Reply to Desperately need help with toileting issues ....

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[quote=Anonymous][quote=Anonymous]I'd give up (for now) on the sensation thing and just train that every 2-3 hours he needs to go to the bathroom. And it's not acceptable to say he doesn't "need" to go.  Sounds like he's in elementary school.  You can/should explain that he simply must keep his underpants and clothing dry, he's old enough to do this. And, "Since you don't know when you need to go, we're going to do something new.  From now on, at 9am, 12, 3pm, and before leaving a building (to go home, to school, to playground) and when arriving at a building (entering school, house, friend's house) you must go to the bathroom."   He will probably urinate most of the time because his bladder is full.  And when his underpants are dry all day then he gets a toy that he loves (or a special treat like more time on tv, or whatever really works for him).  Eventually, when he's dry more than not, then you can say he gets a chip when he's dry all day, and a certain # of chips get cashed in for special things (5 chips = pizza dinner, 10 chips gets a trip to local playspace, whatever he loves.[/quote]

This is excellent advice but I would add that he gets a token more often: every time he is dry he gets a token so he can earn up to 3 per day and these can be cashed in on the same day, with smaller rewards for 1 token, medium reward for 2, and big reward (toy) for 3.  Keep doing this for at least 3 weeks and see if there is improvement.  The book The Kazdin Method has great advice in general on token systems.  Also Ron Leaf's A Work in Progress has ideas for toilet training in general and explains reinforcement (rewards) and differential reinforcement (different size rewards) well.[/quote]

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