Home > Got Questions?, Science, Uncategorized > Has anyone studied how to help toilet-train children with ASD?

Has anyone studied how to help toilet-train children with ASD?

This week’s answer comes from two of the clinicians who work within our Autism Treatment Network (ATN) and our Health Resources and Services Administration funded Autism Intervention Research Network on Physical Health (AIR-P). Both helped write the Autism Speaks Toileting Toolkit for parents, which will become available this fall.
Psychologist Terry Katz, PhD, of our Denver ATN Center

and

 Psychologist Amanda Santanello, PsyD, of the Kennedy Krieger Institute ATN Center in Baltimore, Maryland.

Around half of all children with an autism spectrum disorder (ASD) learn to use the toilet later than other children. In the Autism Speaks ATN/AIR-P Toileting Tool Kit due out this fall, we talk about why your child might have trouble and provide tips for achieving success.  Here are some important points:

Toileting Challenges with ASD:
* Physical:  Talk with your doctor about medical reasons that may make toileting more difficult for your child.  These can include constipation, and kidney, urinary tract, or bladder problems.
* Language:  Language delay can make it difficult for a child to ask to use the toilet.  Children may need other methods to communicate their needs.
* Fears:  Your child may be afraid of sitting on the toilet or hearing it flush.
* Body cues: Some children with autism have difficulty sensing the “need to go” and may not realize that their clothes are wet or soiled.
* Dressing: Can your child easily pull up and down his or her pants? This may need to be addressed.
* Need for sameness:  Your child may have developed a habitual way of toileting and, so, may resist doing so “your way.”
* Using different toilets:  Your child may have difficulty toileting in new places—such as school vs. home.

Tips for Parents:
Sit for six:  Set a goal for six toilet sits per day.  Start out slow.  First trips may only last 5 seconds.  Encourage boys to sit to urinate until they regularly have bowel movements on the toilet.
Don’t ask, tell:  Take your child to the toilet and tell them it is time to go.  Don’t wait for them to tell you that they need to go.
Stick to a schedule: Take your child to the toilet at the same times each day. Track when they urinate or have bowel movements and use those times if possible. Otherwise plan toilet trips around your usual routine. And think ahead:  Take your child to the toilet before he or she starts an activity that will be difficult to interrupt.
Communicate: Use the same simple words, signs, or pictures during each trip.  Talk with other people who work with your child.  Everyone on the team needs to use the same toileting communication plan.
Reward: Praise your child for trying. Give your child a favorite treat or reward right after going in the toilet.  Be matter-of-fact when accidents happen.
Consider comfort:  Your child needs to feel safe on the toilet, with feet supported for balance. Also address sensory difficulties your child may have with sounds, smells, lights, or textures in the bathroom.

These are just a few of the ideas we discuss in the forthcoming Autism Speaks ATN/AIR-P Toileting Toolkit.

Please remember: Toileting can be difficult for children with an ASD.  One study found that they needed a year and a half of training, on average, to stay dry during the day and more than two years to become bowel trained. So don’t become discouraged. Be consistent. Build routines. Talk with your doctor. And look for the launch of the Autism Speaks ATN/AIR-P Toileting Tool Kit. We’ll keep you posted here in the blog and on the ATN’s Tools You Can Use section of the Autism Speaks science pages.

The Autism Speaks ATN/AIR-P Toileting Tool Kit is the product of on-going activities of the Autism Treatment Network, a funded program of Autism Speaks. It is supported by cooperative agreement UA3 MC 11054 through the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), and Maternal and Child Health Research Program (MCHB) to the Massachusetts General Hospital. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the MCHB, HRSA, or HHS.

  1. Lauren
    September 23, 2011 at 10:52 am

    I potty trained my son, who has PDD, by using a chart. I took him to the store and let him pick out his favorite stickers and underwear and then made a chart and hung it on the door of the bathroom. He is a visual learner, like a lot of children with an Autism diagnosis, and seeing his progress on the chart helped him to be trained in four days and that includes no bed wetting at night. I did the same method for getting his hair cut. He held the chart each time and kept his focus there. We had great success!

