• February 23, 2010

Potty Training: Learning to the Use the Toilet

Key takeaways.

  • There is not one “right” way or one “right” age to start potty training.
  • Look for signs that a child is ready to begin potty training
  • Know when it is not a good time to start potty training
  • Ensure all caregivers create a supportive environment for success

Signs a Child is Ready for Potty Training

When and how to help a child learn to use the potty depends on how ready the child is, as well as each family's own beliefs and values about toilet training..

Most children develop control over their bowel and bladder by 18 months. This skill is necessary for children to physically be able to use the toilet. How ready a child is emotionally to begin learning to use the potty depends on the individual child. Some children are ready at 18 months, and others are ready at 3. While every child is different, about 22% of children are out of diapers by 2½, and 88% of children are out of diapers by 3½.

A child is ready to learn to use the toilet when they:

  • Stay dry for at least 2 hours at a time, or after naps
  • Recognize they are urinating or having a bowel movement. For example, a child might go into another room or under the table when they have a bowel movement. This is important—if the child does not realize they are having a bowel movement, she won’t be successful at potty training.
  • Develop physical skills that are critical to potty training—the ability to walk, to pull pants up and down, and to get onto/off the potty (with some help).
  • Copy a caregiver’s toileting behavior.
  • Can follow simple instructions.
  • Wants to use the potty. They may tell you they to wear “big boy” underpants or learn to go potty “like Daddy does.” They may feel uncomfortable in a soiled diaper and ask to be changed or ask to use the toilet themselves.

When Not to Start Potty Training

Knowing when not to start potty training is just as important as knowing when to start. there are some issues that can sometimes get in the way of success..

when children are going through a significant change or several changes at once it might be smart to hold off on adventures in potty training. At these times, children often feel overwhelmed and sometimes lose skills they have already learned or were making progress on, like potty training. 

If a child is in the middle of potty training during a stressful time and seems to be having more accidents than usual, know that this is normal. The child needs all of your patience and support right now and will return to their previous level of potty training once things have gotten back to normal.

Common situations that can cause stress and are generally not good times to start training include:

  • An upcoming or recent family move
  • Beginning new or changing existing child care arrangements
  • Switching from crib to bed
  • When you are expecting or have recently had a new baby.
  • A major illness, a recent death, or some other family crisis

Starting Potty Training

It can be helpful to think of potty training as a process in which both you and your child have your own “jobs” to do..

It is a parent and caregivers’ responsibility to create a supportive learning environment. This means they:

  • Recognize the child is in control of his or her body
  • Let the child decide whether to use the potty or a diaper/pull-up each day
  • Teach the child words for body parts, urine, and bowel movements
  • Offer the child the tools she needs to be successful at toileting (such as a small potty, potty seat, stool, etc.)
  • Expect and handle potty accidents without anger
  • Avoid punishment as well as too much praise around toilet use. (This can make children feel bad when they aren’t successful.)

It is the child’s responsibility to:

  • Decide whether to use the toilet or a diaper/pull-up
  • Learn their body’s signals for when they need to use the toilet
  • Use the toilet at their own speed

Browse all resources on early childhood development.

What to Avoid When Potty Training a Toddler

Toilet training is particularly ripe for power struggles because it is so tied up with toddlers wanting to have control over their own bodies..

Toddlers are all about trying to gain some control over their world. They are using their growing physical, thinking, and language skills to gain some power over themselves, their bodies, and their surroundings. This natural and healthy desire for control can lead to power struggles, as children quickly figure out that one way to feel in charge is by refusing to do something they know their parent wants them to do. And, for better or worse, learning to use the potty is way up there on most parents’ list of what they really, really, really want their children to do—and children quickly pick up on that. (Just picture mom and dad clapping and jumping up and down when they see their child’s first bowel movement in the potty.)

It’s important to approach toilet training matter-of-factly and without a lot of emotion. Think of it as just another skill you are helping a child learn. If you show anger or disappointment when it’s not going well, or overwhelming joy when it is, it lets the child know this is something you want them to do badly. Refusing to do it becomes a very powerful way for a child to feel in control. The more emotional you are, the more it shows the child how much it matters to you that they use the potty.

