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RE: potty training...

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This may sound really obvious, but it wasn't stated so I'll ask. Have they

had him evaluated medically to see if there are any problems that way? They

may also want to check into some of the biomedical information , there are

many with tons of information that may be helpful.

Best of luck,

----Original Message Follows----

From: " E. Amy Sanner " <enedeliasanner@...>

autismaba <autismaba >, < >

Subject: [ ] potty training...

Date: Wed, 1 Jun 2005 19:28:17 -0700 (PDT)

Hello! I recently began working with a little boy, 5 yrs. old, with an

autism dx. 2 years ago, his family began (with great effort) working on

potty training him. They have had at least three consultants over this

time, as well. Over the last couple of years, they have had varying success

with voiding, not any with BM's. Currently he wears Pull-ups to school and

big-boy pants at home. His parents have taken potty data the entire time,

but have not included a food/drink diary with it. The data is all over the

place. There is no rhyme or reason to when he goes successfully (in the

potty) or when he has accidents. At home and school he is taken to the

bathroom about every hour but he still has accidents (some days more than

others). Sometimes he urinates every half hour, other times he goes every

two hours... just no way of knowing on any given day. I've been told that

he doesn't seem to mind when he is wet, and that they do reinforce (wild

party, which he loves!... doesn't

actually seem like a " reinforcer " by definition) when he goes

successfully. His family really wants him potty trained. They have

expressed a willingness to " try anything " . They have tried many methods....

Any ideas?

Thanks,

Amy

p.s. For now, I have asked them to record when and how much he is eating and

drinking. I've also asked them to try to keep food and drinks on a

" schedule " .

E. Amy Sanner, M.A., BCBA

enedeliasanner@...

http://behavioralconsultant.5u.com

---------------------------------

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  • 5 months later...

I don't chime in very often these days -- living a life up to my armpits in

alligators is fairly time consuming -- ;>)

But, I wanted to offer some reassurances on this subject. Our daughter did

not get out of pullups until she was 5-1/2. (She had slept dry through the

night from the time she was two, so she at least had her night time chemicals in

place.) She was highly motivated, as we had her in dancing classes and she

loved it but some of the other little girls made fun of her. She tried like

crazy to " go on command " and not have any accidents. She just didn't have the

fine motor control to succeed at that age. Finally, at 5-1/2, she was

successful. She had been going making it through most of the day without

accidents for

about a month before she decided she was ready for big girl underwear.

She does still occasionally have accidents, as it is very difficult for her

to control two motor sets at the same time. So, we have a basic rule --

bathroom first, then jumping (or flips, or dancing, or whatever). She knows she

has

trouble with this, so is fairly compliant. Every once in a while, she will

argue that she doesn't need to go, but we just remind her how easy it is to

have an accident when she is jumping around and how she has to stop jumping

around to go get cleaned up and changed. She usually responds with one of her

trademark phrases, " Oh, yeah. Wight! " and then off she goes.

She was able to control her bowel movements much earlier -- just a few months

after she turned four -- than her urination. The only times she had

difficulties with BMs were when she was sick or had had too much fiber.

Several doctors I consulted with told me that, while they didn't know of any

direct research in the area, anecdotally they recognized a connection between

fine motor control and toileting. Sure enough, when Ellyn could

finally control her hands well enough to write legible letters, she began to be

able

to control her bladder.

Hang in there.

Carol C

(in OK)

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Can I just say " Ditto " ? I didn't have exactly the same experience,

but my son was nearly 4 and he just couldn't get it. Then when he

did get it, it was hard - that's the piece that so many of us have

to come to terms with here: life is HARD for our kids - really

hard. It's hard for them to talk, jump, learn new things, etc.

Sometimes they need an extra push to learn something new. Reward

the good BIG TIME and IMMEDIATELY. On the other hand, when I

recognized that my son knew when he had to go but was being lazy, he

got into trouble for not trying. (I'm talking about getting up out

of the chair walking backwards to the door so you don't have to take

your eyes off the TV and then peeing on the floor because you waited

too long. I'm not a monster.) It just takes them longer so you

have to be aware and recognize WHEN they're ready and then do

everything you can to encourage and help them. It takes our kids

much more practice than other kids - and (I always go back to the

piano lessons reference) we wouldn't pay for piano lessons and

expect ANY child to learn without adequate practice outside of their

weekly lessons, right?

Good luck!

Marina

R

>

> I don't chime in very often these days -- living a life up to my

armpits in

> alligators is fairly time consuming -- ;>)

> But, I wanted to offer some reassurances on this subject. Our

daughter did

> not get out of pullups until she was 5-1/2. (She had slept dry

through the

> night from the time she was two, so she at least had her night

time chemicals in

> place.) She was highly motivated, as we had her in dancing

classes and she

> loved it but some of the other little girls made fun of her. She

tried like

> crazy to " go on command " and not have any accidents. She just

didn't have the

> fine motor control to succeed at that age. Finally, at 5-1/2, she

was

> successful. She had been going making it through most of the day

without accidents for

> about a month before she decided she was ready for big girl

underwear.

> She does still occasionally have accidents, as it is very

difficult for her

> to control two motor sets at the same time. So, we have a basic

rule --

> bathroom first, then jumping (or flips, or dancing, or whatever).

She knows she has

> trouble with this, so is fairly compliant. Every once in a while,

she will

> argue that she doesn't need to go, but we just remind her how easy

it is to

> have an accident when she is jumping around and how she has to

stop jumping

> around to go get cleaned up and changed. She usually responds

with one of her

> trademark phrases, " Oh, yeah. Wight! " and then off she goes.

> She was able to control her bowel movements much earlier -- just a

few months

> after she turned four -- than her urination. The only times she

had

> difficulties with BMs were when she was sick or had had too much

fiber.

> Several doctors I consulted with told me that, while they didn't

know of any

> direct research in the area, anecdotally they recognized a

connection between

> fine motor control and toileting. Sure enough, when Ellyn

could

> finally control her hands well enough to write legible letters,

she began to be able

> to control her bladder.

> Hang in there.

> Carol C

> (in OK)

>

>

>

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