  2. Anne C
    September 23, 2011 at 10:58 am

    When I was toilet training my son, I was referred to a great book called “Toilet Training Children with Autism and other Developmental Disorders.” The author is Maria Wheeler. It has some excellent ideas and strategies.

    • Mary Mergenschroer.
      September 23, 2011 at 1:32 pm

      Where did you get the book.

    • Alli
      October 1, 2011 at 8:19 pm

      We used the same book for our granddaughter and loaned it tho the school for our severely autistic granddaughter. We also used 7 pec diagrahms and made going potty a routine. Now at 10, most of the daytime she’ll go on her own. Occasionally we have dry nights too. I’ve noticed she’ll urinate if she gets extremely anxious. I’ve also heard that anxiety is more common in female autristics.

  3. September 23, 2011 at 10:58 am

    every ASD child is different.Mine for example is DEAF,sensory issues,CHARGE syndrome(even though I really don’t think so) ASD of course.She is 8 now,still has trouble using the toilet when she needs to go,I have found that routine is the best practice.Everry 30 min. place her on the toilet or just send her to the restroom seems to work best

  4. Jen
    September 23, 2011 at 11:02 am

    Anyone have tips on wiping? Seems to be a coordination issue, combined with a lack of caring/interest…

  5. ES
    September 23, 2011 at 11:16 am

    A behavioral psychologist told us that after every accident, we should have our child practice three times. The purpose is so that it seems easier to just go instead of having an accident and having to go three times. She also said they make underwear with an alarm. However, our daughter still has trouble pulling down her pants and diaper/underwear and noticing when she’s wet. So we keep putting her on the potty at regular times and hoping for the best. A good friend of mine has a Downs syndrome child who was finally potty trained at age 14. Previous to this, there were many failed attempts. The successful plan–they taught him the sign for potty and put him on the potty every 20 minutes at school and at home. Everyone who worked with him was involved and had a schedule. Also, the rule was to be only positive with no negative comments at all. He has now been potty trained for two years!

  6. Diane Jenkins
    September 23, 2011 at 11:20 am

    ALL CHILDREN ARE DIFFERENT. POTTY TRAINING WITH RED AND BLUE BALLOONS WAS A SUCCESS AND THE ELMO DVD TOILET TRAINING EVERY DAY A FEW TIMES A DAY. MAYBE THE POTTY BY A DVD PLAYER ??????? EVERY TIME HE OR SHE GOES BLOW UP A BALLOON MAKE IT LIKE A PARTY HELPS TO TAKE OUT THE TENSION. GOOD LUCK

  7. September 23, 2011 at 11:41 am

    I am the author of a potty/toilet training book.
    Over the many years of potty training individuals, a common pattern began to emerge. My approach addresses these unique characteristics of a child with autism and especially his or her resistance to change. There are no charts, schedules or rewards.
    After reading my book, please take advantage of your free 20 minute phone coaching session.

  8. Brenda Kaiser
    September 23, 2011 at 11:58 am

    My grandson potty-trained just like everyone else, he was just a little older. We broke in down to just sitting on the toilet with a potty-ring and M & M’s for his reward. He went to the bathroom with Daddy every time Daddy went and when he finally peed in the toilet we made a huge big deal out of it and continued offering M & M’s until he went willingly and then tapered off the candy, but kept up the HUGE praise!

