February 1, 2024

Step-by-Step: Potty Training a Child with Autism

Potty training can be an overwhelming process for parents. Potty training a child with autism can make the process seem even more daunting.

Potty training can be an overwhelming process for parents of young children. Potty training a child with autism can make the process seem even more daunting. But not to worry, with consistency and patience, children with autism can be successfully potty trained.

When to begin potty training – There is no magic age to start potty training, as it varies from child to child. Children with autism are not always developing at the same pace as their same-aged peers. However, no matter what your child’s current functioning level is, you should be able to start the potty training process around age 3.

Step-by-Step: Potty Training a Child with Autism

  • It is best to begin during a time when you have at least 3-4 days in a row to devote to potty training (i.e., a holiday break or a long weekend).
  • Divide potty training into two phases:
  • Phase 1 – Urination
  • Phase 2 – Bowel movements
  • Start by working on phase 1, and once your child is consistently urinating on the toilet, you can then begin working on phase 2.
  • When potty training boys, have them sit instead of stand. This will make it easier when you introduce phase 2.
  • When begin the toilet training process, begin to slowly fade out the use of diapers or Pull-Ups. If your child learns that they will go back to wearing a diaper every time they don’t go in the toilet, they will most likely wait until the diaper is on to urinate.
  • Make highly desired items (i.e., IPad, computer games, favorite treat, etc.) contingent on urinating in the toilet. Do not give your child access to these items at any other time. Restricting these items will increase their reinforcing value, making urinating in the toilet more motivating.
  • Provide natural consequences for accidents. Never yell or scream when accidents occur. Instead, have your child help with the clean-up, change themselves (to the best of their ability), and put their dirty clothes in the laundry.
  • Expect some resistance from your child when you begin toilet training. Children with autism love routines, and you are going to disrupt their normal routine as soon as you start potty training. Negative behaviors like crying and screaming are very likely in the beginning. It is important to ignore these behaviors and continue with the process. Once they learn the new potty routine, the behaviors will decrease.
  • Be consistent. Once you start potty training, stick with it! Requiring your child to use the potty one day, and then putting them back in a diaper the next can be confusing and will most likely extend the potty training process.
  • Once your child is consistently urinating in the toilet, you can move onto phase 2 and follow the same steps. It is common for phase 2 to take longer, so do not get discouraged if your child is more resistant at first.

Following these general guidelines can help with the potty training process. It is important to remember that every child is different, and what works for one child may not work for another. If you have been trying to potty train your child without any success, it is recommended that you contact a professional to assist you. Someone with knowledge and experience with potty training can write an individualized plan tailored specifically for your child.

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Although we talk about our services here, our highest goal is for you to feel comfortable and knowledgeable about picking a provider that is the best fit for your needs. You are making a decision that will impact the entire trajectory of your child’s life!
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Our infant daughter was in physical therapy with Anna Zahn for about five months.  Anna was consistent, patient, and wonderful with our daughter.  Anna was also clear in her communications with us as parents which helped us understand our daughter's progress and needs, as well as how we could help our daughter at home.  While we are proud that our daughter graduated PT, we will miss Anna's warmth and kindness.

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I cannot say enough nice things about the staff! My son worked with Khadija as his ABA therapist and is finishing up this week with his OT, Sabrina. They were really instrumental in helping us navigate a new diagnosis. Both were so easy to approach with questions. From Leeann at the front desk to the RBTs (Alex, Rabbia, Molly, and many others), we always felt so welcomed. It seems like the staff genuinely enjoy their jobs, consistently offering feedback and suggestions on how to help my son.

Jennifer Peyer

We have been working with the amazing team at NSPT for many years. They have been essential in understanding and supporting our child. I recommend their services to anyone looking for their specific type of support.Posted to

Monica Terése Carranza

They are so sweet and kinds persons with professionalism and really worried about the kids and how help they to get new skills and moving forward with knowledge.

Alejandra M.

NSPT is fantastic! All of the staff are wonderful, accomodating, and make you feel welcome and comfortable. Alan is fantastic - he has helped our family tremendously and has such patience and purpose in everything he does.

Alex Ehrhardt

North Shore Pediatric Therapy has been amazing.  They have done a great job adjusting to the specific needs of my autistic child.

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