Toilet Training – Autistic & difficult children

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Think toilet training is a challenge? It can be even more difficult for children with autism. But don’t worry; you can take steps to make the process smoother. This blog post will provide tips on how to toilet-train your child with autism, including how to identify when they’re ready, how to create a schedule, and how to use positive reinforcement.

  • Age is not the most critical factor. Instead, focus on prerequisite skills such as sitting in the toilet for at least a minute and withholding urination for 30 minutes to an hour.
  • Data collection is critical. Track your child’s urination and bowel movements for two weeks to establish a baseline.
  • Positive reinforcement is essential. Reward your child for using the toilet successfully with edible rewards, activity rewards, or verbal praise.
  • Schedule toileting trips. Take your child to the toilet every 30-60 minutes, even if they don’t seem to have to go.
  • Turn accidents into teaching moments. Quickly rush your child to the toilet if they start having an accident, and encourage them to finish urinating there.
  • Be patient and consistent. Toilet training can take weeks or months, so be patient and consistent with your approach.

How to Toilet Train a Child with Autism: A Step-by-Step Guide

*Toilet training a child with autism can be daunting, but it is achievable with the right approach. This step-by-step guide will walk you through the entire process, from identifying when your child is ready to creating and sticking to a toilet training plan.

  • Step 1: Assess your child’s readiness. Look for signs that your child is ready to start toilet training, such as the ability to sit on a toilet for at least a minute, withhold urination for 30 minutes to an hour, and understand simple instructions.
  • Step 2: Collect data. Track your child’s urination and bowel movements for two weeks. This will help you establish a baseline and identify patterns.
  • Step 3: Create a toilet training plan. This plan should include a schedule for toileting trips, a reward system for successful toileting, and a strategy for dealing with accidents.
  • Step 4: Put your plan into action. Start by taking your child to the toilet every 30-60 minutes, even if they don’t seem to have to go. When they use the toilet successfully, reward them with praise or a treat.
  • Step 5: Be consistent and patient. Toilet training can take weeks or months, so be patient and consistent with your approach. Don’t get discouraged if your child has accidents. Pick up where you left off and continue to follow your plan.

Additional tips:

  • Involve your child’s doctor in the toilet training process. They can provide guidance and support.
  • Consider using a waterproof pad or pull-up pants during the early stages of toilet training to protect furniture from accidents.
  • Be patient and positive. Toilet training can be frustrating, but staying positive and patient with your child is essential.
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DrorAr101

My name is Adi, and I am the proud parent of Saar, a lively 17-year-old who happens to have autism. I have created a blog, 101Autism.com, with the aim to share our family's journey and offer guidance to those who may be going through similar experiences. Saar, much like any other teenager, has a passion for football, cycling, and music. He is also a budding pianist and enjoys painting. However, his world is somewhat distinct. Loud sounds can be overwhelming, sudden changes can be unsettling, and understanding emotions can be challenging. Nevertheless, Saar is constantly learning and growing, and his unwavering resilience is truly remarkable.

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25 Responses

  1. kiaora224 says:

    @livingblessed100 I feel your pain! it is so frustrating, same thing I am going through but my son doesn’t understand.

  2. livingblessed100 says:

    @kiaora224 I have a 4yr old non verbal autistic child. She’s doesn’t have the ability to feel when she needs to use the bathroom, she under sensitive…we need to raise her level of sensitivity before we can even begin toilet training..now that’s fun!

  3. HannyCheung says:

    @zedgirl44 why are you offended?? parents using this advice are likely to have a child with autism at around the age of 3yrs to 4yrs old that need to be potty trained. The fact you can use the toilet doesn’t mean autistic toddlers can use it neither does anyone think anyone is stupid.

  4. martinv751 says:

    I’ve been doing toilet training with my PDD son for 1 1/2 year now. Pipi are ok, but he still refuses to do no 2 on the toilet and insists that they go on the underwear (he is verbal and explains that to us). The walls of his bedroom is full of charts showing the treats he got since we started. Now he refuses treats when we are able to get him to do a no 2 in the toilet. I’m desperate and scared that we are going to have to do it all over again for my other son.

