Toileting can be a challenging topic for parents, in this article we explore the link between autism and wetting themselves.

Toilet training

One of the issues that some parents of autistic children may encounter is their child continuing to wet themselves beyond the typical age.

This can be a source of frustration and concern for both parents and the child.

As with so much to do with autism it’s essential to approach this matter with empathy and patience.

We will delve into why some autistic children may struggle with toilet training and how parents can overcome this challenge.

Lets first look at some of possible reasons for the struggles;

Sensory factors

As we know, autistic children can have a number of sensory issues to contend with.

These can make the process of toilet training more challenging.

The feeling of pushing or the sound of flushing can be overwhelming for some autistic children.

This can end up leading to resistance when it comes to using the toilet.

These sensitivities can make the transition from diapers/nappies to using the toilet a more extended and delicate process.

Communication

It stands to reason effective communication is crucial for successful toilet training.

Autistic children may struggle with verbal communication or have difficulty expressing their needs.

This can make it harder for them to let their parents know when they need to use the bathroom, leading to accidents.

It’s essential for parents to be patient and look for other cues that their child may use to signal their need for the bathroom.

Routine and predictablilty

We often talk about how autistic children thrive on routines and predictability.

Any disruption to their routine, such as a change in the bathroom environment or a different toilet, can be distressing.

This anxiety can lead to accidents, as the child may be too preoccupied with the changes to focus on using the toilet.

Where possible try to maintain a consistent and structured toilet training routine that aligns with the child’s preferences.

Anxiety

Many autistic children sadly experience higher levels of anxiety and stress, which can impact their ability to use the toilet successfully.

Anxiety can lead to a variety of physical and emotional responses, including difficulties with bladder control.

Parents should be aware of their child’s triggers for anxiety.

From there aim to create a calming and supportive bathroom environment.

Sensory seeking

Something which can’t be ruled out is that some autistic children may engage in sensory-seeking behaviours.

These can involve playing with water or other sensory experiences related to toileting.

This exploration can distract them from the primary purpose of using the toilet, resulting in accidents.

Parents can work with therapists and specialists to develop strategies to redirect sensory-seeking behaviour appropriately.

Fixations

Autistic children can become fixated on certain experiences and objects. These fixations can become all consuming and lead to toilet mishaps.

An example would be a child who is obsessed with trains, wanting to play with them 24/7.

When it came to the signals his or her body was making around passing urine, they may be ignored or de-prioritised.

What Parents Can Do

Getting over toilet related mishaps can take time and a great deal of patience.

Here are some things to try;

Keep a constant routine;

Where possible, try to maintain a consistent bathroom routine and make the bathroom as appealing as possible.

Consider using visual schedules and social stories to help your child understand the process.

Lots of praise

Encourage your child’s efforts, no matter how small, and avoid punishment for accidents.

Positive reinforcement and praise can go a long way in building their confidence.

Use visual supports

Visual cues, such as pictures or charts, can help your child understand the steps involved in toileting.

You could try for example having just a simple picture of a toilet to assist in asking your child if they need to go.

Consider sensory factors

Take note of your child’s sensory preferences such as for or against smells or lights.

Knowing what they prefer, try to make the toilet as appealing as possible.

This could involve removing air fresheners and dimming lights.

Get help

Consult with healthcare professionals and therapists who specialise in autism. They can offer guidance tailored to your child’s specific needs.

You can also reach out to forums and other community groups for ideas.

Summary – Autism and wetting themselves

Toilet training can be a prolonged and challenging journey for many parents.

But for those in our position, the link between autism and wetting themselves can be a real problem.

Things like constipation and even going to the toilet on the floor can be common.

However, by understanding the underlying reasons for toileting difficulties parents can help their children make progress at their own pace.

Remember that every child is unique, and what works for one may not work for another.

Patience, empathy and commitment ultimately lead to success in this important milestone.

Good luck