Common Childhood Problems Psy 4930 September 12, 2006 Common Childhood Problems Toileting Elimination Disorder: Enuresis and Encopresis Eating Problems Sleep Problems Why do clinical child/pediatric psychologists need to know about these problems? Toilet Training Varies by culture
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September 12, 2006
Case: 3-year-old is experiencing difficulty with toilet-training for bowel and bladder. Behavioral program for intensive daytime toilet training
“Now it’s time to practice so you can do it by yourself next time” and repeat steps 1- 6 three to five times. This will help to give XXX the skills to begin independent toileting. Try to make it fun.
Establish good toileting habits
C. Carolyn Thiedke, M.D.
American Academy of Family Physicians
Wet-Stop Child Bedwetting Alarm
Success Rate for 12 months
“Alarm systems are the most effective method for achieving nighttime dryness. A study at the Mayo Clinic comparing alarms, imipramine, and a nasal antidiuretic hormone demonstrated the clear superiority of alarm systems. A final tally of 261 children followed for one year showed the cure rate”:
*Alarms used during the test included the Wet-Stop and the Sears Wee Alert
Reference: J.A. Monda & D.A. Husman, Journal of Urology,Volume 154, August 1995
What you'll need:
Third Night through 2nd week
If wetting occurs more than once a month for 2 months, use the alarm again until the child has 30 dry nights in a row
“plumbing problem” conceptualization
E= Excessive daytime sleepiness
A= Awakenings during the night
R= Regularity and duration of sleep
Excessive Daytime Sleepiness
The following are pediatric sleep hygiene guidelines put forward by the National Sleep Foundation (www.sleepfoundation.org)
(Christophersen & Hall, 1978)