It is also very important not to force a child to use the potty because it can cause intense power struggles. These power struggles sometimes lead to children trying to regain control over their bodies by withholding urine or bowel movements. This can create physical problems, like constipation. If you are starting to see power struggles developing over potty training, it might help to take the pressure off. Stop talking about potty training or doing anything about it for a little while, until the child shows signs of readiness and interest again.

Rewards for Potty Training: To Use Them or Not

Many caregivers wonder about offering rewards for using the potty—a sticker, an extra sweet, or a little toy every time the child is successful on the toilet..

Although these kinds of rewards may encourage progress in the short run, the concern is that for some children, the pressure of “success” in the form of the reward creates anxiety or feelings of failure when they have a (very normal and even expected) potty accident. The other risk is that the use of rewards for toileting can lead children to expect rewards for doing almost anything—finishing a meal, brushing teeth, etc. When parents are matter-of-fact about potty training and don’t make a big deal about it, children are more likely to follow their own internal desire to reach this important milestone.

When Preschoolers Are Still Not Interested in Potty Training

Occasionally, children have physical issues that make potty training more difficult, so a check-up is always a good idea..

Reach out to the child’s health care provider with your questions or concerns about potty training. You may also want to sit down with a child development specialist who can help figure out what the challenges around potty training might be for an individual child and can help you identify toilet learning strategies that might be more successful.

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Potty training: How to get the job done

Potty training is a major milestone. Get the facts on timing, technique and handling accidents.

Potty training is a big step for kids — and their parents. The secret to success? Timing and patience.

Is it time?

Potty training success hinges on physical, developmental and behavioral milestones, not age. Many children show signs of being ready for potty training between ages 18 and 24 months. However, others might not be ready until they're 3 years old. There's no rush. If you start too early, it might take longer to train your child.

Is your child ready? Ask yourself:

  • Can your child walk to and sit on a toilet?
  • Can your child pull down his or her pants and pull them up again?
  • Can your child stay dry for up to two hours?
  • Can your child understand and follow basic directions?
  • Can your child communicate when he or she needs to go?
  • Does your child seem interested in using the toilet or wearing "big-kid" underwear?

If you answered mostly yes, your child might be ready. If you answered mostly no, you might want to wait — especially if your child is about to face a major change, such as a move or the arrival of a new sibling.

Your readiness is important, too. Let your child's motivation, instead of your eagerness, lead the process. Try not to equate potty training success or difficulty with your child's intelligence or stubbornness. Also, keep in mind that accidents are inevitable and punishment has no role in the process. Plan toilet training for when you or a caregiver can devote the time and energy to be consistent on a daily basis for a few months.

Ready, set, go!

When it's time to begin potty training:

  • Choose your words. Decide which words you're going to use for your child's bodily fluids. Avoid negative words, such as dirty or stinky.
  • Prepare the equipment. Place a potty chair in the bathroom or, initially, wherever your child is spending most of his or her time. Encourage your child to sit on the potty chair in clothes to start out. Make sure your child's feet rest on the floor or a stool. Use simple, positive terms to talk about the toilet. You might dump the contents of a dirty diaper into the potty chair and toilet to show their purpose. Have your child flush the toilet.
  • Schedule potty breaks. Have your child sit on the potty chair or toilet without a diaper for a few minutes at two-hour intervals, as well as first thing in the morning and right after naps. For boys, it's often best to master urination sitting down, and then move to standing up after bowel training is complete. Stay with your child and read a book together or play with a toy while he or she sits. Allow your child to get up if he or she wants. Even if your child simply sits there, offer praise for trying — and remind your child that he or she can try again later. Bring the potty chair with you when you're away from home with your child.
  • Get there — Fast! When you notice signs that your child might need to use the toilet — such as squirming, squatting or holding the genital area — respond quickly. Help your child become familiar with these signals, stop what he or she is doing, and head to the toilet. Praise your child for telling you when he or she has to go. Keep your child in loose, easy-to-remove clothing.
  • Explain hygiene. Teach girls to spread their legs and wipe carefully from front to back to prevent bringing germs from the rectum to the vagina or bladder. Make sure your child washes his or her hands afterward.
  • Ditch the diapers. After a couple of weeks of successful potty breaks and remaining dry during the day, your child might be ready to trade diapers for training pants or underwear. Celebrate the transition. Let your child return to diapers if he or she is unable to remain dry. Consider using a sticker or star chart for positive reinforcement.

