If you've been hanging around the Dryer Vent, you know that we've tried a lot of different things to help Little Miss gain independence with toileting. There have been
charts,
visual schedules,
potty talk,
impromptu Yo Gabba Gabba encouragement,
custom "big girl" underwear,
potty treasures, and then some. We tried really, really hard last summer and basically got nowhere. I kept meaning to start up again during the school year, but it was either a bad time or -- after the beginning of this year, we were dealing with way too much seizure activity to even think about it. Plus, I was spent.
But it's time.
Little Miss knows when she's gone and she
can stay dry for periods of time
if she wants to. So, we decided to call in the big guns.
We signed up for a "Big Day" style potty training boot camp. Now don't get me wrong... this has not been a magic bullet. It has taken a lot of work and even more tears -- but we have made progress. Given that, I thought I'd spend a little time today to talk about what we've been through so far.
So what is a Big Day, anyhow?
The basic premise of the Big Day (which is actually quite a bit more than a day) is to slowly increment the amount of time in which a child is expected to stay dry. The decision to increment is based on data collected during multiple trials on and off the potty.
Each time Little Miss goes to the bathroom, we collect the following information:
- Date/time
- Pee/poop/both
- Length of time sitting before urinating
- Length of time spent urinating
- Length of break
- Yes/no dry on break
- Clothing/proximity notes
- Reinforcement given
We started with a 15-minute break between each trip to the toilet. During the 15 minutes, Little Miss had no pants/underwear on so that a) we could quickly see if she was having an accident and get her to the toilet and b) her clothing would not distract her when it came time to sit.
Obviously, if a child is expected to go to the toilet every 15 minutes, you need to pass a LOT of fluids -- so we always had Little Miss's favorite drinks on the ready. She was also given lots of salty snacks to help make her thirsty.
If we had three successful 15-minute breaks in a row (no accidents), we were allowed to increase the amount of break time by 5 minutes. If there was an accident during the break, Little Miss had to return to the potty immediately and sit until she could go again. We also had to start over with the break interval (so, for example, if we were on trial #2 for 20-minute breaks, we would have to go back to trial #1 and try to get three in a row again).
Later. Rinse. Repeat.
We have been gaining about 5 minutes each day and we're now up to 50-minute breaks. And there have been LOTS of accidents. But 50 minutes is almost enough to actually leave the house and I'm thrilled. The best part about the process is that it's relatively simple (just time consuming) and I can handle most of the trials/data collection myself. That means that after paying for assistance from a BCBA on days 1 and 2, we were able to taper off and cut the cost of the program dramatically.
The Inevitable Power Struggle
We all knew some kind of power struggle was coming and it just so happened to show up on day 3. And this, my friends, is why I wholeheartedly recommend that you have the help of an experienced BCBA to implement your Big Day.
Little Miss was having accident after accident after accident. We had 5 trials on Monday night and at least 5 accidents. We could not get more than a 30-minute break. I was frustrated.
To. No. End. I called our BCBA, gave her my data, and asked for help. She told me to take the rest of the night off and we'd get things back on track in the morning.
On Tuesday Morning, Miss Kate (our amazing BCBA) walked me through what was happening. Based on the data, Little Miss was only going
*just enough* to get off the toilet. But, 15 minutes later, she had a full bladder and couldn't hold it anymore -- so, Niagara Falls. Since we already knew from the data over the weekend that Little Miss
could empty her bladder while she was sitting, the data pointed to a power struggle.
I was dismissed for the morning's trials and Miss Kate had "a talk" with Little Miss. Two drops in the potty? Unacceptable. Little Miss now had to wait until she went for 1-2 seconds. She. Was. Pissed.
But the power struggle? After plenty of tears, moaning, and complaining -- Miss Kate and I won. We suddenly had the breakthrough that we were waiting for and breezed through 30 minutes, 35 minutes, 40 minutes, and 45 minutes.
Last Thoughts
I hate potty training. I hate sitting in the bathroom, taking my meals in the bathroom, and waiting... and waiting. In fact, I'm rather convinced that I would prefer to go to prison over potty training another child.
But this Big Day thing? It actually works (or, it has worked --
so far). I can totally get behind the idea of slowly training Little Miss to feel what's going on inside her bladder (from a sensory standpoint this totally makes sense) and keeping data has already proven beneficial. So, onward and outward... and if you need me? I'll be in the laundry room washing another load of little undies.