Hello,
I have a 6 yr old K student with moderate to severe autism, who we are working on toilet training with. He has chronic constipation, which leads to frequent sudden BMs throughout the day. Because of this we are leaving the student in pull-ups, as his doctor believes BMs are not something he will have the ability to control. We are having a heck of a time toilet training this student.
Here is what we have done sofar:
Track the times he pees throughout the day so we have a sense of when he will need to go
"Flood" him with liquids and spend 2 full school days on the toilet so he gets an idea of what we want him to do
Follow a picture schedule including a picture of peeing on the toilet
Reserve his favorite treat (chocolate pudding) only for when he pees on the toilet
The problem is, he just holds it in! He will sit for upwards of 90-120 minutes (with vidoes, songs, toys, etc) before going on the toilet, beyond when he would normally pee if he was walking around in his pull up. For example, normally he goes at around 10:10 in his pull-up. If he is on the toilet, he will hold it in until 11:30-12:00. Our hope was eventually he would give in and start using the toilet so he could go on with his daily routine and not sit on the toilet all day. This has been going on for 3 weeks and he simply spends most of his day sitting on the toilet, holding in his pee, asking for "pants on" so he can pee in his pull-up
Monday we started cutting a hole in his pull up so he could experience being wet. He does not seem to care.
I would appreciate ANY suggestions! Thanks so much!