December 1, 2016

Potty Training with Autism (Part 2)

If you missed Part 1, you can read that HERE.

Today I'm going to talk about how things are currently going.  Let's start with how things are going at therapy because it's less complicated. :)

Once Kase started back at therapy after being home those three days, he had a couple days where they only focused on toilet training.  I mean he would do things in between, but he didn't do the small group stuff that he usually does.  It was all one on one and focused on going to the bathroom every 15 minutes.  He did awesome!  They gradually increased the intervals and noticed he was doing a really good job holding it longer.  Before I knew it, they were only taking him every 30 minutes and he was staying dry pretty much all day.  By the end of that first week back they were ready to have him back in the small group classroom.  He does that four days a week from 9:00-11:30 (then the rest of his time there is one on one therapy).  He did great with the transitions.  He's now (as of this week) up to 45 minute intervals and staying dry for most of the days.  He will have very small accidents where it's like he starts to go and then realizes he has to hold it.  It's such a little amount that they aren't even considering it an accident.

At home things are a little trickier.  Kase does not yet have the ability to tell us when he needs to go potty.  So we have to set the timer and make sure we're taking him regularly, but also keep a close eye on him in between to see if he's showing signs of needing to go or if he had an accident before the timer went off.  Let me tell you, doing all of that, on top of taking care of my other two children, cooking, cleaning, etc., it is HARD.

The easy way out has been to put pull ups on him.  We've tried to still keep up with the timer and the intervals, but keep the pull up on, just in case.  And even though there are times when I felt like I had no other choice, I think it's setting him back.  I think he is very aware of the difference between underwear and a pull up and he knows it's OK to pee in the pull up.

This past weekend (and all of this week so far) we have been back to him being in underwear at all times except at night.  It's been really hard.  He's had accidents and he has been fighting it a little more to go to the bathroom.  After meeting with his lead therapists yesterday, I think I just am worrying about the accidents too much.  They are only taking him every 45 minutes there and he doesn't have accidents and goes potty each time.  At home, I need to stick to the 45 minutes or close to it.  My problem is when I get home from picking the kids up, I'm not sure when he's gone last so I take him every 10ish minutes so he doesn't have an accident.  Most times he doesn't go and then he gets irritated that I'm taking him so often.  If I stick to the 45 minutes, I think he will go more willingly and if he happens to have an accident in between, it's not the end of the world.  His therapists told me sometimes having accidents is the best way for him to end up being fully trained because he won't want to do that in the future and will hopefully start telling us he has to go.

They also told us yesterday in our meeting that in the morning during group circle time he said, "I need potty."  They took him to the bathroom and he went!  Yay!  Hopefully more of that is to come! :)

I know every kid is different, but I thought me sharing our story might be valuable to someone.  Although we're not completely there yet, I am confident that we are going to make a ton more progress in the next couple of weeks.

And because I like pictures and these two posts have been boring or irrelevant to many, I thought a cute picture of my boy was necessary!


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