  9. Jenny
    September 23, 2011 at 12:14 pm

    He has to feel his wet pants with his hand to know if he’s had an accident, and meltdowns seem to proceed many accidents. He only recognizes the need to go when sitting down for a meal, so we’re doing lots of snacks to give his brain the time-out it needs to “check-in” on the bladder. :)

  10. September 23, 2011 at 12:39 pm

    Automatic flushing toilets ruined potty training for us a few times. A good way to combat this is Post-It notes. It sounds weird, but putting it over the sensor keeps the toilet from flushing until it’s time. My daughter is 5 and has been potty trained for 2 and a half years. For her, as soon as she realized she didn’t have to be messy in a diaper, she was all for potty training. One morning of naked time and she went on a potty every time after that. Took another year for #2 to be fully trained, her body started regulating so she pooped while she was asleep during naptime and over night. She still has accidents at night sometimes, and has once pooped in her pants without noticing she did it, but for the most part, she’s had a good time with potty training. My son on the other hand, let’s me know when he has just gone (he grabs his crotch through his pants and says something that sounds like “momma, I pee”), but isn’t ready for potty training. He’ll go if I put him on the potty but when he gets up he also pees on the floor and then has a panic attack. My poor boy.

  11. Patty Connell
    September 23, 2011 at 12:43 pm

    I was successful by writing the process of the body eliminating waste in a storybook form. We read it several times a day; straight to the point…poop goes in the potty!

  12. J King
    September 23, 2011 at 12:55 pm

    We used a method adapted from “Foxx and Azrin” very intense but it worked. Hard work always pays off. 20 minutes on tiolet 20 minutes off with 5 minute dry checks in between, if voided reinforcer applied imediatley in order to define the contingency. Accidents were verbals”no peeing in your pants you pee in the tiolet” tothe bathroom wet pants pulled down sit on tiolet pull up pants go back to accident site and repeat 5 times, after dry clothes put on clean up urine and start over at 20 minute dry checks. BM training came naturally about 4 months later. Jennifer King

  13. September 23, 2011 at 1:20 pm

    My sons has high anxiety near a toilet bowl and his teacher suggested that we should address potty training and reducing fear of toilet at different time. So we trained him on a small pot (the ones you can buy and are portable). Fortunately he learned to go on that pot in less than a week. The pot was placed where he can actually see the TV. We would take the pot everywhere we went for over an year. Recently we worked on getting him to sit on the toilet bowl but it was much easier because one part of potty training was already achieved. We hid the small pot he used to have and now he doesn’t have a choice. Since he still has high anxiety in the bathroom he has conditioned himself to go in only one of the bathrooms in the house and refuse to on any other. We are working on that hopefully he will learn to go into public bathrooms as well.

  14. michelle
    September 23, 2011 at 1:23 pm

    My son was potty trained about 15 years ago using the video “It’s Potty Time” put out be the Duke University Medical Center. I think that currently it is only available on VHS. It has a lot of music and themes to entertain as well as teach the child. It worked like a charm. My son was minimally verbal at the time, but he loved watching videos with music and other children playing. He ended up mimicked their behavior after I had tirelessly tried everything else. I’m sure there are similar types of DVDs on the market now.

  15. Zandra Henderson
    September 23, 2011 at 1:23 pm

    Our son is 10 now and fully trained, but wasn’t able to start until after he was 3. It took about 2 full years to get him completely trained and doing it on his own. He had to be taken to the potty every 15 minutes and needed to sit for 5 minutes. He was rewarded for sitting at first, then it moved to rewards for going. We had to keep a log of what he did and what accidents happened. This method was based on a class we took on potty training kids with special needs. Worked for us :)…but it’s an arduous process!

  16. mike
    September 23, 2011 at 4:23 pm

    This has always been a problem for me.and the home therapist. I initilly had kept records of times. Then promted my daughter when to go around these times. It was successfull at least 50 % of the time. I have tried goals, every 30 minutes, celebrations ect. I am in for the long haul though. My next endevor will include a better promt from child to parent.

