Potty Training Your Autistic Child: A Quick Guide

Common Issues

Autistic children tend to have more issues when potty training than most. This may be due to their interest in things around them rather than what is going on, fear, or disruption of routine. Here are some of the most common issues that autistic children face when learning to use the toilet:

• Boys may find it hard to pee standing up due to an inability to aim properly or a fear of touching his genitals.
• Many children with autism suffer from constipation. This can be due to their diet, other health needs, or their fear of having to poop.
• Some children may be scared to be cleaned, especially if they have been sore in the past, as they will associate this with being wiped every time.
• Fear of becoming dirty so holding their pee or poop.
• Some develop an interest in the toilet flushing, excessively flushing the toilet, while other children may be frightened of the loud noise.
• Some autistic children find a special interest in water and when it comes to toileting, they only want to play with the toilet water rather than using it for its primary purpose.
• Playing with toilet paper.
• Cannot relax or sit on the potty/toilet.

Autism potty training can prove more difficult because of their sensory needs and fears that may be associated with toileting. Autism Parenting Magazine has come up with an insightful guide for autism and toilet training, to help you overcome any of the above problems you may be facing while potty training autistic child. This guide has helpful advice on how to handle fears, excessive interest in flushing or water, and helping your son to pee standing up. 

Preparing for Success

As autistic children enjoy routine, making potty training part of their routine will help them understand and follow instructions. Many parents with autistic children use social stories to help with toileting. This is a series of pictures and words that can be followed like a story and is a great way for them to understand what is happening and what they need to do next. Social stories can be used in all aspects of life to help children learn social rules or understand new events. Social stories have many positive benefits for those with autism.

Positive reinforcement is another great way to help your child use the toilet. Giving positive feedback each time your child follows part or all of their potty training routine will encourage them to carry on. Even if they didn’t finish or made a mess, they are still trying, and that is what matters. Children with autism may need more positive feedback than most children to understand they are doing well. Use a chart with stickers or give rewards for a day where your child has done well with toileting. 

When teaching toileting, refrain from using any childlike words. Use proper terms so your child won’t become confused when they get older and suddenly toileting terms become different, as they may not understand and therefore regress in toileting. Encourage independence as soon as your child feels ready, but don’t push them if they say no, as this will cause potty training to become stressful and an activity they don’t want to do. 

Potty training autistic children can be a longer process, but following the above guide can help in making positive progress with toileting. Never begin potty training before your child shows signs of being ready, as potty training won’t be successful, and this may damage their ability to potty train when they are older.