Don’t Pee Under Pressure: What Excessive Peeing Can Say About Your Anxiety

Have you ever noticed that you seem to be running to the restroom more often when you’re feeling anxious or stressed? If so, you’re not alone. Many people find themselves dealing with frequent urination during times of anxiety and worry, leaving them wondering if their bladders have suddenly developed a mind of their own.

In this article, we’re going to dive into the intriguing connection between anxiety and increased urination, exploring is peeing a lot a sign of anxiety, the reasons behind this unexpected symptom, and offer some tips to help you gain control over both your anxiety and your visits to the bathroom. So, buckle up, and let’s unravel this fascinating, yet sometimes inconvenient, mystery together!

Is Peeing A Lot A Sign Of Anxiety

Absolutely! Peeing a lot can be one of the very common signs of anxiety. It’s important to note, however, that this symptom is usually only temporary and usually goes away once the stressful situation has ended or the anxiety dissipates.

That said, if you’re dealing with frequent urination during times of anxiety or stress, it’s important to understand that there is a scientific basis behind the phenomenon. To explain further, let’s take a look at some of the reasons why anxiety can increase your need to visit the restroom more often than usual.

If you find yourself going to the restroom more frequently during times of heightened stress or worry, it could be due to a phenomenon known as ‘stress incontinence’. When we experience stress or fear, our body releases certain hormones like adrenaline and cortisol which cause physical reactions.

This is when psychological tension or emotional distress cause the bladder muscles to contract involuntarily, resulting in sudden and unstoppable urges to pee even when your bladder isn’t full. This as well decreases control over one’s ability to hold urine for longer periods of time. Also, this same hormonal response also causes us to sweat more, and if you’re regularly drinking enough fluids to make up for that loss of hydration, it can result in increased trips to the restroom as well.

Another possible explanation is that when we experience high levels of anxiety or stress, our mind tends to become preoccupied with thoughts of worry and fear which can lead us to become more attuned to bodily sensations like needing to go pee. This heightened awareness then causes us to feel the urge to use the restroom even though our bodies may not actually need it at that moment.

In addition to this physical response from our body, our emotions can also have an effect on the amount of urine our body produces. During times of heightened anxiety and stress, it’s not uncommon for people to feel a greater need to ‘release’ their feelings – often in the form of frequent urination.

Therefore, if you find yourself dealing with excessive peeing during times of anxiety or worry, there is a good chance that your bladder is responding to these emotional states in some way. It’s important to note though, that this can be perfectly normal and is nothing to be ashamed about. With a few lifestyle adjustments and tips from your doctor, you should soon start feeling more comfortable again!

Understanding The Connection Between Anxiety And The Urinary System

The connection between anxiety and the urinary system is a complex one. It’s not uncommon for people to experience frequent urination during times of heightened stress or worry, leaving them feeling frustrated and confused about why their bladders seem to have a mind of their own.

Understanding this connection can help us gain more control over our bladder habits, as well as our emotional states.

1. The Brain-Bladder Connection

The brain-bladder connection is a fascinating aspect of our body’s complex and well-coordinated functioning. This connection ensures that our bladder knows when it’s full and when it’s time to empty itself – a process that we generally take for granted. Let’s dive into the details of this connection with some noteworthy facts.

  • Nervous system involvement: The brain and bladder communicate through our nervous system. Specifically, the autonomic and somatic nervous systems work together to control bladder function.
  • Two types of bladder muscles: The bladder consists of two main muscles – the detrusor and the sphincter. The detrusor muscle stretches and contracts to store and release urine, while the internal and external sphincters control urine flow.
  • Sensory nerves: As your bladder fills with urine, sensory nerves within the bladder wall send signals to the brain, alerting it to increased pressure and fullness.
  • Bladder control center: The brain’s “bladder control center,” also known as the pontine micturition center (PMC), is found in the brainstem region. The PMC regulates the bladder’s activities by integrating both somatic and autonomic nerve signals.
  • Urge to urinate: When the bladder reaches around half-full, the brain receives signals from the sensory nerves and begins to process a response. At this point, you experience an urge to urinate but can still hold on to it, thanks to your voluntary control over your external sphincter.
  • Time to empty: When it’s time for the bladder to empty, the PMC sends signals via the parasympathetic nerves to contract the detrusor muscle and relax the internal sphincter. Simultaneously, you consciously relax the external sphincter muscle, allowing for the flow of urine and emptying of the bladder.
  • Cerebral cortex involvement: Besides the brainstem, the cerebral cortex also plays a role in bladder control, particularly when it comes to inhibiting or postponing the urge to go. This voluntary control helps us pick a proper time and place for urination.
  • Children and bladder control: It’s essential to note that this brain-bladder connection develops over time in children. As infants, the connection isn’t fully developed, and they have minimal control over urination. However, as children grow, they learn to recognize the sensations of a full bladder and consciously control their external sphincter, eventually leading to successful potty training.
  • Disruptions in brain-bladder communication: Certain medical conditions, injuries, or neurological disorders can disrupt the brain-bladder connection. Examples include multiple sclerosis, Parkinson’s disease, spinal cord injuries, diabetes, and stroke. In many cases, medical treatment and therapy can help improve bladder control.