  17. Ann Bell
    September 23, 2011 at 4:42 pm

    We couldn’t get our son to go number 2 in the toilet. Because of all the people who take care of him he learned to stand first and sitting was trying to change things for him. He was able to hold it for days, even with prescribed stool softeners. We put it together that he would relax and have an accident while playing video games. We bought a training potty and he had to sit on it to play games. It only took a few weeks for him to see how it is easier and quicker to use a toilet, then to have an accident. The hard part is privacy. What we did was put a towel across his lap. We still have accidents and set backs. We just had to except that these things happen and keep moving forward. I still have to tell him he has to go, he hadn’t learned to make that decision on his own yet, but I know that day will come too.

  18. Miss Courtney Odette
    September 26, 2011 at 12:55 am

    My son was somewhat difficult to potty train, which is less common with breast-fed babies. It was more difficult than with his brother who does not fall on the Autism spectram. He also was a very picky eater, which did not help. He was three when he finally got it. It sounds strange, but i put his potty seat in front of the T.V., when he watcheSesame Street. I cleaned it up right away though. I made sure not to shout at him. High pitched and screechy voices have always annoyed him. He was diagnosed, but recieved no autism services. By kindergarten, he never had accidents, but I feel respecting his privacy is a must now. The educational system is negligent in some ways to these issues, I feel. Patience and respect are the key. I brag about his educational scores sometimes, however I have never been one to brag about early-potty training. I personally feel minority boys are not getting enough attention in the are of autism. This could be a good blog topic.

  19. September 28, 2011 at 12:21 pm

    Autism Speaks is preparing a toilet-training information kit for parents of children with autism. This is a very good idea because toilet training is one of the first hurdles that a parent of a child with autism experiences either before, or soon after, the diagnosis. Many parents wonder if they will ever successfully toilet train their child. Unfortunately, in their autism toilet training article above they refer to a study that found, “[children with autism] needed a year and a half of training, on average, to stay dry during the day and more than two years to become bowel trained.” (emphasis added).

    A year and a half! No, that’s not a typo. Why would anyone hold up as a model to parents of children with autism a study where the researchers are manifestly incompetent and their intervention is functionally a failure? Why race to the bottom?

    It is important for you to know that your child is either not toilet-trained because s/he doesn’t understand or have the skills yet OR s/he understands but does not want to change a behavior that is already comfortable. Either way, you will need to use the same technique to successfully toilet train .

    There is no reason that your child cannot be toilet-trained; however, it may take different skills from the ones that you already possess. Luckily, there are a couple of resources that will help you along the way.

    The best method available was pioneered by Nathin Azrin and Richard Foxx in 1971 (note: the academic terms for developmentally delayed people were different back then).

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1310676/

    They were originally working with developmentally disabled adults who were institutionalized, and these researchers were wildly successful. They also did research on typically developing children and wrote a best-seller that is still available today [Toilet Training in A Day];

    http://www.sciencedirect.com/science/article/pii/0005796773901022

    however, their work on toilet-training children with developmental delays is much more useful for our purposes. Since their original research in the 1970s, behaviorists have moved the field forward through research and utilized some of the techniques first pioneered by Azrin and Foxx.

    http://www.sciencedirect.com/science/article/pii/S0891422202001361

    Now there are practitioners in the field of Applied Behavior Analysis who can help you toilet train your child based on these techniques. You may be able to do this yourself; however, it can be difficult!

    First, I recommend finding a Board Certified Behavior Analyst (BCBA) with expertise in autism to develop a program for your child; these professionals exist in every major city, in many small cities and towns in North America, & across the industrialized world.

    http://www.bacb.com/index.php?page=100155

    In addition, there is a devise that you can purchase to help you in your toilet-training program called the Night Hawk.

    http://www.bedwetting.us/

    It is a high tech. wet alarm that works wirelessly and sends out an audible reminder. Although intended to be used at night, it can be used at all times to make your toilet training program more effective. The Night Hawk helps the child understand the connection between urination and running to the bathroom to get the alarm to stop. You may not have to use this device; however, if your child is getting ready to enter kindergarten and is still not toilet-trained, you might want to think about using this system since it can speed up the learning process considerably! This concept was first devised and tested in 1971, but not available on the market until decades later.

