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Note home regarding needing more supplies

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Note home regarding needing more supplies

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OUESD Toileting/ Changing Students Procedure

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OUESD Toileting/ Changing Students Procedure

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Toileting Policies and Practices Self Assessment

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Supporting Toilet Learning and Training in TK Programs

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Supporting Toilet Learning and Training in TK Programs

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VIDEO: Direct Support in the Classroom & Bathroom while Standing (Long Beach USD)

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VIDEO: Direct Support in the Classroom & Bathroom while Standing (Long Beach USD)

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LBUSD - Long Beach Unified School District

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Toileting Procedures - Direct Support in the Classroom & Bathroom While Standing

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VIDEO: Toileting Procedures - Classroom Direct Adult Support (Long Beach USD)

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VIDEO: Toileting Procedures - Classroom Direct Adult Support (Long Beach USD)

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LBUSD - Long Beach Unified School District

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Toileting Procedures - Classroom Direct Adult Support

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VIDEO: Toileting Procedures- Bathroom Guided Adult Support (Long Beach USD)

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VIDEO: Toileting Procedures- Bathroom Guided Adult Support (Long Beach USD)

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LBUSD - Long Beach Unified School District

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Toileting Procedures - Bathroom Guided Adult Support

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Toilet Teaching & Learning Parent Workshop

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Toilet Teaching & Learning Parent Workshop

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Bilingual Toilet Teaching & Learning Parent Workshop 

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Participant Guide Best Practices for Supporting Toileting Independence - Feb.docx

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Cultural Sensitivity in Caregiving Routines: The Essential Activities of Daily Living

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Cultural Sensitivity in Caregiving Routines: The Essential Activities of Daily Living

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List of Books Supporting Toilet Training

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List of Books Supporting Toilet Training

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Children's Home Society- Toilet Training without Tears (Spanish)

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Children's Home Society- Toilet Training without Tears (Spanish)

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Children's Home Society - Toilet Teaching without Tears Spanish

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Children's Home Society- Toilet Training without Tears (English)

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Children's Home Society- Toilet Training without Tears (English)

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Children's Home Society - Toilet Teaching without Tears

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Early Education Bathroom Support (1) (1)

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Healthy Children- The Right Age to Potty Train

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Healthy Children- The Right Age to Potty Train

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Child-development experts believe that toilet training works best for most families if it can be delayed until the child is ready to control much of the process herself. Here are a few developmental milestones a child must reach before they are ready to be toilet trained.

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Toileting Skills Strategies (from Tulare COE)

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Toileting Skills Strategies (from Tulare COE)

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Toileting Skills Strategies, Tulare County

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Orange County Department of Education & Quality Start OC – Tip Sheet for Parents & Educators

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Orange County Department of Education & Quality Start OC – Tip Sheet for Parents & Educators

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Zero to Three – Potty Training: Learning to the Use the Toilet 

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Zero to Three – Potty Training: Learning to the Use the Toilet 

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Potty Training: Learning to the Use the Toilet

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There is not one "right" way or one "right" age to learn how to use the toilet. Here's what to keep in mind to child approach potty training.

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American Family Physician – Toilet Training

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American Family Physician – Toilet Training

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Most children are ready for toilet training by 18 to 30 months. Typical signs that children are ready include:

Being able to walk without help

Being able to take off their clothes

Being able to communicate that they need to use the toilet

Being able to follow simple commands

Showing an interest in toilet training (such as asking to wear "big kid" underwear or imitating parents)

There is no "best" training method, so use the approach that works best for your child and your family. Think about how your child learns best. There are two main approaches: child-oriented training (also called the Brazelton method) and structured behavioral training (also called the Azrin and Foxx method). The child-oriented approach allows training to go at the child's own pace. The structured behavioral approach uses treats and praise when the child successfully uses the potty chair, and gentle discouragements when there are accidents. There are some smartphone apps to help parents and children with toilet training, but these haven't been studied enough for doctors to know how they compare with other training methods.

Setbacks are normal during toilet training. Try to take a patient, encouraging approach. Toilet training typically takes longer for boys. Don't try to train your child before he or she is ready. Starting too soon can end up taking longer. Try not to start training when there are other stressors in your child's life (such as a recent or upcoming move, or the arrival of a new sibling).

Let your doctor know if your child refuses to use the toilet, hides when needing to have a bowel movement, is constipated, or wets the bed. It's okay to take a break from toilet training if there are setbacks, and many of these problems will go away over time.

