What If My Child Is Afraid Of The Toilet And Does Not Want To Sit On Or Go Near It
When children with autism are afraid of the toilet, use a transitional potty, and encourage them to sit on that. You may need to have him/her sit on it outside the bathroom and slowly transition it into the bathroom. Reinforce your child for sitting on the transitional potty for 10 seconds, 20 seconds, 30 seconds, etc. Once your child can sit on the transitional potty, encourage your child to sit on the big potty. First, have him/her sit on the toilet with the seat down. Then have the child sit on the toilet with the seat up on a potty seat. Start off by having the child sit on the toilet for 10 seconds and then reinforce him/her. Increase the time that your child sits on the toilet until your he/she can sit comfortably. Do not get discouraged as this process can take many weeks. But with consistency, your child will eventually feel comfortable sitting on the toilet.
Consider Your Child’s Diet
Make sure your child has plenty of fluids such as water, milk, and juice, as well as a healthy amount of fiber to help them notice the urge to go. A lack of fiber can lead to constipation, which can make the child uncomfortable. Keeping hydrated is also crucial for helping stool remain soft and easy to pass.
Find The Root Of The Issue If Possible By Trial And Error
I realized there was much more to transitioning from diapers to the toilet. We had to discover what the root cause of the anxiety was. This is difficult to do when a child has very limited language skills. Was it having to sit down on toilet rather than stand? Was this a fear of having something fall away from Marcs body? Did he think he was losing a part of himself? Was he in physical pain sitting down trying to release a bowel movement? It was time to try another strategy.
I tried draping a towel across the toilet bowl so Marc would not have the feeling that something was falling away from him didnt work. We then changed the emphasis to just sitting on the toilet. We asked Marc to simply sit on the toilet and then rewarded him with chips if he did. During the toileting process, Marc was smearing his feces all over the house. He picked out just enough to relieve the bowel pressure.
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Learn More About Your Familys Ally In Growth
At Ally Pediatric Therapy, we have decades of experience assisting families through any and all behavioral challenges for children with autism. Working with professionals to help with potty training can be so beneficial for your family and is something we specialize in. Wed love to help make it less stressful for you.
If you are looking to take the next step towards helping your child with autism, please reach out today wed love to help make a difference for you and your family.
Be Sure To Start At The Right Time For You
Parents with children that have autism know that potty training will be a long process. This means they have to be emotionally ready as well, and not agree to do it for the sake of pressure that they are getting from their own parents or other members of their extended families.
This process also must be done when nothing else stressful is happening such as what was mentioned in the previous point. The toilet training process must be done when the parents are able to fully commit to doing it. With that said if the child with autism is 7 years old and is showing signs of readiness, but the childs grandmother is ill and needs a lot of care and is taking up the parents time as well, that is not the time to start. There must be no additional major stressors in the way.
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Why Is Potty Training Such A Challenge
When you think about the requirements for potty training and the inherent deficits present in the typical symptomology of autism, the conflicts can be obvious.
Children with autism may struggle with the social skills to get an adults attention to let them know that they need to toilet. They often have limitations around language to communicate such needs, as well as the receptive skills to understand and follow directives when an adult is trying to help.
We know that individuals with autism thrive on routine, and have an intense need for sameness so the shift from wearing diapers to underwear, and using the bathroom can be huge.
Teaching any new routine is a task that requires a multi-sensory, well-planned, team-based approach. Toileting training may not happen overnight, for children with autism, it can be a lengthy process. The consistency amongst environments will be important too toileting needs happen everywhere, so flexibility around what toilet you use and where that toilet is located is crucial.
Children with autism often have fine and gross motor challenges so the physical skills to dress and undress, and to climb up and balance on a toilet seat, must be considered. The dexterity to manipulate fasteners like buttons, zippers, and snaps can be difficult. The body awareness and upper extremity control to manage pants around the hips can be tricky as well.
Creating A Potty Schedule
When beginning potty training, it is helpful to create a potty schedule. Decide what times your child should go to the bathroom. These times should be fairly close together and you should keep to your planned schedule to create the best chances of success for your child. If you already know about how often your child pees or poops, then you can use this information to create the potty schedule. Choose times that are a bit more frequent than the times you think your child already goes potty in their diaper.
