Low muscle tone is a symptom that makes potty training harder than anyone expects. Even experienced therapists don’t anticipate all of the challenges that arise. My most popular blog post is, and has always been, Why Low Muscle Tone Creates More Toilet Training Struggles for Toddlers (and Parents!) . There are good reasons for…… Continue reading The Paperback Version of “The Practical Guide to Toilet Training Your Child with Low Muscle Tone”, Second Edition, is Finally Here!
Nighttime continence is one of the mountains to climb on the way to complete toilet training. I wrote two books on special needs potty training,( The Practical Guide to Toilet Training the Autistic Child: From Diapering Differently to Using Public Facilities and The Practical Guide to Toilet Training Your Child With Low Muscle Tone:…… Continue reading Can Your Special Needs Child Stay Dry through the Night?
ADHD and Obstructive Sleep Apnea (OSA) can increase a child’s bedwetting at any age. When you think about it, this make a lot of sense. So…let’s think about it. ADHD: Kids with ADHD often struggle to settle down for the night. They still have to get up for school at the same time in the…… Continue reading Two Causes of Bedwetting Your Pediatrician Might NOT be Mentioning
I have been asked this question twice by friends in the month since my new book, The Practical Guide to Toilet Training the Autistic Child: Sensory-Motor Secrets to Success, came out. My answer hasn’t changed, but my awareness of how other people view readiness has. The short answer: You can train successfully much earlier than…… Continue reading How Early is TOO EARLY to Potty Train?
Toilet Training a child with autism is not easy. It just got easier. The Practical Guide to Toilet Training the Autistic Child: Sensory-Motor Secrets for Success is finally done! I wanted to share everything I have learned as a pediatric occupational therapist for over 25 years. And everything I have learned from families…… Continue reading The Practical Guide to Toilet Training the Autistic Child: From Diapering Differently to Using Public Facilities
It isn’t that parents and professionals think potty training an autistic child will be easy. They know it could be a challenge and it could take longer than training a neurotypical child. They simply don’t expect it to be so consistently tough and to have so many unexpected twists and turns. Some of them can…… Continue reading Why Does Autism Create so Many Toilet Training Struggles for Kids (and Their Exhausted Parents)?
Hydration…a fancy name for drinking enough water. It could be the key to successfully potty training an autistic child. Why? Because if nothing much is going in, or nothing healthy is going in, nothing good will come out. A child who has a history of struggling to nurse or feed from a bottle often turns…… Continue reading Why Hydration is Your Superpower When Potty Training an Autistic Child
Whether or not you are training a special needs child or a neurotypical child, you will have to think about exactly which methods you will be using. The two general categories for training strategies are the “boot camp”, in which the child spends days living near the potty, focusing on toileting, and the gradual…… Continue reading How To Decide Between “Boot Camp” and Gradual Potty Training
I finished writing “The Practical Guide To Toilet Training The Autistic Child: Sensory-Motor Secrets For Success”. It was a labor of love, and a lot of work. I got to the chapter on safety and balance, and decided that I couldn’t wait until it is published to put out another post on why “dry…… Continue reading Use Dry Runs With Autistic Kids During Potty Training (Wait; What’s a Dry Run?)
Before I wrote my first book, “The Practical Guide To Toilet Training Your Child With Low Muscle Tone”, I took out every book on potty training my regional library system would share with me. While I did determine that the best book for neurotypical kids was “Oh Crap Potty Training”, I didn’t see a lot mentioned…… Continue reading How to Pick The Best Toilet Paper For Potty Training
“Daddy….I gotta go. Right NOWWWW!” No parent wants to hear this coming from the back seat of their car while driving down a freeway or on a rural road. But it happens. And it can happen to older kids with hypermobile Ehlers Danlos syndrome (hEDS), well past early childhood. It can happen to…… Continue reading Why Your Kid With hEDS Doesn’t Seem to Know They Need the Potty… Right Now!
Toilet training for kids with ASD is complex, and it can take a while. But while you are working on developing communication skills and increasing sensory tolerance, don’t forget to work on clothing management. WHY? Autistic children tend to have difficulty quickly and accurately sensing urgency. Unless you are glued to their side, and…… Continue reading Why Teaching Dressing Skills is Essential to Potty Train Autistic Kids
In many ways, kids with ASD are much the same as all children. They laugh, they play, and they need to learn basic self-care skills. They push your limits, and they warm your heart. Toilet training isn’t one of those warm-your-heart events. Potty training, all the way to full independence (where you don’t tell them…… Continue reading What’s So Different About Potty Training An Autistic Child?
I get a few calls every year from parents who have a neurotypical child between 4 and 5 that has said, very clearly, in words, that they refuse to use the toilet. Often, it is pooping in the potty, not peeing. Hesitancy is one thing. Adamant refusal in words, clear words, is another thing. The…… Continue reading Try This Simple Strategy When Your Child Refuses To Use The Toilet
Author’s note: These strategies will be most successful for children with a cognitive age of at least 36 months, and receptive language skills of at least 30 months. Children with severe quadriplegic CP most likely will always need physical assistance for toileting, even if they can direct their caregiver’s actions. That will be another blog…… Continue reading Potty Training Your Child With CP
“I don’t need to” “I won’t” “You can’t make me” or the tried-and-true response: ignoring you. When a child doesn’t respond to your instruction to use the toilet, and it is clearly evident that they need to (crossing legs, holding their penis, wiggling madly, etc.) you know that there are only a few explanations: The…… Continue reading When Your Child Refuses To “Go Potty”(but is fully trained)
Many parents believe that their special needs child isn’t ready to train, and might not be for years. They have doctors and teachers who agree. That is a shame, because they can begin the process right away. Today. Regardless of whether a child has the neurological maturation or the receptive language to do “boot camp”…… Continue reading How To Start Toilet Training..Today
The pandemic has created gaps in consumer staples and rising prices for everyday items. One of those staples is…diapers! Well, when things get harder, it is time to think out of the (diaper) box. If your child is over 18 months of age and has typical motor and cognitive development, there is a fair chance…… Continue reading Diaper Sticker Shock? Train ‘Em Now!
In my first e-book, The Practical Guide to Toilet Training Your Child With Low Muscle Tone, I wrote almost a full chapter just on clothing management. If your child needs you to pull clothing on and off, they are NOT fully trained. And if they have clothes that make it impossible for them to…… Continue reading Toilet Training? Your Child Needs the Right Shorts!
Since writing my first e-book, The Practical Guide to Toilet Training Your Child With Low Muscle Tone, I have fielded a ton of questions about the later stages of potty training. One stumbling block for most children appears to be “potty fatigue”. They lose the early excitement of mastery, and they get wrapped up in…… Continue reading Is Your Child With Low Tone “Too Busy” to Make it to the Potty?