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1310698/

    It is very important that a child with autism be toilet-trained prior to entering kindergarten because a non-toilet-trained child will generally be stigmatized. The goal is always to create a world where the child can participate as much as possible in the wonderful experiences that typically developing children are provided, and toilet-training is prerequisite to that.

    With expertise and perseverance you will succeed. Importantly, the process should take two weeks or less, not a year and a half!

  20. Holly
    September 28, 2011 at 1:15 pm

    We didn’t recognise Autism for my daughter until she was 7 years old. She didn’t potty train until four and was almost seven before she could go overnight. You could tell that she simply didn’t feel the need to go, and being wet didn’t seem to bother her at all. I wish I had a pediatrician who could have recognized this potty problem, put it together with all of her other problems, and suggest seeing a specialist. It would have been really great to know whe was Autistic at the time. I just kept getting frustrated with the problem. It would have made a WORLD of difference in how I approached it all!

  21. Pammie
    September 30, 2011 at 6:46 pm

    It has been interesting reading all the comments. I just want to give encouragement to all those working to help their kids be successful with toilet training. My son is almost 15 and I remember like it was yesterday what a challenge it was! Don’t give up! Remember — you know your child best and what will work for a motivation. One important bit of advice I’d like to pass on that really seemed to be the “thing that clicked” for him was this….I know he is a very visual learner. He had gotten the knack of going pee-pee because he could ‘see’ that process happening. When I took a mirror and had him stand so he could see where the poop is coming from, that was like a light going on for him! I will have to say in conjunction, I happened upon a great video on it where the kids are at a birthday party and the birthday has to go potty! It was so upbeat and had great music and just served as a fantastic visual model for him!! Good luck to you all and I hope this bit of advice about showing the kids where everything comes from, may be the one thing you need to help!! Hang in there!!

    • Rebecca
      February 29, 2012 at 12:34 pm

      Do you know the name of the video? Your suggestions are very helpful! Thanks!

  22. Pammie
    September 30, 2011 at 6:48 pm

    **Opps!! I meant ‘birthday boy’ had to go potty!

  23. Annette
    September 30, 2011 at 6:54 pm

    Out son Cole is maybe the most stubborn and beautiful little boy ever. He has PDD, NOS and just saying a few words now at six. To say potty was easy for our smart, stubborn, can’t sit for anything (or sleep) would be an understatement!
    When our BCBA told us about “potty bout camp” as we term it we were really scared of another failure and excited that someone felt confident. So yes, one year later, lots of tears, lots of accidents both at home and in public we are very close to trained…but not perfect which is ok. Cole has a lot of bowel issues so “perfect” isn’t necessary to say “our son is trained”…during the day. Night training is not yet important to us, sleep is! Lol!!
    So what worked, having a trained individual who had been successful and had a plan. Having a school and teacher willig to stick out 6 or more accidents a day at times without asking for diaper. Realizing and self talking the importance of potty training child so he is not vulnerable, it helped us stick it out. Good luck

  24. Chris Saddler
    September 30, 2011 at 9:18 pm

    We tried many times over several years, but were finally successful when my son was seven. After reading the Toilet Training chapter in ‘Work In Progress’ by Ron Lief and John McEachin, all it took was finding the right reinforcer. For my son, that meant bite-sized chocolate cupcakes, icing, candles and singing ‘Happy Potty’. He loved it and it took less than a week.

  25. September 30, 2011 at 11:18 pm

    My son, a high functioning 9-year old with PDD-NOS, was trained #1; but we could not get him trained #2. Turns out it was sensory and coordination issue. He couldn’t feel his body telling him it was time to go, nor did he understand what he needed to do to get things out.