If your child resists using the potty chair or toilet or isn't getting the hang of it within a few weeks, take a break. Chances are he or she isn't ready yet. Pushing your child when he or she isn't ready can lead to a frustrating power struggle. Try again in a few months.

Nighttime training

Nap time and nighttime training typically takes longer to achieve. Most children can stay dry at night between ages 5 and 7. In the meantime, use disposable training pants and mattress covers when your child sleeps.

Accidents will happen

To handle accidents:

  • Stay calm. Don't scold, discipline or shame your child. You might say, "You forgot this time. Next time you'll get to the bathroom sooner."
  • Be prepared. Keep a change of underwear and clothing handy, especially at school or in child care.

When to seek help

If your child seems ready for potty training but is having difficulties, talk to your child's doctor. He or she can give you guidance and check to see if there's an underlying problem.

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  • Turner TL, et al. Toilet training. https://www.uptodate.com/contents/search. Accessed July 16, 2019.
  • Toilet training. American Academy of Pediatrics. https://patiented.solutions.aap.org/handout.aspx?gbosid=156575&resultClick=1. Accessed July 16, 2019.
  • Berkowitz CD. Toilet training: In: Berkowitz's Pediatrics: A Primary Care Approach. 5th ed. Elk Grove Village, Ill.: American Academy of Pediatrics; 2014.
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potty training for children with challenges

Potty Training for Children with Challenges

Oct 15, 2014

730 likes | 903 Views

Potty Training for Children with Challenges. Christy Moran, OTR Tasha Heinze, SI Rachel Harvey, MOM Chris Asbeck, MOM. OBJECTIVES. Participants will understand general potty training

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Potty Training for Children with Challenges • Christy Moran, OTR • Tasha Heinze, SI • Rachel Harvey, MOM • Chris Asbeck, MOM

OBJECTIVES • Participants will understand general potty training • Participants will understand and be able to adapt potty training techniques to meet individual situations and challenges

What’s the Big Deal? • Recognize the need to go • Wait to eliminate • Enter the bathroom • Pull down clothing • Sit on the toilet • Eliminate in the toilet • Use the toilet paper correctly • Pull clothing back up • Flush the toilet • Wash hands with soap • Dry hands

Where to Start • Start teaching steps 5 and 6 • Sit on the toilet and eliminate in the toilet • You will do steps 1-4 for your child • Recognize the need, wait, enter the bathroom and pull down the clothing • Help your child do steps 7-11 • Toilet paper, flush, pull clothes up, wash and dry hands

Is Your Child Ready? Follow simple directions? Sit in a chair for 5 minutes? Dry for 1 ½ hours?

Are You Ready? Time Patience Consistency

Why Start with BMs? • BM’s are consistent • BM’s are infrequent (once or twice a day) • Diapers are continued during BM training • Less time during the day is needed for BM training for child and parent

Let’s GO! • Determine your child’s pattern • Keep a record for 2 weeks • Do not change your routine during this time • Record from the time your child wakes up, every hour if the diaper is wet, soiled, or dry • Use a chart that you only have to check wherever you normally change diapers • This is to establish your child’s pattern of elimination and make your job easier

Determine the Schedule • Look at the 2 weeks data • Circle the BM’s on the sheet • Is there a pattern?

What Do You See? • This child’s pattern is twice a day – around 9am and 5pm • The focus time would be approximately • 8:45 to 9:05 and 4:45 to 5:05

Focus Time(20 minutes) • Put your child on the potty 15min before anticipated BM. (Approx. 8:45am/4:45pm) • Sit for 5min. Praise for sitting • Wait 10min, if not had BM, put your child back on the potty for 5min • Again - Praise for sitting

Keeping Records • During the first week do not alter the plan • Record when your child sits on the potty (we use x for sitting only) • Record when your child has a BM in the potty (P – BM in the potty!!!!!!) • Record when your child has a BM in the diaper (D – BM in the diaper and what time the BM occured)

Checking ProgressDo We Need to Change? • Are the BM’s still around the anticipated time? • If yes – keep the same plan • Is your child consistently earlier or later than the focus time? • If yes – consider altering the time to better match your child’s body schedule

Consistency • Follow the plan every day • Praise for sitting on the potty • Bigger praise for BM in the potty • During this time do not try to urine train • IF your child asks to go to the potty during other times of the day it is OK

Time for a Change?

