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Consultant for Pediatricians. Vol. 8 No. 7 Toilet Training: Strategies for Success in Children With Developmental Disabilities
By ALISON SCHONWALD, MD
Harvard Medical School | June 30, 2009
Dr Schonwald is assistant professor of pediatrics at Harvard Medical School in Boston.
ABSTRACT: The readiness of a child with a developmental disability to begin toilet training is determined by his or her achievement of the requisite developmental milestones rather than by chronological age. The specific strategies used in training are determined by the child's specific diagnosis. Children with attention–deficit/ hyperactivity disorder may benefit from a wristwatch that beeps to remind them to stop what they are doing and take a bathroom break. Children with an autism spectrum disorder may require visual aids that indicate toileting steps and expectations. For children with sensory processing differences, interventions that optimize stool comfort and regularity may be needed. Both children and their parents benefit when toileting is broken down into the various discrete skills and steps that are involved.
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