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Toileting
Toilet training can be a difficult task whether your child has autism or not, but the process for children with ASD may take a little longer and need different approaches.
There are many good sources of information for toilet training such as the National Autistic Society (NAS) or Education and Resources for Improving Childhood Continence (ERIC) (contact details listed below).
We have listed some top tips relating to toilet training for you to consider.
Some children with ASD may be prone to constipation or loose poos. They may experience both, at different times, or at the same time (if the bowel is blocked, then only liquid matter can pass the blockage). If difficulties persist, or you are concerned in any way, contact your GP, health visitor or school nurse to provide advice and, where necessary, to consider possible medical reasons for their difficulties.
Top tips
- Ensure that everyone involved with your child is aware of the approach that you have decided to follow so that you are all consistent.
- Use your child's preference for routine to support the learning process.
- Be aware that your child may not like change and therefore it may be easier not to toilet train using a potty as this will involve a further change from potty to toilet.
- Observe your child to try and establish when they wee and poo so that you can try and establish when you are likely to need to take them to the toilet.
- Have a visual sequence beside the toilet to help your child understand what to do.
- Some children may find bowel movements frightening so it may be useful to explain the digestion process.
- If your child is constipated, ensure they drink plenty of water and increase the amount of fruit and vegetables they consume (even if it’s lots of the same ones).
- Some children may prefer the feel of a full nappy and be reluctant to change.
- Consider the toilet and bathroom environment and how this will affect your child’s sensory issues.
- Some children enjoy the feel of smearing poo and therefore alternative acceptable sensory activities need to be provided instead.
- Consider what alternatives are available if your child does not like the texture of toilet paper. For example, wet wipes.
- Avoid childlike terminology as it may be difficult to change language later in life.
- Use the same toileting routine in the community and when visiting new places as you do at home.
