Are Nighttime accidents are common with ADHD??

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I'm not understanding the recommendation for a behaviorist. If the issue is drinking before bedtime, dont you just stop the kid from drinking before bedtime? What would a bahaviorist do??

Asssumption of our behaviorist is that there is some conscious control, even in sleep. So rewards for making it through the night without bedwetting. In our case, we also had issues during the daytime, so there were rewards for daytime too. Seemed to help day and night, but kids do grow out of it anyway, so maybe it was a coincidence. Still, despite what some doctors tell you, there is a small percentage of adults who still wet their beds, so I would not just ignore it.

Another place to try is the Johns Hopkins Voiding Improvement Program. I've never been there, but they check for physical problems, and if there are none, look at pyschological approaches. I think Children's Hospital has a similar program.

https://www.hopkinsmedicine.org/johns-hopkins-childrens-center/what-we-treat/specialties/urology/pediatric-voiding-improvement-program.html

Your behaviorist is clueless. Please don't listen to this. This is not a behavior problem, it involves the development of the nervous system. The nervous system, when developed more, will do all the right things to a)slow down the production of urine while sleeping and b) tell the brain when the body does need to eliminate. For some reason, this delay does seem to present more in boys with ADHD. For some reason, that sleep alarm can cause success in strengthening those nervous system signals. It worked for my DD at the age of 8. Just wearing the alarm was about all it took. I highly recommend it. Please don't reward for staying dry. This is not a conscious behavior problem. PP's "behaviorist" is a scam artist.

Trust me, my behaviorist is very good. YMMV.

[Anonymous]

<<Asssumption of our behaviorist is that there is some conscious control, even in sleep. So rewards for making it through the night without bedwetting. In our case, we also had issues during the daytime, so there were rewards for daytime too. Seemed to help day and night, but kids do grow out of it anyway, so maybe it was a coincidence. Still, despite what some doctors tell you, there is a small percentage of adults who still wet their beds, so I would not just ignore it. >>


This advice alarms me as well. As a parent of a child who wets his bed at night, I know he always feels so bad about himself and discouraged when he wakes up from a deep sleep to a wet bed. He as been anxious about sleep overs and sleep away camp because of this. If i was to start giving him an award for keeping his bed dry, I think this would just add to his sense of failure and anxiety when it is occasionally wet.

[Anonymous]

Anonymous wrote:<<Asssumption of our behaviorist is that there is some conscious control, even in sleep. So rewards for making it through the night without bedwetting. In our case, we also had issues during the daytime, so there were rewards for daytime too. Seemed to help day and night, but kids do grow out of it anyway, so maybe it was a coincidence. Still, despite what some doctors tell you, there is a small percentage of adults who still wet their beds, so I would not just ignore it. >>


This advice alarms me as well. As a parent of a child who wets his bed at night, I know he always feels so bad about himself and discouraged when he wakes up from a deep sleep to a wet bed. He as been anxious about sleep overs and sleep away camp because of this. If i was to start giving him an award for keeping his bed dry, I think this would just add to his sense of failure and anxiety when it is occasionally wet.

Like I said, it seemed to work, and the behaviorist has helped us in other many areas. She did ask us a lot of questions about frequency (not often), feelings (embarrassed) and so on. Also we had daytime accidents, which were also part of it, and my kid was definitely aware of the daytime accidents, but said he couldn't make it to the bathroom in time. And we already had a full behavioral program, so this was a piece of something much bigger that my kid was already doing and had bought into. Her approach was very tailored to our specifics, so maybe in other cases, she wouldn't have tried it.

[Anonymous]

A review paper found that behavioral therapy can help bedwetting, but urine alarms and medication are more effective.

https://www.ncbi.nlm.nih.gov/pubmed/23881652

[Anonymous]

No tor my child.

[Anonymous]

What are those medicines recommended at the end?

https://www.ncbi.nlm.nih.gov/pubmed/23881652

[Anonymous]

Anonymous wrote:My 10 year old DD had frequent accidents. I purchased the bed wetting alarm from Amazon for $100. The bed wetting issues were resolved in a few weeks. It's been over a year, and she will have an occasional accident when she's extremely tired but other than that she's dry every night.

