What Might Cause A Potty-Trained Child To Regress? скачать в хорошем качестве

What Might Cause A Potty-Trained Child To Regress?

“My four-year-old, who has had potty training, consistently urinates on himself at night and even during the day while he’s awake. His response is that he doesn’t care about using the bathroom and doesn’t want to stop his playtime in order to use it. I’ve tried everything from rationalizing with him, encouraging and congratulating him when he goes to the bathroom, and admittedly even putting him in timeout or taking away his toys when he urinates on himself. He has not experienced any recent trauma that I’m aware of. There haven’t been any major changes in our family that could possibly be connected to this. Nothing seems to be helping, I would appreciate your insight.” In this episode, I will address a very common issue, potty training regression, especially when kids claim they just don’t care or don’t want to stop playing. I will give some background on what is appropriate for different developmental stages, discuss potential underlying issues, and provide strategies to get them to want to keep their pants (and bed) dry. Episode Highlights Critical to consider a child’s developmental level and context when assessing toileting behaviors Young children can struggle with toileting during the day and/or night, especially if they have any sensory processing issues or are easily dysregulated Habit Trained vs. Toilet Trained Habit training: when the child is brought to/put on the toilet, they know to urinate or defecate Toilet trained: in addition to the child knowing to urinate or defecate when on the toilet, they are also aware of the sensations and are independently able to get themselves to the toilet. Bed Wetting It is not uncommon for young children to struggle with night wetting as they are still within the range of what is developmentally typical Some kids, once they are day-trained, pretty quickly stay dry at night, for others it’s a much longer process Sense of Interoception There are five well-known senses, but there’s also interoception sense, which is our sensation and awareness of internal body signals It’s critical, especially to be successful with toilet training, to have a strong brain-body connection; to have an awareness of those sensations, and then know what to do in response to those In this case, they may not have the mind-body awareness that the body even needs to use the bathroom or understand the consequences that would follow Tools & Strategies to Build Interoception Build their connection between their brain and body for awareness of sensations in general, such as having them touch a warm vs cold washcloth. Model interoception: such as describing out loud what it might feel like when you are hungry, thirsty, or have a full bladder, and then going and doing that thing Occupational therapists are a great resource for interoceptive curriculums and activities Toileting alarm systems are discrete and effective for all ages Schedule bathroom breaks throughout the day Use a visual bathroom schedule if needed Help them be successful throughout the day with staying dry, that in itself can help curb the wettings Top tip: Do not ask them if they need to use the bathroom, instead tell them it’s time, and if needed, escort them to the bathroom If at any point the situation has turned into a negative cycle and power struggle, perhaps a break is necessary so it doesn’t become a deeper issue. Approach toilet training with the concept of “natural consequences” Stay calm but firm about what needs to happen and not in a punitive manner. Medical & Physiological Components Constipation causes a big problem with urination. When painful, a child is more likely to resist to toilet train Microbial overgrowths such as candida, yeast, or chronic UTI’s could be a cause, this is especially important to check if suddenly regressing Nutrient deficiencies: omega 3 fatty acids, B vitamins, zinc, iron Undiagnosed or untreated food sensitivities, food allergies, or environmental allergies Check all medication for side effects in both prescription and over the counter RESOURCES & LINKS: ____________________________________________ Life Will Get Better [Book] - https://www.drbeurkens.com/book/ Dr. Nicole Beurkens [Website] - https://www.drbeurkens.com ____________________________________________ ►Blog: https://www.drbeurkens.com/blog/ ►Podcast: https://www.drbeurkens.com/podcasts/ ►Subscribe: http://bit.ly/2Z2lIaJ to learn more ►Find me on Facebook:   / drnicolebeurkens   ►On Instagram:   / drnicolebeurkens   ►On Twitter:   / drbeurkens   Check out my book ► LIFE WILL GET BETTER - Simple Solutions for Parents and Children with Attention, Anxiety, Mood, and Behavior Challenges    / @drnicolebeurkens   #pottytraining #parentingtips #pottytrainingregression