I spent over 9 years with the problem that I can't pee in "public" and could never ask my T to use the rest room or where it was or if it was okay,etc. So, I had to leave work around 1:30 in the afternoon and didn't get home until close to 7:00 at night on therapy days.

But peeing goes way back to my mother and stepmother so I'm use to dealing with that but not the sometimes famished need to eat like you have, Echoes, and other times falling asleep (and it was a 2+ hour drive home in boring, dangerous, start and stop, rush hour traffic). Some days I would have both and didn't know if I was going to be able to get something to eat before I fell asleep or would just fall asleep in my food.

The anxiety thing is correct; there's an "invisible set of muscles" in charge! (What, you didn't think I'd Google for "psychotherapy and urination"? :-)

http://www.netdoctor.co.uk/ate/mentalhealth/205220.html