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the potty
files.
@THEBEHAVIORISTMOM
About
Ashley Ochi is a wife, mother, and Behaviorist based
in Santa Barbara, CA. She has a Master’s Degree in
Special Education and Autism Spectrum Disorders,
and is currently accumulating clinical hours toward
a Board Certified Behavior Analyst credential.
What works for one child doesn’t work for all. You already
know that! But, remember to keep it in focus when setting
yourself up for toilet training. I’ve had great success
pairing bathrooms with reinforcement by blowing up
balloons, bringing in exciting toys, and even things like
bubbles and noisemakers. But, I’ve also toilet trained
kiddos who need a calm, underwhelming environment to
feel comfortable and confident. You know your child best,
and don’t be afraid to ask them what they would like to do
with the bathroom and what they would like to earn. This
often takes a lot of the guesswork out of reinforcement,
right off the bat.
Setting Goals:
Flush with Success
Remember that we're asking our children to break from their fun to do
something way less fun- we need to motivate and also allow for natural
Even while still using a diaper or pull-up at night, be sure to take your
little one straight to the potty upon waking in the morning (and even
if they wake in the middle of the night, say because they had a bad
dream) and note whether the diaper is wet or dry at that time. If the
diaper is consistently dry upon waking in the morning for a week,
switch to underwear at night. Use a waterproof mattress protector
during this time to protect your little one's mattress.
If you're finding that your little one consistently wakes with a wet
diaper (when you check the second they wake up), start to limit
fluids in the evening, focusing on good hydration in the earlier parts
of the day. Never deny water to a thirsty child, but try to make sure
thirst is quenched throughout the day so that less water is needed in
the evening. Also make sure to take your little one to the bathroom
as part of the bedtime routine. If nighttime wetting still persists,
speak with your pediatrician.
Fading: Nothing
Gold Can Stay
Because our ultimate goal is for our little ones to be using the
bathroom completely independently, we will need to gradually put the
brakes on our own intervention and on the rewards.
Working Backwards: If your child is really little and/or still needs a lot
of assistance, do not be afraid to help as much as needed. You may
start by identifying what your child can already do by simply saying
“let’s go use the potty!” If your child has no idea what that means,
you’ll start at the door. If your child understands that you mean to go
into the bathroom, but they’re not sure where to start when they see
the toilet, you’ll start at the toilet. With each new task that is mastered,
your child will grow increasingly confident and you’ll be able to scale
back your help.
Fading: Nothing
Gold Can Stay
Example
You may begin by walking your child to the toilet, helping them pull
down their pants, lifting them onto the toilet, saying “let’s go potty
now!,” reinforcing their success at going on the potty, then helping
them wipe, flush, pull up pants. Once this routine has become easy and
you see your child growing confident, you can start to increase
independence by helping with every step of the process up to the very
last one, which you ask your little one to do independently. So, in this
example, you would help with everything up until the point where it’s
time to pull up pants, then say: “okay, pull up your pants!” Or even,
“okay, now what?” Have them complete the last step independently.
As each step is mastered, continue to withdraw your prompting from
each step until you get to the very beginning of the sequence.
Why work backwards? Your child gains momentum and confidence by
going through all of the motions that they’ll have help with first. This
process boosts their confidence so that by the end of the sequence
they know what to do and are eager to do it.
Fading: Nothing
Gold Can Stay
I can’t tell you how many times I’ve heard “I don’t want to reward my
child for that; it’s a basic expectation in this house.” I get it. But,
remember that the only reason you meet those expectations yourself
is because your behaviors were shaped with reinforcement and
punishment. The rewards certainly aren't meant to last forever. In fact,
I suggest having a loose plan for how you'll phase out the rewards
already in place before you begin.
After a few days of complete mastery of your child's current goal, you
may increase the goal to the next logical and feasible step, making the
reward contingent on the new goal. All the while, you want to be
pairing this reward with verbal praise and affirmation. When the whole
process is thoroughly mastered for at least a week, you can start to
reward every other time they go, then only periodically, then not at all.
But, keep the verbal praise going!
When Rewards
Aren't Working
If you've hit dead end after dead end and no reward seems to be
motivating your child, or only motivates them once or twice before
losing its power, you may consider a "punishment" procedure. And no-
we're not talking about time-out, yelling, spanking, lecturing or
shaming.
I've been here before and I've had to use this gentle punishment
procedure. Even though I reserve it as a last resort, it is safe and highly
effective. It is considered a "positive punishment," because you are
adding(positive) something to your child's experience that will
decrease(punishment) the future likelihood of having an accident.
Ashley Ochi
Copyright
Please enjoy this guide and feel free to print a copy for personal
reference. Please do not share or copy it electronically, or
reproduce its contents in any way without the author's
permission. All rights are reserved.