    Technically it’s called a pelvic floor dysfunction and it caused functional constipation and encopresis. It took me 2 years to finally find a pediatric GI specialist that did biofeedback. One session, in coordination with an ongoing potty schedule and reward plan, and that’s all it took. Now he understands what it feels like when his “stomach” is telling him to go potty and he understands how to get it out! We owe all the credit to Dr. Hyman at the Children’s Hospital of New Orleans!!! The same of it is that we have a ATN (Autsim Treatment Network) in Texas where we live; but they don’t have anyone who does this!

    • Rebecca
      February 29, 2012 at 12:41 pm

      Thanks for posting this. Did your son just wear a pull up all the time or have accidents? My son is potty trained for urine and “trained to the pull up” for bowel movements, but sometimes takes a realliming time despite the stool being soft. When he tries to poop on the toilet, he’ll sit for a while or pee and then happily exclaim, “I pooped on the toilet!” Your description makes me wonder if he might have the same issue as your son. Thanks for any further info.

      • Rebecca
        February 29, 2012 at 12:45 pm

        Sorry… takes a really long time.

  26. Monica
    October 1, 2011 at 1:48 am

    I thought my son would never get toilet trained. At 6 1/2 he still was in pull ups F/T. Finally over the summer, we made a 110% effort as a family taking turns going out for errands, etc. and stayed home all week. What worked for us was “presents”. My son Jack finally started using the toilet for #1 after being given the incentive for a fully wrapped in wrapping paper present! For him, it was used video games. When he tried, but wasn’t totally successful, we still gave him a treat, (jellybeans, skittles, etc.). When he started getting the video games, he really became motivated and eventually it became second nature just like a typical child. That’s what worked for me; hope it helps!

  27. Kim Davis
    October 1, 2011 at 5:49 pm

    My son wasn’t out of diapers until he was five. We got there by patience, patience, and more patience with an extra scoop of positive attitude! I never let him or me believe that he wouldn’t get rid of those pull-ups. What technique did I use? Well, all of them. Some days I sang, gave rewards ,marched in a parade to the bathroom, danced, talked to him about it calmly, made terrible potty jokes (he’s a boy after all), commanded, and yes even yelled and cried right back at him through that bathroom door. Teaching a child with a developmental disorder requires a mom to be always in the moment. Mom has to assess every minute and just go with it!
    …But just because we were out of diapers in no way meant “potty trained”. He never went in his pants. He had this explainable and deep rooted fear of any bathroom outside our house. His fear has gotten lower in magnitude over the years and he will use a bathroom while we are out instead of holding himself or waiting until it is so bad Mom has to quickly find a discreet bush. But, even at 11 years old sometimes he still has to peek around the door and just slide into a public restroom like a child who’s entering a haunted house.
    My son’s potty issues have always been tough, but because he and our family have worked so hard to overcome them he is a much stronger person for conquering the task.

  28. October 1, 2011 at 8:34 pm

    I’m a special education teacher of students with Autism, it really helps when parents follow through at home with the potty training process. I usually recommend that parents send the child to school in cotton underwear with a pull up over the underwear, eventually removing the pull ups all together. We utilize a toileting chart that schedules the child to use the restroom every 90 minutes. We do not ask the child if they have to go we say, time go to the toilet and use a picture cue of a toilet. We chart the times he/she is wet, has a bowel movement, and praise the child when he/she uses the toilet. We use a timer for a few seconds at first then extend the time. One of the things that really works to overcome the child’s fears is to allow him/her a favorite toy or book to look at. Make sure it is something the child really likes to do and will do almost anything in order to get the time with it, and only allow him/her to play with it during toilet time. If the parents/caregivers do the same. Many of the students become potty trained within a month or two. We like to try this a couple months before a holiday, or seasonal break so that there is consistency at school.

