Dr. Robert Needlman
Specialist in pediatric behavior and development.
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 Ask Dr. Needlman
Toilet Training an Autistic Child | | | QUESTION | | | Dear Dr. Needlman,
I would like to start potty training my 27-month-old autistic boy. He doesn't seem to be uncomfortable being soiled or wet. When I ask him if he is, he quickly answers "no!" and hides. Where should I start?— Nathan's Mom in Ridgefield, NJ | | | ANSWER |
April 2, 2001 | | | Dear Nathan's Mom,
As you know, the diagnosis of autism covers children with a wide range of developmental strengths and weaknesses. How you ultimately succeed in potty training your son depends more on who he is, than on his diagnosis.
Some of the key issues might be: How well can he communicate his feelings (that is, the urge to go)? Does he tend to get stuck in certain behavior patterns, or is he able to learn new patterns readily? Does he have any sensory difficulties that might make using the toilet a special challenge (for example, hypersensitivity to touch or smells)? How much is he motivated by a desire to please you? What other rewards motivate him?
The answers to those questions will determine how quickly your son learns and what approaches will work best to encourage his efforts. That said, I think the general approach to potty training a child with autism is the same as for other children. Make the potty available. Let your child see what you do. Encourage any interest he shows in a low-key way. Praise any successes.
Your son is still young. Many children without developmental problems gain bowel control at a later age. So, remind yourself to be patient. The Toilet Training section of our site has more information that may be of help.— by Robert Needlman, M.D., F.A.A.P. |
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