In a nutshell, the brain-bladder connection is a well-coordinated team effort between our nervous system, brain centers (like the PMC), and bladder muscles. It ensures that we have control over urination and maintain proper bladder function throughout our lives.

2. The Impact Of Stress Hormones On The Urinary System

Stress hormones, such as cortisol, adrenaline, and norepinephrine, can significantly impact the urinary system, leading to various changes and potential health issues. Here is how the urinary system is affected by stress hormones:

  • Hormonal Regulation: The kidneys play a critical role in maintaining our body’s hormonal balance. Stress hormones can disrupt this balance and affect the kidneys’ regular functions. For instance, cortisol is involved in the regulation of blood pressure, and excess cortisol due to stress can lead to an increase in blood pressure, which can strain the kidneys.
  • Diuretic Effect: When we experience stress, our body produces adrenaline and norepinephrine. These hormones can cause a diuretic effect by increasing blood flow to the kidneys and stimulating urine production. As a result, we might notice an increase in the frequency and urgency of urination during periods of stress.
  • Bladder Function: Stress hormones can also affect the muscles and nerves of the bladder, leading to an overactive bladder or even urinary incontinence. People under stress might feel the constant urge to urinate or might have difficulty controlling their bladders.
  • Kidney Stones: Chronic stress can lead to the development of kidney stones. High levels of stress hormones can cause an imbalance in calcium and other minerals in the urine, which can form crystals that eventually turn into kidney stones.
  • Interstitial Cystitis: This is a chronic bladder condition characterized by pain, pressure, and the urgent need to urinate. Stress has been shown to exacerbate the symptoms of interstitial cystitis, as it may increase inflammation and irritation in the bladder lining.
  • Urinary Tract Infections (UTIs): Stress can weaken the immune system, making it more susceptible to infections, including urinary tract infections. When our body is under stress, it might not efficiently fight off the bacteria causing a UTI, leading to more severe and prolonged symptoms.
  • Dehydration: People under stress might not always remember to stay adequately hydrated or might consume more caffeine and alcohol, which can be dehydrating. Dehydration can negatively affect kidney function and increase the risk of kidney stones and urinary tract infections.

Stress hormones can have a range of negative effects on our urinary system. From hormonal imbalances to increased risk for infections and kidney stones, it is essential to manage stress levels for the overall health of our urinary system. 

Is peeing a lot a sign of anxiety

Nervous Peeing Syndrome

Nervous peeing syndrome, also commonly known as submissive or excitement urination, is a behavior that some dogs or humans exhibit when they are overly excited, scared, or stressed. This uncontrolled release of urine is most commonly seen in puppies, anxious dogs, or people under stress. Here’s a breakdown of the situations that may trigger nervous peeing and some possible solutions!

Common Situations: When Does It Happen?

Nervous peeing syndrome can be triggered by a variety of different situations, such as meeting strangers, being around loud noises, or experiencing sudden changes in the environment. It is most often seen when a dog or person feels overwhelmed with excitement or fear and is unable to control their bladder muscles.

The behavior can also be seen when dogs are scolded or punished, as they may experience stress that results in the release of urine.

  1. Excitement: Nervous peeing can happen when a dog or person is overly excited, like during a happy greeting or playing an exhilarating game.
  2. Fear: Sometimes, this behavior is seen when dogs or people feel scared, like during thunderstorms, fireworks, or other loud noises.
  3. Stress: General anxiety, constant changes in the environment, or feeling overwhelmed can also play a role in nervous peeing.

Body Language: How to Recognize It?