Another option is to set a schedule to every 30-60 minutes depending on how intensive you want to approach toilet training with your child. You will also want to consider what you think your child can reasonably handle. If your child can go the duration you choose and stay dry without having accidents a few times in a row, you can increase the time in between having them go potty. For example, you could increase it from 30 to 40 minutes if your child can stay dry for 30 minutes 3 times in a row. They may or may not go potty on the toilet at the 30-minute mark.
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Why Is Potty Training Difficult For Autistic Children
Children with autism may not be able to communicate to you that they need to use the restroom. Or they may have language, but they dont have the right language.
Pretty frustrating, right?
Imagine wanting to use the bathroom but not being able to say that you need to use the bathroom.
This is where something like visual cards or visual cues come in.
Even something as simple as teaching the sign for bathroom. For my daughter, thats what we used as well. We started with a visual schedule but I also taught her the sign. One of her classroom teachers later told me that my daughter was going up to her and using the sign before she had her communication device in place. So by giving her the language and means to communicate? She was able to express to any adult that she needed to use the bathroom.
Response Definition And Measurement
The dependent variable was the percentage of correct urinations in thetoilet. Correct urination for the purpose of this study was defined as therelease of urine while seated on the toilet. The independent variable was theschool-based toilet training program. Assigned 1:1 staff were responsible forall data collection. Data were generated by recording each child’s urinarystatus throughout the day. A monthly scatter plot was provided, which wasseparated into 30-min increments each day . Staff documented the occurrence of urinationimmediately in the cell corresponding with the time of day. The coded format onthe scatter plot included C for correct, A for accident, and I for incomplete.Correct was defined as the release of urine while seated on the toilet. Accidentwas defined as release of urine at any other location. Incomplete was defined aswhen the child neither urinated in the toilet nor had an accident during a30-min interval. At the end of each day, the percentage correct was determinedby a simple C/A+C equation . This allowed for a simple conversion to a percentage correct perday.
The data collected also allowed for detection of reliable times each participantwas more likely to produce urine throughout the day. These data were readilyavailable by plotting the times of the day over a more extended period of time and determining a pattern of urination.
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Things To Think About Before You Start
Before you start implementing the training plan with your child, track their eating and elimination habits, so that you can build a successful schedule around that.
Some other things to think about:
Increase fluids and fiber when you are both home for a stretch together and can be reliable with potty practice, encourage plenty of water and snacks that will lend themselves to increase toileting
Clothing pants should be easy to remove. Think elastic waist band, soft and easy. Engage your child in pulling pants down and dressing themselves afterwards.
Wear underwear It is important for the child to associate wearing underwear with toilet training during the day. You may put a diaper or rubber pants over the underwear to minimize a mess, but the child needs to learn the sensation of wet/dry and when they need a change. Traditional disposable diapers draw the wetness away from the skin, so often children arent aware that they are wet. Diapers and pullups are appropriate for nap and nighttime.
Look for clues many children show physical or behavioral signs when they need to use the toilet. They may hold themselves, wiggle/fidget, demonstrate rocking behavior or vocalizing more than usual, try to hide behind furniture, etc. Intercept when you observe this, using consistent language such as Time to use the potty
The Summer Infant brand makes a real look-alike toilet that is child sized.
Tips For Potty Training Kids With Autism
Potty training is an activity of daily living, a developmental milestone, and a rite of passage. It often signifies the transition from being a toddler to becoming a preschooler. It is a real measure of independence.
Being toilet trained is often a requirement for school, summer camp and any child-centered drop-off program. Some children begin to show signs of being ready to toilet train between 18 and 24 months, but many children arent developmentally ready until the age of 3.
Parents and caregivers typically know that a child is showing some readiness when they have the physical skills to dress/undress and climb up to sit on a toilet, when they can stay dry for a few hours, or are interested in the potty or in peers that are toilet trained. For some neurotypical children, potty training can be a challenge, but it can be especially difficult for children with autism.
