06/06/2025
"Use the bathroom before we leave!" We all heard that growing up and it is considered conventional wisdom. But what happens if your "just in case" trips to the bathroom are too frequent? The New York Times featured an article in their Ask Well section a few days ago regarding the potential negative effects of proactive peeing. Dr. Ariana Smith, a professor urology at the University of Pennsylvania Perelman School of Medicine warned that taking too many "just in case' bathroom breaks can increase the risk of bladder issues by disrupting the natural feedback loop between your bladder and your brain.
We found this interesting because at the Anxiety Treatment Center of Austin we often treat people with OCD who have compulsions regarding proactive peeing or obsessions regarding a feeling of needing to urinate.
For many people, using the bathroom preemptively is no big deal. But for those with a certain type of OCD, it can become part of a distressing cycle—driven not by physical need, but by obsessive thoughts and anxiety.
The fear of discomfort, having an accident, or “just not knowing” can lead to compulsive bathroom visits—sometimes dozens of times a day. Over time, this retrains the bladder, creating a real sense of urgency even when it’s not full.
It’s a powerful example of how OCD blurs the line between safety behaviors and physical sensations. Treatment can help retrain both the bladder and the brain.
🧠🛑 If this sounds familiar, you're not alone—and you're not stuck. ERP (Exposure & Response Prevention) is a gold-standard therapy that can help. And this is what we specialize in at Anxiety Treatment Center of Austin.
www.anxietyaustin.com