Before the nervous peeing occurs, you might spot some signs that indicate that a person or dog is feeling overwhelmed or stressed. For humans these may include:

  1. Fidgeting or pacing
  2. Clenching of the fists or jaw
  3. Rapid breathing
  4. Avoidance of eye contact
  5. Sweating or increased heart rate

For dogs it may include:

  1. Tensed body posture
  2. Ears pinned back or down
  3. Tail tucking or rapid wagging
  4. Avoiding eye contact
  5. In some cases, excessive drooling, panting or yawning

Shy Bladder Syndrome

Shy Bladder Syndrome (also known as paruresis) is a form of social anxiety disorder that affects one’s ability to urinate in public spaces or when other people are present. People with shy bladder syndrome may experience symptoms such as an inability to start urinating, frequent urges to go but difficulty producing urine, and the feeling that one’s bladder has not emptied completely. It is estimated that this condition affects around 7% of the population worldwide.

  • Anxiety: Shy bladder syndrome is caused by intense anxiety related to peeing in public or near people. This can cause physical symptoms such as sweating, shaking, and difficulty concentrating.
  • Physiological Response: The body responds physiologically by constricting the muscles of the bladder, making it difficult to produce urine.
  • Psychological Block: The individual may also experience a psychological block due to anxiety and fear about being judged or embarrassed for urinating in public.

Symptoms may include:

  • Difficulty initiating or maintaining urination in a public place or while others are present nearby.
  • The feeling of one’s urethra closing up.
  • Difficulty concentrating on anything else other than the urge to pee.
  • Fear of being judged by those around you for not being able to go.
  • Severe discomfort and embarrassment during attempted trips to the bathroom in public places.
  • In extreme cases, an individual may even choose to forgo using the restroom in public altogether.

7 Possible Causes Of Frequent Urination In Anxiety

Frequent urination is a common symptom of anxiety and can be caused by various physiological and psychological factors. It is important to understand the underlying causes of frequent urination in order to effectively manage it. The following are some possible causes of this condition:

1. Enhanced Awareness Of Bladder Sensations

For people who suffer from anxiety, a heightened awareness of bladder sensations can lead to frequent urges to urinate. This is because the sympathetic nervous system, which controls physical arousal and the fight-or-flight response associated with anxious states, causes increased sensitivity in the bladder.

Since the body naturally produces more urine when stressed, this heightened awareness can lead to frequent trips to the bathroom and increased discomfort as well. This makes it difficult for some individuals to differentiate between a full or empty bladder, leading them to believe they need to go more often than necessary.

2. Misinterpretation Of Normal Bodily Sensations

People with anxiety often misinterpret normal bodily sensations as signs that they need to go to the bathroom. This can lead them to feel a constant urge to urinate, even when their bladder is not full or in need of emptying. In some cases, sudden changes in the environment or feeling overwhelmed can also play a role in nervous peeing.

A panicked individual may feel the sudden urge to use the restroom without truly needing it, due to their heightened state of alertness and fear of being embarrassed if they make a mistake.

This is because the body reacts differently to stress and this increased physiological arousal can lead to changes in how one perceives their body. For example, someone may experience what they think are signs of needing to use the bathroom when in reality, it’s just a side effect of their anxious state.

3. Overactive Bladder Syndrome (OAB)

In some cases, frequent urination could be caused by an underlying medical condition such as overactive bladder syndrome (OAB). OAB is characterized by an involuntary contraction of the muscles in the bladder, which leads to sudden urges to urinate and may cause frequent trips to the restroom. If a person is suffering from OAB, they are more likely to experience frequent urination even when their bladder isn’t full.

4. Sensation Of Urgency

People with anxiety may experience a sensation of urgency that causes them to feel the need to visit the restroom more often than necessary. This sensation is caused by an overactive sympathetic nervous system, which increases blood flow and pressure in the bladder, resulting in a feeling of needing to go even when there is no urgent need.

This can lead to frequent trips to the bathroom and discomfort while waiting in line or trying to hold it in public places.

This feeling of urgency and panic can also cause people to rush to the bathroom in anticipation of an accident, even when their bladder isn’t full or in need of emptying. The fear associated with this experience can further perpetuate the anxious state and make symptoms worse over time.

Learned behaviors to deal with anxiety can play huge role

5. Learned Behaviors And Habits

In some cases, frequent urination can be caused by learned behaviors or habits that are associated with anxiety. For example, an individual may develop a habit of visiting the restroom every time they experience an anxious state. This behavior is often reinforced over time as it helps them to temporarily relieve their discomfort and distress.