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Most children are ready for toilet training by 18 to 30 months. Typical signs that children are ready include:

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Centers for Disease Control and Prevention (CDC)

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Children typically go through toilet or potty training between eighteen months and three years old. Here you'll find helpful tips about when and how to get started with your child.

Toilet or potty training is a big step for you and your child. Learning how to go to the bathroom in a toilet is a huge developmental milestone that requires your help - and patience. Typically, children are ready to be toilet trained between eighteen months and three years old. However, every child is different and may need their own time to get the hang of things.

Before you begin the toilet training process, you want to look for these signs in your child's behavior:

Interest in the bathroom. Your child shows an interest in what happens in the bathroom and may want to watch or imitate what he sees.

Recognition of their own body. Your child tells you when he is going to the bathroom or has to go to the bathroom. Your child is learning to control when she needs to go to the bathroom.

Dislike of diapers. Your child expresses to you that he does not like having a dirty diaper and/or wants his soiled diaper changed immediately.

Once you think your child is ready to be toilet trained, there are several methods for toilet training. Regardless of which one you choose, following these general guidelines will help your child reach success:

Establish a routine. Set a schedule for when you take your child to the bathroom. At first, you may need to take him every hour. Make your child sit on the toilet for a few minutes every time you go into the bathroom as part of this schedule.

Make it fun. When you are in the bathroom, have activities and things to do while your child is on the toilet. This is a great everyday (or every hour) opportunity to read books, sing songs, and tell stories.

Praise for success and encourage for improvement. If your child uses the toilet, celebrate! High-fives, happy dances, and positive words are all great ways to show your child how great she's doing. If your child does not go in the toilet after a few minutes, don't show anger or disappointment. Praise her for trying, and encourage her to try again in a while. Say things like, "Oh, not this time. Maybe next time you'll go. Thanks for trying!" Special recognition and reward charts can be very helpful. For example, you can give your child a sticker for every time he goes to the bathroom in the toilet.

Teach them about their bodies' signs. Although you know when you need to go, children don't always recognize the signs that they need to use the bathroom. Talk to your child about what it may feel like when her body is telling her she has to go to the bathroom. You can start by describing what you feel in your body. After your child goes to the bathroom, ask her what it felt like right before so she can associate and remember that feeling with going to the bathroom.

Accidents will happen! Your child likely will have a few accident during the toilet-training process. That's okay! Don't be upset with your child. Talk about what happened together, and what she can do next time to make it to the toilet in time.

Toilets can be scary for some children. It's important to be understanding during the potty training process as some children are genuinely scared of toilets or the idea of going potty in the toilet. Be patient and listen to their concerns.

Sometimes going "number one" is easier to learn than "number two." But patience and positive reinforcement are always the best ways you can help your little one learn.

For more helpful tips on establishing a toilet-training routine, click here.

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Children typically go through toilet or potty training between eighteen months and three years old. Here you'll find helpful tips about when and how to get started with your child. Toilet or potty training is a big step for you and your child.

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UC Davis Health - Five do’s and don’ts of potty training your toddler

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UC Davis Health - Five do’s and don’ts of potty training your toddler

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Potty training tips parents should know about when and how to start

Potty training is an important developmental milestone. But sometimes it can be more stressful for parents than it is for kids!

Most children complete potty training by 36 months. The average length it takes toddlers to learn the process is about six months. Girls learn faster, usually completing toilet training two to three months before boys do. Firstborn children also tend to take longer to learn than their younger siblings, who pick up cues from the older kids.

On their podcast Kids Considered, pediatricians Dean Blumberg and Lena van der List of UC Davis Children's Hospital shared the following five tips for potty training your toddler.

1. DON'T start potty training at an age when you think you should. DO wait until your toddler is ready physiologically, cognitively and emotionally.

For physiological readiness, your child must be able to control the sphincter, the muscle that holds and empties the bladder and rectum. This usually happens around 12-18 months.

For developmental readiness, your toddler should be able to get to the toilet on their own, sit down, pull their pants up and down, and be able to communicate to you or a caregiver that they need to go.

For emotional readiness, your child might show an interest in being potty trained. For example, they might go to the same spot in the house when they need to go. They might tell you when they want their diaper changed. Or they may show that they can hold their pee for longer periods, like waking up from a nap with a clean diaper. This usually happens after age 2.