Is Your Child Ready to Urine Train? • Begin Urine Training when your child consistently has a BM in the first sitting of toileting times • And they have no more than one BM in the diaper during a typical week

Are You Ready To Urine Train? • Change your child from diapers to training pants during the day • You may want to “double up” on the undies since this may be messy • Children are comfortable wetting in diapers. We need to remove this comfort to be successful. Now comfort comes from staying dry by way of wetting in the potty

Urine Training • Determine a schedule of when your child is most likely to urinate • Look at two weeks data of when they have wet diapers • Circle the U’s on your chart • Find 4 to 6 times a day when they are likely to urinate • Add those times to the schedule you already have

New Schedule • This child has 4 times they are likely to urinate – 7am, 11am, 2pm, and 7pm • Add those times to your new schedule • Use the same focus times as before – start 15 minutes before anticipated urination, sit for 5 min, praise for sitting, 10 min later if still dry, sit for 5 min, praise for sitting

Record Keeping Again • During the first week do not alter the plan • Record when your child sits on the potty (we use x for sitting only) • Record when your child urinates (U) or has a BM • Record if it is in the potty (P) or in the training pants/diaper (D)

Do We Need to Change? • Are the U’s still around the anticipated times? • If yes – keep the same plan • Is your child consistently earlier or later than the focus time? • If yes – consider altering the time to better match your child’s body schedule

Consistency • Follow the plan every day • Do not change the plan the first week • Use the same words/signs/pictures • Use the same toilet if you can. • If your child shows signs of a BM (squatting, straining, going behind the sofa) or needing to urinate (holding themselves, crossing legs) at other times, go ahead and let him potty

Rewards • Use rewards to increase desired behavior • Start small – for just sitting on the potty • Work up to sitting for 5 minutes • Then give for eliminating in the potty • Use immediate rewards – praise, high fives, hugs, stickers, goldfish crackers, teddy grahams • Have them close by (immediate)

Reward or Not? • Decide ahead of time what gets reward • Make it easy to achieve • IF they do not do the behavior – do not give a reward • Quietly lead your child out of the bathroom • Do not talk about the missed reward

No Attention (?) • When they soil or wet their diaper/pants - quietly change them in the bathroom • Try to focus on changing without making eye contact or talking to your child • Then quietly lead them out of the bathroom • If your child is given attention for accidents they are likely to continue

More Keys to Success • Use the regular toilet from the start • If your child is too small, use a smaller seat that sits over the regular one • Have a stool/bench to help your child get onto the toilet and to place their feet on while on the toilet. This will help them feel more secure, and relax better. • If you use a potty chair, keep it in the bathroom

Even More Keys to Success • Limit distractions in the bathroom • Talk about the toilet and what you want your child to do in a concise, non-demanding way • Sing a potty song • Wait patiently • Give reinforcements • Do not turn it into “playtime with mommy”

Phasing Yourself Out • When your child is consistent with sitting on the potty, begin to phase yourself out • Start by attending to other things in the bathroom • Then wait at the door • Then leave the bathroom, start brief then gradually go for longer periods of time

Phasing Out Rewards • As your child is beginning to use the potty with consistency begin phasing out the rewards • IF you have done stickers or food, begin to give them less often or move to High Fives • Continue to tell your child that you are proud of him for going to the potty

Adaptations

Positioning • IF your child has high or low muscle tone, or if they seem to be “wobbly” and lean often when sitting make sure their feet are on a firm surface, like a wooden stool • They may need arm rests, or to hold onto the counter/wall • They may need to sit facing the back, straddling the toilet, with arms on tank • This is also good for boys to learn aiming

Picture Schedules • If your child learns better from pictures than from words you may want to have a picture schedule for toilet training • It should be brief but contain the information your child needs • It could be in a book format for reading OR in line format that you have on the bathroom wall easily visible from the toilet

Vision Impairment • The same readiness signs apply • Follow simple directions • Sit in a chair for 5 minutes • Stays dry for 1 ½ hours • The same positioning tips apply • Have a firm surface for their feet – wood bench