The same goes for individuals who have been taught to “hold it in” when feeling stressed or anxious. These people may develop the habit of trying to suppress their urge to go and end up going more frequently due to the increased pressure on their bladder.

6. Negative Thought Patterns

Negative thought patterns can also contribute to frequent urination. These include an individual’s own negative thoughts and beliefs about their bladder, such as the fear of having an “accident” or not being able to make it to the bathroom in time. This can lead to a cycle of anxiety-induced symptoms, reinforcing the negative thinking and making it difficult for someone to differentiate between real signs of needing to go and false alarms caused by stress.

Underlying psychological issues may also play a role in this cycle as well. For example, people with depression or other mental health disorders may be more likely to experience frequent urination due to their heightened state of distress and negative thinking patterns.

7. Fear Of Missing Out

People with anxiety may also experience a fear of missing out (FOMO) which can contribute to frequent urination. This type of fear is characterized by an irrational belief that one will miss out on some opportunity or even if they do not act quickly enough. FOMO often leads to people feeling overly rushed and overwhelmed, which can lead to frequent trips to the restroom as they become preoccupied with their “need” to go even when it isn’t necessary.

The presence of FOMO can be overwhelming and cause individuals to rush around in an effort to make sure they don’t “miss out” on anything, leading them to constantly check for signs of needing the restroom even when their bladder doesn’t need emptying. This can lead to frequent trips to the restroom and feelings of irrational panic when in public places, as individuals fear that they won’t make it in time or have an “accident” if they don’t go soon enough.

Differential Diagnosis: Other Causes Of Frequent Urination

Frequent urination can also be caused by a number of other medical conditions and disorders. It is important to note that the presence of frequent urination alone is not enough to diagnose an underlying condition, as there are many potential causes for this symptom.

To properly diagnose the cause of frequent urination, it is necessary to speak with your doctor about your symptoms and undergo any necessary tests or exams. Some common causes for frequent urination include:

  1. Urinary Tract Infections (UTIs): UTIs are caused by bacteria entering the bladder or urinary tract and can lead to inflammation and irritation, resulting in increased frequency of needing to go. Symptoms can range from mild discomfort to severe pain and may also involve cloudy or bloody urine.
  2. Diabetes: Uncontrolled diabetes can cause frequent urination due to high levels of glucose in the blood leading to an increase in the fluid being passed through the kidneys. Other symptoms may include increased thirst, fatigue, and weight loss.
  3. Pregnancy: During pregnancy, changes in hormone levels can lead to frequent urination as the uterus grows and puts pressure on the bladder. This is a normal part of pregnancy but should be monitored for any change in frequency or intensity that could indicate an underlying problem.
  4. Overactive Bladder: An overactive bladder is a condition where the muscles of the bladder contract involuntarily which can lead to frequent urination. This disorder can be caused by nerve damage, physical abnormalities within the bladder, or certain medications.
  5. Other Medical Conditions: Certain medical conditions such as kidney stones, interstitial cystitis, and certain forms of cancer can also lead to an increase in urinary frequency. It is important to speak with your doctor if you are experiencing any unusual symptoms that could indicate these underlying medical issues.
  6. Caffeine consumption: Caffeine is a stimulant that can cause an increase in urine production and thus lead to more frequent urination. It is important to note, however, that caffeine consumption alone is unlikely to be the sole cause of this symptom and any other underlying medical condition should be ruled out first. 
  7. Medications: Certain medications, such as diuretics or those used to treat urinary incontinence, can cause increased urination. It is important to speak with your doctor about any changes in frequency that you may experience while taking these types of medications.

12 Simple Ways For Dealing With Excessive Peeing Problems Caused By Anxiety

Dealing with excessive peeing because of anxiety can be a confusing and overwhelming experience. The physical symptom of frequent urination can not only be uncomfortable but also embarrassing in some situations.

Manage your anxiety to reduce peeing

Fortunately, there are simple strategies and lifestyle changes that you can implement to help manage your anxiety and reduce the frequency of needing to go. Here are 12 tips for managing excessive peeing caused by anxiety.