2. DO get potty gear that makes potty training easy and fun.

Consider getting a small potty seat or outfit your own toilet with an insert and stepstool. Let toddlers pick out the color or design. Getting underwear designed with your child's favorite characters also makes potty training more exciting. Make sure to buy many pairs in case of accidents!

Another tip: Allow your toddler to play on the potty, starting with sitting on it fully clothed, so they can get used to it. Toilet training-themed books, videos, songs and games can also get your child more involved in the potty training process.

3. DO be consistent and give lots of praise while potty training. DON'T force it or punish your toddler.

Create a plan for consistency. A common strategy is taking your child to the potty every 30 or 60 minutes for the first couple of days. If that goes well, try to extend the periods between tries. Some good opportunities to encourage your child to use the toilet include waking up in the morning, after meals, before and after naps, and before bedtime.

Choose a word your family is going to use for pee and poop, and stick to it!

If your toddler doesn't go potty after a minute or two on the toilet, don't force it. Get up, move on and try again later. If your child has an accident, don't punish them. Help them clean up, show them what to do with their dirty underwear and how to change into new ones.

Praise your child every time they make it to the potty, even if things don't go as perfectly as you would like. Reward them with sticker charts in the bathroom or treats like a small candy. Rewards are highly motivating for little kids!

4. DO be prepared for common issues during potty training.

If your toddler is afraid of flushing or sad to see their poop disappear, try making it a fun game, like waving bye-bye as it floats away.

Boys may have more success sitting down. Some might make a big mess standing up. Either way, this is all fine while training.

Some kids may only want to potty with one parent. Others may want to go only at their daycare because their peers do. Encourage success where you can.

If your child is struggling with constipation while pooping, consult your pediatrician before starting potty training.

5. DON'T be frustrated if you experience setbacks while potty training your toddler.

Eighty percent of families will experience setbacks while potty training their toddler. Even if your child is successful making it to the bathroom during the day, it's very common for them to still need diapers or pull-ups during naps and overnight. Most kids, by age 6, will be able to get through an entire night's sleep without having an accident.

If your child isn't making progress, stop the potty training process and try again in another two or three months. Don't let family or friends make you feel you have to do it a certain way or on a certain timeline. Every family and child's situation is different!

More helpful resources for parents on potty training:

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Do's and don'ts of potty training your toddler | Patient Education | UC Davis Children's Hospital

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Potty training is an important developmental milestone. But sometimes it can be more stressful for parents than it is for kids! Most children complete potty training by 36 months. The average length it takes toddlers to learn the process is about six months. Girls learn faster, usually completing toilet training two to three months before boys do.

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Sample Toileting Support Information to Share with Families

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Sample Toileting Support Information to Share with Families

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Orange County Department of Education & Quality Start OC - Toilet Teaching & Learning Kit 2.0

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Orange County Department of Education & Quality Start OC - Toilet Teaching & Learning Kit 2.0

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Positive Parenting Program - Toilet Training Support

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Positive Parenting Program - Toilet Training Support

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Handout 4 – Sample Meeting Form- Individualized Toilet Teaching and Learning Plan 3.0 (OCDE)

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Handout 4 – Sample Meeting Form- Individualized Toilet Teaching and Learning Plan 3.0 (OCDE)

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Nemours KidsHealth –  Toilet Training (for Parents)

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Nemours KidsHealth –  Toilet Training (for Parents)

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When Are Kids Ready to Toilet Train?

Many parents are unsure about when to start toilet training or "potty training." Not all kids are ready at the same age, so it's important to watch your child for signs of readiness, such as stopping an activity for a few seconds or clutching his or her diaper.

Instead of using age, look for signs that your child may be ready to start heading for the potty, such as being able to:

follow simple instructions

understand and use words about using the potty

make the connection between the urge to pee or poop and using the potty

keep a diaper dry for 2 hours or more

get to the potty, sit on it for enough time, and then get off the potty

pull down diapers, disposable training pants, or underpants

show an interest in using the potty or wearing underpants

Most children begin to show these signs when they're between 18 and 24 months old, though some may not be ready until later than that. And boys often start later and take longer to learn to use the potty than girls.

There are some times when you may want to put off starting toilet training, such as:

when traveling

around the birth of a sibling

changing from the crib to the bed

moving to a new house

when your child is sick (especially if diarrhea is a factor)

How Long Does Toilet Training Take?