At the toddler and early preschool age, some children on the spectrum may not yet have a diagnosis of autism. They may be receiving Birth To Three or Early Intervention services for language delays or behavioral difficulties, but may not have been identified as a child with ASD, Autism Spectrum Disorder.
Many of the following tips and tricks in this article can benefit any family with a child struggling with potty training, not just those with autism diagnoses.
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Why Are There Toileting Difficulties
I believe there are two main problems in toileting difficulties.
I have also heard of individuals who do not understand that different types of toilets are all toilets and you do the same thing in them. This may need to be taught if the toilet at school is very different from the toilet at home .
At What Age Can A Child With Autism Be Potty Trained
There is no specific age to begin toilet training children on the autism spectrum because every child has different needs and different skills.
Instead of focusing on age, focus on the childs skills. Below is a list of five questions that determine whether children with autism ready to start toilet training.
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Tips To Help Toilet Training Go Well For Autistic Children
These tips can help your child make progress with toilet training:
- Consider skipping the potty stage if your child has difficulty with change. Going straight to putting your child on the toilet, perhaps with a toilet training seat, limits the number of changes for your child during toilet training.
- Try washable reusable training underpants or underpants with a protective liner. These help your child become aware of the feeling of wetness, so theyre useful if your child has trouble knowing when its time to use the toilet.
- Use specific language. For example, say, Eddie, sit on the toilet and do a wee. This is clearer than asking your child to sit on the toilet and helps your child understand what to do.
- Choose one word to refer to going to the toilet. Get everyone in the family to use it. For example, always say toilet or loo or whatever your family is comfortable with. The different words we use to describe the toilet potty, loo, bathroom can be confusing for autistic children.
- Teach your child a way of letting you know they need to go to the toilet. This could include nonverbal signing or the use of the Picture Exchange Communication System .
- Five minutes sitting on the toilet is enough. Sitting on the toilet for too long can make your child feel as if theyre being punished.
- Try to stay calm and positive. Autistic children can have difficulty understanding new situations and other peoples emotional responses.
Teaching A Child To Ask To Use The Bathroom
Whether children with autism are verbal or non-verbal, it is important to teach them how to communicate when they need to use the restroom. Before the child enters the bathroom, prompt him/her to communicate that he/she needs to use the bathroom. There are many verbal and non-verbal ways to prompt children with autism to communicate that they need to use the toilet.
Verbal- Prompt the child to say, Potty, or I want potty.
Sign- Prompt the child to sign the word Potty.
PECS- Use a Picture Exchange Communication System and have the potty icon readily available and prompt the child to get the potty icon and give it to an adult.
If the child spontaneously communicates Potty, honor it and immediately take him/her to the bathroom and reinforce the child for communicating the need to use the bathroom.
Make Sure Youre Ready
When youve determined that your child is ready to start potty training, make sure youre ready. This is a big step for both of you, so choose a time where stress will be minimized. If there are any big changes coming up, like starting a new routine or a close family member moving away, consider postponing potty training until things settle down.
Potty Training For Autism The Ultimate Guide
May 14, 2021
Training a child to use the potty can be hardand teaching a child with autism to use the potty can be even harder. As we all know, it can take a little longer for children diagnosed with autism spectrum disorder to master many everyday skills. As a result, potty training with autism can take some extra time.
Multiple issues, including sensory overstimulation, can contribute to toilet training challenges. Sometimes children dont have the motor skills to carry out a bathroom routine, while others are not cognitively able to recognize when to use the bathroom. And some children with autism may not know how to communicate to someone when they need to go to the toilet. It is important to consider these factors before deciding whether or not children are ready for toilet training.
Parents and caregivers of children on the autism spectrum shouldnt stress too much over potty challenges because, as they say, for every problem, there is always a solution. With a lot of patience, structure, and reinforcement, toilet training can be accomplished. In this article, we offer easy ways to make using the toilet a positive experience for parents and kids with autism.
In this article, we offer possible ways to make using the toilet easier and a positive experience for both parents and kids with autism.
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