Should You Wait to Pee? Take a “Power Pee”? Not if You Have Low Tone or Hypermobility!

Pelvic floor therapists and urologists are telling people not to urinate “just in case”.  Their reasoning is that people would be training their bladder to signal urgency too soon.  They aren’t saying something extremely important: This does not apply to hypermobile people, or those with low muscle tone. WHY NOT? If your muscle tone or…… Continue reading Should You Wait to Pee? Take a “Power Pee”? Not if You Have Low Tone or Hypermobility!

Help Your Kid Get Over Their Fear of the Public Potty!

One of my consultation clients is having tons of success with special needs potty boot camp. But her son was afraid to use the toilet in their place of worship. This is soooooo common!  Kids finally get used to the set up in their home bathrooms.  They know how long it takes to get there,…… Continue reading Help Your Kid Get Over Their Fear of the Public Potty!

Hypermobile? Don’t Sit Too Long on the Toilet!

A lot of hypermobile kids and adults get constipated.  If they have low muscle tone along with hypermobility, or are couch potatoes, being constipated is even more common.  This can lead to extended periods of sitting on the toilet to have a bowel movement.  They bring in a screen (ewww!) or a magazine. And then…… Continue reading Hypermobile? Don’t Sit Too Long on the Toilet!

A Fun Game to Build Your Child’s Attention

Toilet training is, at its heart, building a child’s attention to their bodily needs and teaching them to physically manage them.  They aren’t born knowing how far to push their pants down or how quickly they will need to get to the toilet after they sense urgency.  The motivation will be there if they don’t…… Continue reading A Fun Game to Build Your Child’s Attention

How do You Get a Child with ASD to Know When They Need to “GO”?

First of all, knowing when you need to use the toilet is different from acting on what you know.  Many autistic kids have the sense of elimination urgency.  But not all.  This is the feeling of heaviness/pressure in their lower abdomen or rectum.  How do we know that they know?  Because we see them crouch…… Continue reading How do You Get a Child with ASD to Know When They Need to “GO”?

The Expanded Second Edition of “The Practical Guide to Toilet Training Your Child with Low Muscle Tone”, is Finally Here!

  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 Expanded Second Edition of “The Practical Guide to Toilet Training Your Child with Low Muscle Tone”, is Finally Here!

Can Your Special Needs Child Stay Dry through the Night?

    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?

Two Causes of Bedwetting Your Pediatrician Might NOT be Mentioning

 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

How Early is TOO EARLY to Potty Train?

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?

The Practical Guide to Toilet Training the Autistic Child: From Diapering Differently to Using Public Facilities

    Toilet Training a child with autism is not easy. It just got easier for you.   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…… Continue reading The Practical Guide to Toilet Training the Autistic Child: From Diapering Differently to Using Public Facilities

Why Does Autism Create so Many Toilet Training Struggles for Kids (and Their Exhausted Parents)?

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)?

Why Hydration is Your Superpower When Potty Training an Autistic Child

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

How To Decide Between “Boot Camp” and Gradual Potty Training

  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

Use Dry Runs With Autistic Kids During Potty Training (Wait; What’s a Dry Run?)

    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?)

What is The Best Toilet Paper For Potty Training?

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…… Continue reading What is The Best Toilet Paper For Potty Training?

Why Your Kid With hEDS Doesn’t Seem to Know They Need the Potty… Right Now!

    “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!

Why Teaching Dressing Skills is Essential to Potty Train Autistic Kids

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

Try This Simple Strategy When Your Child Refuses To Use The Toilet

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

Potty Training Your Child With CP

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

When Your Child Refuses To “Go Potty”(but is fully trained)

“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)