Teaching a toddler to use the potty isn't an overnight task. It often takes between 3 and 6 months, but can take more or less time for some children. If you start too soon, the process tends to take longer. And it can take months to even years to master staying dry at night.

Potty Types

The two basic potty options are:

a standalone, toddler-size potty chair with a bowl that can be emptied into the toilet

a toddler-size seat that can be placed on top of a toilet seat that will let your child feel more secure and not fear falling in. If you choose this, get a stepping stool so your child can reach the seat comfortably and feel supported while having a bowel movement.

It's usually best for boys to first learn to use the toilet sitting down before learning to pee standing up. For boys who feel awkward - or scared - about standing on a stool to pee in the toilet, a potty chair may be a better option.

You may want to get a training potty or seat for every bathroom in your house. You may even want to keep a potty in the trunk of your car for emergencies. When traveling long distances, be sure to take a potty seat with you and stop every 1 to 2 hours. Otherwise, it can take too long to find a restroom.

About Training Pants

Disposable training pants are a helpful step between diapers and underwear. Because kids' nighttime bladder and bowel control often lags behind their daytime control, some parents like using training pants at night. Others prefer that their child use training pants when they're out and about. Once the training pants remain dry for a few days, kids can make the switch to wearing underwear.

But some people think that disposable training pants might make kids think it's OK to use them like diapers, thus slowing the toilet-teaching process.

Ask your doctor if your child would benefit from using disposable training pants as a transitional step.

Tips for Toilet Training

Even before your child is ready to try the potty, you can prepare your little one by teaching about the process:

Use words to express the act of using the toilet ("pee," "poop," and "potty").

Ask your child to let you know when a diaper is wet or soiled.

Identify behaviors ("Are you going poop?") so that your child can learn to recognize the urge to pee and poop.

Get a potty chair your child can practice sitting on. At first, your child can sit on it wearing clothes or a diaper. When ready, your child can go bare-bottomed.

If you've decided that your child is ready to start learning how to use the potty, these tips may help:

Set aside some time to devote to the potty-training process.

Don't make your child sit on the toilet against his or her will.

Show your child how you sit on the toilet and explain what you're doing (because your child learns by watching you). You also can have your child sit on the potty seat and watch while you (or a sibling) use the toilet.

Establish a routine. For example, you may want to begin by having your child sit on the potty after waking with a dry diaper, or 45 minutes to an hour after drinking lots of liquids. Only put your child on the potty for a few minutes a couple of times a day, and let your child get up if he or she wants to.

Have your child sit on the potty within 15 to 30 minutes after meals to take advantage of the body's natural tendency to have a bowel movement after eating (this is called the gastro-colic reflex). Also, many kids have a time of day they tend to have a bowel movement.

Ask your child to sit on the potty if you see clear clues of needing to go to the bathroom, such as crossing legs, grunting, or squatting.

Empty a bowel movement (poop) from your child's diaper into the toilet, and tell your child that poop goes in the potty.

Avoid clothes that are hard to take off, such as overalls and shirts that snap in the crotch. Kids who are potty training need to be able to undress themselves.

Offer your child small rewards, such as stickers or time reading, every time your child goes in the potty. Keep a chart to track of successes. Once your little one appears to be mastering the use of the toilet, let him or her pick out a few new pairs of big-kid underwear to wear.

Make sure all caregivers - including babysitters, grandparents, and childcare workers - follow the same routine and use the same names for body parts and bathroom acts. Let them know how you're handling toilet training and ask that they use the same approaches so your child won't be confused.

Praise all attempts to use the toilet, even if nothing happens. And remember that accidents will happen. It's important not to punish potty-training children or show disappointment when they wet or soil themselves or the bed. Instead, tell your child that it was an accident and offer your support. Reassure your child that he or she is well on the way to using the potty like a big kid.

Common Toilet Training Problems

Many kids who've been using the potty have some trouble during times of stress. For example, a 2- or 3-year-old dealing with a new sibling may start having accidents.

But if your child was potty-trained and is regularly having problems, talk with your doctor.

Talk to your doctor if you have any questions about toilet training or your child is 4 years or older and is not yet potty trained.

Date reviewed: March 2019

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Even before your child is ready to try the potty, you can prepare your little one by teaching about the process. Here are some tips.

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Healthy Children – Toilet Training: 12 Tips to Keep the Process Positive

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Healthy Children – Toilet Training: 12 Tips to Keep the Process Positive

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Toilet training is a big step in your child's development. Being supportive and positive throughout the potty-training process is key. Here are some tips that can help.