Pls. recommend your alarm.

[Anonymous]

Anonymous wrote:What are those medicines recommended at the end?

https://www.ncbi.nlm.nih.gov/pubmed/23881652

Tricyclic Antidepressants. Trade names Tofranil and Elavil.

[Anonymous]

Anonymous wrote:

Anonymous wrote:<<Asssumption of our behaviorist is that there is some conscious control, even in sleep. So rewards for making it through the night without bedwetting. In our case, we also had issues during the daytime, so there were rewards for daytime too. Seemed to help day and night, but kids do grow out of it anyway, so maybe it was a coincidence. Still, despite what some doctors tell you, there is a small percentage of adults who still wet their beds, so I would not just ignore it. >>


This advice alarms me as well. As a parent of a child who wets his bed at night, I know he always feels so bad about himself and discouraged when he wakes up from a deep sleep to a wet bed. He as been anxious about sleep overs and sleep away camp because of this. If i was to start giving him an award for keeping his bed dry, I think this would just add to his sense of failure and anxiety when it is occasionally wet.

Like I said, it seemed to work, and the behaviorist has helped us in other many areas. She did ask us a lot of questions about frequency (not often), feelings (embarrassed) and so on. Also we had daytime accidents, which were also part of it, and my kid was definitely aware of the daytime accidents, but said he couldn't make it to the bathroom in time. And we already had a full behavioral program, so this was a piece of something much bigger that my kid was already doing and had bought into. Her approach was very tailored to our specifics, so maybe in other cases, she wouldn't have tried it.

What helped with daytime accidents? Clearly if they are not making it on time, there is something physical going on, and while behavioral strategies can certainly help they won't solve the entire problem. We are dealing with this with our child (who is in therapy and seeing a doctor for this), and curious what worked for you. Did the daytime accidents stop?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:<<Asssumption of our behaviorist is that there is some conscious control, even in sleep. So rewards for making it through the night without bedwetting. In our case, we also had issues during the daytime, so there were rewards for daytime too. Seemed to help day and night, but kids do grow out of it anyway, so maybe it was a coincidence. Still, despite what some doctors tell you, there is a small percentage of adults who still wet their beds, so I would not just ignore it. >>


This advice alarms me as well. As a parent of a child who wets his bed at night, I know he always feels so bad about himself and discouraged when he wakes up from a deep sleep to a wet bed. He as been anxious about sleep overs and sleep away camp because of this. If i was to start giving him an award for keeping his bed dry, I think this would just add to his sense of failure and anxiety when it is occasionally wet.

Like I said, it seemed to work, and the behaviorist has helped us in other many areas. She did ask us a lot of questions about frequency (not often), feelings (embarrassed) and so on. Also we had daytime accidents, which were also part of it, and my kid was definitely aware of the daytime accidents, but said he couldn't make it to the bathroom in time. And we already had a full behavioral program, so this was a piece of something much bigger that my kid was already doing and had bought into. Her approach was very tailored to our specifics, so maybe in other cases, she wouldn't have tried it.

What helped with daytime accidents? Clearly if they are not making it on time, there is something physical going on, and while behavioral strategies can certainly help they won't solve the entire problem. We are dealing with this with our child (who is in therapy and seeing a doctor for this), and curious what worked for you. Did the daytime accidents stop?

We had my DD checked out physically, but no problem was found. The problem is she gets so hyperfocused she misses the urge until it's too late, particularly when using books and screens. We already have daily checklists for all the things she needs to do during the day, and gets a reward at the end of the day depending on how well she did. We had to limit book and screen time to short intervals and add bathroom breaks to the checklists. We've only had one accident in the last about six months, and that was when we accidentally let her stay on a tablet too long. After doing the scheduled bathroom breaks for a while, she got better at going to the backroom as needed, but I suspect if we gave her unlimited books or screens, she would still have an accident.