Looking With Your Hands • The child with severe vision impairment will need to touch and feel the toilet and toilet paper with your hands guiding them • They may need to touch the bowel movement or urine to understand • This is ok at the beginning but should not become a part of the regular routine

Constipation • Liquid Intake • Most children need 1 ½ ounces of fluid per pound of body weight • Hot weather, fever, and excessive drooling can cause that to go to 2-3 ounces per pound • Fiber Intake • Add fiber to your child’s diet through fresh fruits, vegetables, whole grains, and cooked beans

Daycare / Preschool

What Do They Do? Habit Training Token System Potty Day

Habit-Training Program • Once a day (usually in the morning) the child drinks liquid (2-4oz) prior to toileting • The child sits on the toilet until they urinate in the toilet. (Up to 30 minutes) They may need to stand up or walk in the bathroom a minute • If they have not urinated within 5-10 minutes more liquid is given (8-10oz) while on the toilet

What Else? • Wait until the child urinates. • When the child starts to urinate stay quiet, then praise them for urinating in the toilet. • IF they have an accident while they are standing, try to catch it in a cup and put it in the toilet. Do Not scold. • Do this once a day until they are urinating within 2-3 minutes of getting on the potty

Continuing • Add toilet times during the day • Start with one additional, then when they are urinating within 2-3 minutes each time add another • Eventually your child should urinate whenever you put them on the potty. This means that they are “Habit Trained”

Moving to Independent • Once your child is habit trained, teach words, signs, or use of pictures so they can let you know when they need to potty • Give them reminders or suggestions but do not take them until they ask. When they have accidents change them in the bathroom as quietly as you can without giving attention

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Toilet Training for Children with ASD

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Toilet Training for Children with ASD

Page 1 Toilet Training Presented by: Brittain Coleman, MA, BCBA Tracy Palm, MS, BCBA.

potty training powerpoint presentation

The ABCs of Potty Training

potty training powerpoint presentation

The ABCs of Potty Training. Assess Your Childs Readiness Skills Most people being training when their child is about 2 ½ Some children, however, may not.

potty training powerpoint presentation

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potty training powerpoint presentation

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The best 3 day potty training method that drives fruitful results. learn how to potty train your child in three days with video and e-book. get free pdf here:- – powerpoint ppt presentation.

  • Most people begin toilet training when their child is about 2 ½ years old
  • Some may be ready earlier
  • Some may not be ready until later
  • Girls are usually potty trained before boys
  • Signs to watch for
  • Imitating others bathroom habits
  • Holding themselves
  • Dancing around
  • Unable to focus on task at hand
  • Invest in a child-sized potty or a special seat that attaches to your regular toilet
  • Make sure the child is secure and stable
  • Before beginning . . . pick up an explanatory video or picture book to get the child interested
  • Set the child on the potty Fully Clothed once a day
  • After breakfast
  • Before a bath
  • This will allow the child to get used to the potty and accept it as part of a daily routine
  • If child doesnt want to sit on it
  • Dont force the issue
  • Dont restrain the child or pressure the child to sit
  • Now set the child on the potty seat without a diaper and pants
  • Explain that this is how BIG people go potty (undressing before you sit down)
  • Some choose to put their child in under ware for a day and closely monitor them
  • Some choose to let the child walk around without anything on (no diaper/pull-up/under ware)
  • Show the child where the bowel movements go
  • If they go potty in a diaper or under ware . . .
  • Bring to the potty
  • Empty into potty
  • Sit them down and explain this is where we go potty
  • After you have done this, have the child flush the toilet to let the child see where it goes
  • Show the child that they then should pull up pants and ALWAYS wash their hands when done
  • Encourage the child to use the potty whenever he feels the urge to go
  • Assure the child that he can tell you when he needs to go and youll help him
  • If possible, allow the child to run around without clothing on from the waist down and keep the potty nearby
  • Remind the child occasionally that the potty is there if he needs it
  • The child may forget!
  • Even though a child may be clean and dry all day long, it might take longer to master night training
  • Use diapers or pull-ups for overnight use, and you may need a plastic mattress cover to minimize clean-up from overnight messes
  • You can help cut down on wet nights by not letting the child drink too much before bedtime
  • Ask the child to call you if he/she wakes up and needs to go potty
  • You may also leave the potty close to his/her room or bed

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