  1. Practice relaxation techniques: Deep breathing, guided imagery, and progressive muscle relaxation can help to reduce levels of stress and tension which in turn will help to reduce the feeling of needing to urinate frequently.
  2. Exercise regularly: Regular physical activity helps to manage stress levels as well as boost overall health and well-being. Try to incorporate some form of exercise into your daily routines such as yoga, walking, or swimming.
  3. Avoid caffeine: Caffeine is a stimulant that can increase urine production and lead to more frequent trips to the restroom so it is best avoided if possible. Swap caffeinated beverages for herbal teas or decaf coffee instead.
  4. Drink plenty of water: Staying hydrated is important for good health and can also help to reduce the feeling of needing to urinate frequently by keeping your bladder full. Try to drink at least 8 cups of water per day.
  5. Avoid sugar: Sugar can increase levels of anxiety as well as increase urine production which could lead to a feeling of needing to go more often than usual. Try to reduce your intake of sugary foods and drinks where possible. 
  6. Monitor fluid intake: It is important to remain hydrated but try to avoid drinking large amounts of fluids in one go as this can put additional pressure on the bladder and cause you to feel the need to urinate more often.
  7. Use distraction techniques: If you are feeling anxious, try using distraction techniques such as listening to music or engaging in creative activities. Focusing on something other than your anxiety can help to reduce the feeling of needing to pee frequently. 
  8. Practice mindfulness: Mindfulness is a practice of being present at the moment and can help to reduce stress and anxiety levels which may be causing you to need to go more often. Try taking time out each day to practice mindful activities such as yoga or meditation.
  9. Get adequate sleep: Lack of sleep can increase feelings of stress and tension which can lead to increased frequency of urination so it is important to make sure that you get enough restful sleep every night.
  10. Talk therapy: If your excessive peeing problem does not improve with lifestyle changes, speak to a mental health professional about possible treatments such as cognitive behavioral therapy (CBT).
  11. Medication: In some cases, medication may be prescribed by a doctor to help manage anxiety levels which in turn should reduce increased urination.
  12. Bladder retraining: If you are having trouble controlling the urge to pee, try bladder retraining exercises that can help strengthen your bladder muscles and increase control.

By following these tips, you can successfully manage excessive peeing caused by anxiety and lead a happier and healthier life.


Excessive urination caused by anxiety can be a source of discomfort and embarrassment, but thankfully there are simple strategies and lifestyle changes that you can implement to help manage your anxiety and reduce the frequency of needing to go. With the right tools, techniques, and support, it is possible to successfully manage excessive peeing caused by anxiety and lead a happier, healthier life.

Frequently Asked Questions

Can anxiety cause urinary problems?

Yes, anxiety can cause urinary problems such as frequent urination. The physical symptoms associated with anxiety, including an increase in heart rate and a feeling of needing to go more often than usual can be uncomfortable and embarrassing.

Can anxiety make you pee every hour?

Yes, anxiety can cause an increased urge to urinate which can lead to needing to go every hour or more often. If this is the case, it is important to speak to a mental health professional about possible treatments and lifestyle changes that may help.

Can anxiety cause UTI symptoms?

Yes, anxiety can cause urinary tract infection (UTI) symptoms such as increased frequency of urination, pain or burning sensation when urinating, an urgent need to go to the bathroom and cloudy or bloody urine. If you are experiencing any of these symptoms in combination with heightened levels of anxiety, it is important to seek medical advice from a doctor. The doctor may carry out tests to check for a UTI and prescribe antibiotics if necessary. In addition, they may suggest lifestyle changes such as reducing stress levels through mindfulness activities and regular physical activity that could help reduce the risk of developing a UTI.

Does anxiety make you pee more at night?

Yes, anxiety can make you feel the need to urinate more often at night. This can be due to an increase in hormones or a feeling of tension that leads to needing to go frequently. To help manage this symptom, it is important to practice relaxation techniques such as deep breathing and mindfulness activities before bedtime and stick to a regular bedtime routine. Additionally, reducing fluid intake in the evening and avoiding caffeine or sugary foods may help with reducing nighttime trips to the bathroom.

Does thinking about peeing make you pee?

Yes, thinking about peeing can make you feel the need to go more often. This is because when we think about something that causes us anxiety such as needing to use the bathroom, our body responds by releasing stress hormones which can cause physical symptoms such as increased urination. To help manage this symptom of anxiety, it is important to practice relaxation techniques and engage in activities that distract your mind from feeling anxious.


Lai, H. H., Rawal, A., Shen, B., & Vetter, J. (2016). The Relationship Between Anxiety and Overactive Bladder or Urinary Incontinence Symptoms in the Clinical Population. Urology, 98, 50–57.

Meissner, M., PhD. (2021, June 7). 6 tips for easing stress and anxiety from overactive bladder.

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