In this episode, GP Rebecca Overton speaks with Behaviour Analyst Renee Collins about toilet training challenges, from toilet refusal and nappy dependence to supporting autistic children and those with developmental delay:

• Clarify toilet training “readiness” beyond age alone, including four practical readiness skills GPs can discuss with families
• Explore why toilet refusal and nappy preference for bowel movements are such common referral issues
• Gain practical ways to frame and support motivation, from environmental set-up to realistic rewards that match the child’s effort
• Learn how to reframe accidents and partial progress, use graded goals, and recognise when it’s time to pause, persist, or refer to a behaviour analyst for additional support

Experts: Renee Collins, Behaviour Analyst

Host: Dr Rebecca Overton, GP & Medical Educator

Total time: 28 mins

Recommended resources:

• Readiness Signs Used to Define the Proper Moment to Start Toilet Training: A Review of the Literature | 2012 Wiley Periodicals, Inc.
• Continence Health Australia
• Urotherapy Book: A case-based approach | International Children’s Continence Society