life but manage it as best I can. Thanks again.