1. Choose your words wisely. Choose positive words your family will use to describe body parts, urine and bowel movements. Avoid words that are negative, like dirty, naughty or stinky.

2. Pick a potty-chair. A potty-chair is a child-sized seat with an opening in the seat and a removable container underneath to collect pee and poop. Children's feet should be able to reach the floor. Books or toys for "potty time" may help make this time more fun.

3. Be a role model. Let your children see you use the toilet and wash your hands afterward.

4. Know the signs. When your children feel the urge to poop, you might notice grunting, squatting or freezing. Children's faces may turn red while pooping. Explain briefly to your children that these signs mean a poop is about to come. If your children tell you about a wet diaper, praise them for "using their words." It may take longer for children to notice the need to pee than the need to poop.

5. Think of toilet training as toilet mastery. Invite your child to take over their toileting. Talk with them about how they will now be in charge of their pee and poop. Read children's books about using the toilet to help the process make sense and seem inviting and exciting. When you start the process, try to turn as much of the care of toileting as possible over to your child. Remember, if parents are in charge, there is less room for children to step in and take charge.

6. Make trips to the potty-chair a routine. Routines are important, and practicing the steps is helpful. Make a habit of seating your children onto the potty-chair first thing in the morning. Boys can urinate by sitting down first and can stand up to urinate when better at it.

7. Expect hesitancy. Taking over toileting is a big step. Many children want their parents to take care of their pee and poop and may seek ways to keep parents involved, such as peeing and pooping into their pants. Gently help them overcome their hesitation. Then help them stay in charge by having them be in charge of the cleanup.

8. When toilet training starts, switch to big-kid underwear. Talk with your children about taking control and toileting into the toilet and not their underwear. Some parents may use cloth training pants, which are a little thicker, to protect children's clothing. (Diapers and disposable training pants send a message to children that they are not taking over and do not need to learn to use the toilet.)

9. Teach your children proper hygiene habits. Show your children how to wipe carefully. Girls should spread their legs apart when wiping. They should wipe thoroughly from front to back. This helps prevent bringing germs from their rectum to their vagina or bladder. Make sure both boys and girls learn to wash their hands well after using the toilet.

10. Be precise with praise. Taking over toileting is something all healthy children do. Achieving mastery is the best reward for toilet training success. Avoid treats and punishments. Because this is an adventure for your children-a reach for new responsibility-treats and punishments distract rather than encourage. When your children succeed, be specific about why you are proud-"I am so proud you are able to use the toilet so well," for example.

11. Avoid a power struggle. Children at toilet training ages are becoming aware of their individuality. They look for ways to test their limits. Some children may do so by holding back bowel movements. Try to stay calm about toilet training. Remember that children control when and where they pee and poop. So power struggles, begging, pleading, rewarding, and punishing keep children from managing their own toileting.

12. Understand their fear. Some children believe that their pee and poop are part of their bodies. They may be scared the toilet will flush parts of them away. Some may also fear they will be sucked into the toilet if it is flushed while they are sitting on it. To give your children a feeling of control, let them flush the toilet.

Toilet training is a learning experience. Follow your child's cues, and remember that they'll get the hang of it at their own pace. Don't hesitate to talk with your child's pediatrician about any questions or concerns you have during your child's potty-training process.

More information

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

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Toilet Training: 12 Tips to Keep the Process Positive

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Toilet training is a big step in your child's development. Being supportive and positive throughout the potty-training process is key. Here are some tips that can help.​

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Nemours KidsHealth – Potty Training Your Child (Video)

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Nemours KidsHealth – Potty Training Your Child (Video)

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Get tips and advice on helping your child make the switch from diapers to big-kid underwear - for good!

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Early Edge California – TK Expansion in Action: School Districts Develop Strategies to Support TK Children and Families in Potty Training

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Early Edge California – TK Expansion in Action: School Districts Develop Strategies to Support TK Children and Families in Potty Training

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TK Expansion in Action: School Districts Develop Strategies to Support TK Children and Families in Potty Training – Early Edge California

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Our TK Expansion in Action blog series covers California’s Transitional Kindergarten (TK) expansion through interviews with school districts and institutes of higher learning across the state to highlight strategies they have employed to make expansion successful. This is the ninth blog in the series which has been running since the beginning of the 2022-23 school year.