  5. AaronJames3000 says:

    The boy I know is 15 years old, severly Autistic. He does not have verbal skills. He urinates in the toilet but does not recognise the need when he needs to pooh. So he messes himself but does not complete the motion, he is cleaned up and then the process happens again. This is happening at school and at home. His parents do not know where to turn for help. They have tried pedatricians, the mother has asked other parents, but their children are not as high on the Austic spectrim as her son.

  6. kiaora224 says:

    Try toilet training an almost completely non verbal 4yr old autistic child. Fun!…

  7. bjstur44 says:

    Zedgirl44, I dont think anyone is saying autistic children are in anyway ‘dumb’ as you say. I am the grandmother of a severly autistic child with very bad sensory disorders. He is 3 and a half and is in no way ready to potty train. He is very smart but is inability to speak and his sensory disorder makes life difficult for him. This isnt about children with milder forms of autism, it is to help parents of children who are more severly impaired.

  8. D0ct0rFun says:

    @jlopezosci find an BCBA therapist that will address your needs. Also read up on it. Potty alarms are also another option.

  9. zedgirl44 says:

    @zedgirl44 yeah and Im a child

  10. zedgirl44 says:

    uh…………..
    IM AN ASPIE WHICH IS PART OF AUTISM AND IM FINE WITH THE TOILET!!! D:<
    AND I KNOW MANY PPL WITH AUTISM AND THEY KNOW HOW TO USE A TOILET!!
    GEEZ!!!!!!!!! YOU PPL THINK WERE STUPID OR MENTALLY RETARDED
    but you know… were not as dumb as you think

  11. dclark12553 says:

    you dont pee on the toilet you p in the toilet not on it.

  12. chibomato78 says:

    My son would not use a potty chair – only a " seat " – small seat for children that fit on the the main toilet seat. and was in diapers till the age of three – it was extremely difficult to get him potty trained but eventually we were able to train him before pre school.

  13. dosadler says:

    my daughter is 8 and is okay while she’s awake but when she sleeps we still put traing pants on her we have tried everything

  14. dosadler says:

    My daughter is 8 and potty trained while she’s awake but when she sleeps we still put training pants and we have tried everything she wakes up with a full diaper

  15. jlopezosci says:

    my son will pee on the potty but not poop any sugestions. Please help after 8 years im done with poopie diapers.

  16. kiddlyjesus3000 says:

    i have aspergers and i was potty trained by the time i was 18 months old i was also off the bottle by then and back then my mom did not know i had aspergers i did not get labeled that until few months ago

  17. bsbfan09 says:

    okay why should you yell at your child if they do not go the the bathroom

  18. MONIQUEIJ says:

    @christschool i agree with you

  19. MONIQUEIJ says:

    i’m gonna potty train my child at 1. i don’t believe in this B.S. sorry i just don’t.

  20. autismvid says:

    This guy is a fluff. Seven minutes of nonsensical blah-blah. If you a parent and want to teach an autistic child toileting, go and read Chapter 15 of the ME Book by Lovaas published in 1987. This chapter, which is only 3 pages long, will help you to train almost ANY child, even with severe delays.

  21. ringosinclair says:

    this is just what Ive been doing for the last 4- 5 months every 20 minutes we go !! some days we are brilliant others are not good at all

  22. christschool says:

    I certainly don’t mean to be. I made that comment more than 2 years ago. I think each child is different.

  23. YellowSarong says:

    Not to be incendiary, but are you saying parents who fail to train children w/autism are doing something wrong? I’ve been toileting my daughter since 30 mos – before she was even diagnosed w/autism. She’s now 5 1/2 and still wets herself daily. We have tried everything from stickers to time training. Pull-ups during the day were gone at age 4 (ready or not). When children who are younger than my kid ask their mommies to go potty, it makes me want to chew off my own arm. IDK what I’m doing wrong.

  24. kswt84 says:

    Ive recently found out my son is autistic and I havent potty trained him yet cause I dont think he is ready he just turned 2 in Dec. he doesnt tell me he is soiled and he doesnt seem to show discomfort by it . Im sure when I go for my feedback meeting they will give me tips but I didnt even think of potty traing till 2 1/2 yrs old

  1. 2023/05/11

    […] feel frustration and they have difficulties teaching children on the autistic spectrum to use the toilet correctly there are a number of different strategies you can use to work on this for some children a simple […]

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