Child J case study

• 3 yr old – only child
• Mother recently diagnosed with breast cancer – much stress in family
• Only weed/pooed in nappy – hates being changed when dirty and fights
• Very unhappy when made to sit on toilet
• Passed formed poos daily in nappy
• Anxious

Treatment 

• Seen 4x in therapy
• Nappy removed and used only at night
• Additional strategies as per OT instruction – similar to child T case study
• Parent to wake early to remove night nappy

Outcome

• No nappy – wears undies until night time
• No soiling
• Daily soft poos  in toilet by self with some supervision from parent
• Laxatives discontinued
• Cooperative when made to go to toilet
• Anxiety greatly reduced and calm with toilet issues