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Caring for Our Children: National Health and Safety Performance Standards Fourth Edition

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Caring for Our Children: National Health and Safety Performance Standards Fourth Edition

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California PLF, Vol. 2, Health 1.0 Basic Hygiene (Pg. 80)

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California PLF, Vol. 2, Health 1.0 Basic Hygiene (Pg. 80)

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Overview of the Alignment Between the Health Domain Alignment and the California Content Standards - Health Habits (Pg. 122)

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Overview of the Alignment Between the Health Domain Alignment and the California Content Standards - Health Habits (Pg. 122)

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Handout 5 – Scenarios- Toilet Teaching & Learning Activity (OCDE)

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Handout 5 – Scenarios- Toilet Teaching & Learning Activity (OCDE)

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The Alignment of the California Preschool Learning Foundations with Key Early Education Resources 

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The Alignment of the California Preschool Learning Foundations with Key Early Education Resources 

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Healthy Children – Emotional Issues and Potty Training Problems

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Healthy Children – Emotional Issues and Potty Training Problems

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Emotional causes of bathroom-related problems are among the most challenging to address, since young children are rarely able to express their confusion, anxiety, or fear in words. Behaviors such as defecating (pooping) in a corner of the bedroom, having daily accidents at school after many months of complete dryness, or pleading to return to diapers are disturbing and even frightening to many parents-more so when they do not understand the cause.

Once physical causes have been ruled out, however, the reasons behind many of these behaviors can be unearthed by considering any changes in your child's life or emotional development, observing thier other behaviors and listening carefully to what they say.

Potty training regression: why it happens & how to react

A major change in a child's life can cause them to regress during toilet training. Regression can occur for similar reasons long after toilet training. A new baby in the family, a move to a new home, family conflict, or any other emotionally stressful situation may cause your child to revert to an earlier level of bathroom mastery. This may involve bedwetting, puddling, withholding of stool and even pooping in inappropriate places. Inner stress prompted by your child's normal development can affect her bathroom behaviors as well.

When your child tries to hide their accidents

At about three years of age, children start developing the capacity to experience discomfort, or shame, when they have done something they know is wrong. However, most children this age do not know what to do with these feelings. A child who longs for their parents' approval may suddenly start to feel embarrassed or ashamed after a bathroom accident, no matter how accepting their parents are actually likely to be. As a result, they may claim to have used the bathroom when they really urinated on the living room floor. They may hide their wet underwear, or even try to clean up the mess before you see it.

There is no cause to criticize or punish a child who behaves in this way. On the contrary, they have demonstrated that they know what proper bathroom behavior is and are trying as best they can to make it "come true." The best response when you find your child hiding their accidents from you is to gently tell them that you know they had an accident, that it's okay, and that you know they will do better next time. Then ask them to help you clean up, and talk with them about specific ways the two of you can help them get back on track.

Other feelings and emotional situations can overwhelm your young child and cause them to behave in ways that seem puzzling at first. A desire for more attention may cause them to stage more accidents just to engage you in conversation or emotional interaction. If they feel you have been too controlling about bathroom use-constantly asking if they need to go instead of letting them direct their own behavior-they may resist going until it's too late and they have an accident instead.

A more active imagination and a tendency toward magical thinking may cause them to fear the toilet and start to avoid it. Even a desire to befriend another child by imitating them can lead to regressive bathroom behavior if the other child is not toilet-trained. Finally, a temporary wish to return to coddled babyhood, which nearly all young children experience at some time, may prompt your child to ask you if they can start wearing diapers again.

Supporting your child

For toilet-trained children, as well as for those still being trained, regression in bathroom use usually does not last long. Respond calmly and use it as an opportunity to support and communicate with your child. Help your child identify the problem, sympathize with their feelings, and help them find practical solutions. Such evidence of your support and understanding will help her to relax and eventually move forward.

Meanwhile, try to avoid major concessions such as returning to diapers. Instead, consider offering to put them in training pants under their underwear for a while, put the potty in their room, accompany them to the preschool bathroom before the school day begins, or otherwise compromise until they feel more secure.

Adapted from American Academy of Pediatrics Guide to Toilet Training, 2nd Edition (Copyright © 2016 American Academy of Pediatrics)

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Emotional Issues and Potty Training Problems

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Emotional causes of bathroom-related problems are among the most challenging to address, since young children are rarely able to express their confusion, anxiety, or fear in words.

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DRDP (2015) Preschool Comprehensive View

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DRDP (2015) Preschool Comprehensive View