Children with sensory processing disorder may experience difficulties with potty training due to several different reasons. The texture of toilet paper, underwear or the toilet seat itself can be overwhelming and lead to a child avoiding potty training. The feeling of soiled clothing might be intensely unpleasant.
Difficulty with proprioceptive body awareness can make it quite challenging to recognize the internal cues indicating a full bladder or bowel. They might not feel the urge to go until it's too late for them and they have an accident.
The sound of a toilet flushing, running water or the sounds in a public restroom can be very distressing and trigger a child to avoid toileting. Bright lighting in the bathroom can be too overwhelming and create anxiety around using the toilet. Problems with vestibular balance and coordination can make sitting on the toilet challenging or even frightening.
Successful potty training for a child with sensory differences will require patience, understanding and a an approach that addresses the child's specific sensory needs. Create a calm and predictable bathroom environment. Minimize distractions with dim lighting and play calming music. Consider using a weighted lap pad to provide deep pressure input which can be calming for the child.
Don't rush the child or the process. Start with getting your child comfortable in the bathroom. Let them explore the toilet and its functions at their own pace. Introduce new elements like toilet paper one at a time. Use soft toilet paper, offer comfortable clothing and allow your child to choose their own underwear.
Focus on rewarding efforts rather than punishing accidents. Use a reward chart or other positive reinforcement strategies. Avoid shaming or pressure. Use visual aids like a potty training chart, picture schedule, or social story to help your child understand the process.
Encourage proprioceptive activities that improve body awareness such as playing activities that involve pushing, pulling or carrying weights. (heavy work) An occupational therapist can assess your child's sensory needs and develop a customized potty training plan to address specific challenges.
The type of potty can significantly impact a child's comfort and willingness to use it. Choose a potty that is appropriately sized and shaped for your child's body. Select a potty made of a material that is comfortable to the touch and avoid overly cold or hard surfaces. Some potties have features like built-in music or lights, which might be either distracting or helpful depending on your child's sensory needs and preferences.
Potty training a child with sensory processing disorder is a marathon, not a sprint. With patience, understanding and the right strategies, you can help your child achieve this milestone and feel successful. Remember to celebrate every small success and seek professional support when needed.
An occupational therapist can be invaluable in creating a potty training plan for your child and provide you with guidance throughout the process. Good Luck!!