  29. Alison Grim
    October 2, 2011 at 5:55 pm

    My son is 5 and we have been making efforts to toilet train since he was 2 1/2 years old. At the beginning of last school year we had finally over come most of his anxiety about using the toilet for #1 although he was still resistance at times, refusing to go in and try, especially at home (more compliant at school!.) We decided to do away with pull-ups during the day and with his teachers help got him on a schedule and he is mostly dry during the day now although still not really self initiating. He is not doing #2 in the potty at home at all. At school he self initiated #2 once in the last two weeks. Despite lots of praise and a huge reward he hasn’t don’t this again since! I am sure it is a comfort/control issue at this point but am not sure how we get him past this stage. I have a typically developing three year old who is basically trained for #1 but also not going #2 on the potty and I think it is because he sees his brother have accidents and thinks he doesn’t need to do it correctly either. I am very frustrated and tired of potty training. Anyone have any suggestions?

  30. Adam Niehenke
    October 4, 2011 at 11:19 am

    A DVD with ELMO explaining potty training tought my son and a friends son with autism to potty train. I highly recomend it. We also did this dvd in a combination with are son teaching his favorite stuffed animal how to use the potty. We squirted lemon juice in the potty when he put mickey on the motty and when he didn’t it went in his diaper.

    We may have got lucky or were on to something. Either way I’m willing to give any advice I can.

  31. October 9, 2011 at 2:12 pm

    This is a wonderful blog site; I have an autism blog also–just started one this summer, and I would very much like to link yours to mine (& maybe vice versa?)

    I have worked with families and students with ASD for the past 30 years, and have often been asked to share info by wriitng a book. As I am still teaching, I have not yet found the time–however, by means of a Master’s Degree program in Teacher Leadership, I learned about ‘blogs’ and ‘blogging'; and, for now, it is my alternative to a book!

    I will follow this blog, and offer my site as well for viewing (although by no means as developed as this site).
    Kathi B

    • October 10, 2011 at 12:01 pm

      What’s your blog site?

      • October 10, 2011 at 5:53 pm

        Thank you for asking…my blog site is http://www.sharingautismideas.blogster.com

        My approach is a blend of professional and personal experience and education; with the goal of improving the quality of life for individual, family and communities in which there is a connection needing support.

        I like to share help and hope–because I have seen the lifespan for the ASD population–and there is SO MUCH that can be accomplished by never saying ‘never’. My motto is, as Marc Gold spoke so well some decades ago, “try another way”!

  32. October 21, 2011 at 11:13 am

    I was very happy to find this site.I wanted to thank you for this great read!! I definitely enjoying every little bit of it and I

    have you bookmarked to check out new stuff you post.
    Thank,
    Free Potty Trening

  33. eDee
    November 13, 2011 at 3:54 pm

    Training my autistic daughter was FAR easier than training my “Normal” one, even though I trained them the same way.

    I put the potty in front of their favorite movie, put a little table in front of the potty and gave them breakfast, played and watched TV until then went (Since they woke up dry, that was pretty quickly.) As soon as they peed on the potty I had them look at the pee, and gave them M&M’s.

    My Autistic daughter picked right up on it. Potty equals a couple of M&M’s. Peeing on the floor equals no M&M’s. The only time she got M&M’s was went she used the potty. She was trained in a few days.

    My “normal” daughter understood the idea, what she was supposed to do and what she would receive after she completed the task – I swear she wasn’t trained until Kindergarten!!

  34. December 18, 2011 at 8:02 am

    I just wrote a blog post about our potty training success with our severe asd son. You can read it at

    Check it out!

  35. January 3, 2012 at 7:23 am

    this link is definitely helpful. my mom has one of the struggles for my little sister especially for going to toilets. good thing ive read this one so i can share this with my mom.

  36. S.Williamson
    February 12, 2012 at 10:14 pm

    Do anybody have any ideas on how to toilet train an 8 yr old female,we were recently diagnosed with autism she goes #2 in the toilet just fine. It’s #1 were having a hard time with,she sits on the toilet until someone comes and gets her off. Any suggestions would be helpful rather it be books/dvds/vhs.

  37. February 13, 2012 at 11:30 am

    This is simply good advice for anyone having trouble potty-training their kid.

  1. October 13, 2011 at 3:14 pm

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