I'm a 4th year male PhD student coming to grips with the fact that I may not get an academic job. Alternatively, I'm looking to industry/government, but I have a significant hurdle in landing a job here: the drug test. I have never done drugs, nor do I ever intend to, but I have a condition called paruresis, more commonly known as "shy bladder syndrome" or "pyschogenic urinary retention." I have never been medically diagnosed, but when you have this condition it's blatantly obvious.
I know that not all companies/agencies conduct drug tests, but many do. While my condition has improved somewhat over the past few years, frankly, I do not think it's possible for me to urinate with someone explicitly watching me. Obviously it sounds horribly incriminating when a person says, "No I cannot take a drug test." I'm sure that drug users have tried every excuse imaginable - including "I have shy bladder syndrome" - in order to avoid them. How can I handle this if I'm required to take a drug test? Would it be possible for me to take a blood test instead? I know that blood tests probably aren't used because of the expense, but can I pay for a drug test by blood out of pocket instead? Even periodically? I would be more than willing to do this if it landed me a job, and I'd assume these are no less accurate.
Notes: solutions such as "getting over it" are not constructive here. Please assume (if for nothing other than the sake of the question) that I cannot possibly urinate with someone watching me. Also, this condition does not affect me in other ways, and almost no one knows that I have this problem. For practical purposes of everyday life, this condition is not debilitating and would not affect my work/productivity. Even when traveling with my department/colleagues or going to crowded places, I can creatively avoid difficult situations by using a stall, visiting the restroom at carefully selected times, etc.