🧬 Overview
Potty training for children with developmental delays or disabilities often looks different — and that’s okay. With the right support, pacing, and tools, every child can make progress toward greater independence and dignity.
Potty training is not a race. Progress matters more than perfection.
🧠 Common Differences That May Affect Potty Training
- Autism spectrum disorder (ASD)
- Global developmental delay
- Sensory processing differences
- Speech or communication delays
- Intellectual disability
- Motor delays or physical disabilities
✅ Foundational Strategies
- Start with readiness, not age
- Use visual supports (toilet routine charts, photos, step-by-step cards)
- Build a consistent, predictable potty routine
- Practice dry runs: sit fully clothed first, then without diaper
- Introduce new steps slowly and one at a time
- Use clear, concrete language and repetition
🔄 Pacing & Expectations
- Break the process into small steps:
- Sit on potty
- Sit without diaper
- Pee/poop in potty
- Wipe, flush, wash hands
- Stay consistent, but flexible
- Focus on one skill at a time (e.g., bladder before bowel, or vice versa)
- Regressions and setbacks are expected — don’t panic
💬 Communication Tools
- Visual schedules or PECS cards
- Social stories to explain potty routines
- Sign language or AAC for children with limited speech
- Reinforce with consistent words (e.g., always say “potty,” not sometimes “bathroom”)
🧩 Sensory Considerations
- Some children are over-sensitive to sound (flushing), feel (cold toilet seat), or smell
- Others may be under-sensitive and unaware of bodily signals
- Solutions may include:
- Soft potty seat
- Noise-canceling headphones
- Gentle reminders to check in with body
- Visual timers to prompt potty breaks
🏥 When to Involve Professionals
- Pediatrician or developmental pediatrician
- Occupational therapist (OT) — for sensory or motor support
- Behavior therapist (BCBA or similar) — for routine-building