Potty training is a major accomplishment during a child's early years and a cause for celebration. They are becoming more independent! You don't have to deal with diapers anymore! It can therefore be stressful and disappointing for both parents and kids when a potty trained child regresses.
This article explores potty training regression and its potential causes and provides guidance for parents dealing with a regression.
In this article:
What is a potty training regression?
Toddlers often have occasional potty accidents after toilet training—they might be having too much fun playing or simply not make it to the bathroom on time. These are to be expected and are not a cause for alarm. But if occasional accidents become a regular issue, your child might be experiencing potty training regression.
A potty training regression refers to a temporary setback where a previously potty trained child suddenly starts having accidents again. This can be confusing and frustrating for parents who thought they had moved past this stage.
It's essential to understand that a regression is a common phase for many kids and is not a sign of failure.
Is it a regression? Or was your child not fully potty trained?
It’s crucial to distinguish between a regression and a child who was never fully potty trained. Recognizing the difference can help you tailor your approach to best support your child.
A toddler who has not fully mastered potty training may still be learning the cues and signals their body gives them when they need to go. If they are not yet able to consistently follow these cues they will have accidents.
In contrast, a regression happens when a previously potty trained child starts having accidents after they have already shown that they understand and can follow their body's cues.
It's worthwhile to question whether your child had enough time to process your potty training lessons. They may not have learned how to use the toilet as well as you initially thought and you should revisit the basics of potty training. Or if you potty trained at a very young age, they may not be developmentally capable of maintaining the habit in the long term.
Possible causes of regressions
Several factors can cause potty training regression. Understanding these can help you address the root of the issue more effectively.
1. Stress and anxiety
Children are sensitive to changes in their environment. Stressful life events—such as moving to a new home, starting preschool, major illness in a family member, or welcoming a new sibling—can trigger regressions.
Identifying and minimizing stressors in your child's life can significantly help them regain their potty training skills.
2. Illness or physical discomfort
Illnesses, especially a urinary tract infection (UTI) or gastrointestinal virus, can lead to regressions. When a child is sick, they may experience discomfort, fatigue, and a lack of control over their bodily functions, which can lead to setbacks in their potty training progress.
Constipation is also a frequent cause of regressions because bowel movements can become painful, leading to fear and anxiety around using the toilet that may make the child avoid using it altogether. Ensuring your child’s diet includes enough fiber and fluids can help in this case.
3. Changes in routine
Disruptions to a child's usual routine, such as vacations or changes in caregivers, can confuse children and lead to regressions.
Try to maintain as much consistency as possible during these times. If a change in routine is unavoidable, prepare your child in advance and provide extra support.
4. Fear of the potty
Some children can be afraid in a new potty environment (like at a new house or new school). For example, a child might be afraid of falling into a larger toilet or scared of a louder flushing sound. In these cases, a child might resist using the new toilet, resulting in increased accidents.
Getting your child back on track
Tips for dealing with a potty training regression
Handling regressions requires patience and a positive approach. Here are some tips to help you and your child through this phase.
1. Assess the problem
First, assess your situation. Visit your child's pediatrician if you are concerned about any medical issues, such as constipation.
Then ask yourself some questions: Is my child really potty trained? Are these accidents random? What types of stressors may my child be facing? Does my child have a regular routine? Is this routine being modified?
Potty training regression can occur for many possible reasons. Trying to pinpoint whether the cause is medical versus psychological can help you better tackle the situation with your child.
2. Involve your child in the process
Help your child take ownership over the issue by talking to them and asking them why they are having this problem. Even if they struggle to communicate with you verbally, they may give you nonverbal hints.
Maybe they are scared of the bathroom in a particular location or upset because a new baby in the household is getting more attention. Asking your child how you can help them may allow them to feel more in control during a potentially stressful change.
3. Address the cause, if possible
If you are able to pinpoint a reason for the accidents, work with your child and other caregivers to address it.
For instance, if there is a new baby in the house, your child may be struggling to adapt to receiving less attention, as well as changes to their routine. Finding ways to spend alone time with your child and giving them extra attention can help them feel supported in this new situation.
Or, if your child is afraid of the toilet, they may need you to accompany them to the bathroom or bring in a favorite toy. You can also provide opportunities for pretend play with a toy potty and doll or stuffed animal to help them process their fear.
4. Stay calm and patient
Your reaction can significantly impact your child’s progress. Stay positive and patient, even when accidents happen. Your encouragement goes a long way!
Getting frustrated or making a big deal out of an accident will only add stress to the situation and may prolong the regression.
5. Reinforce positive behavior
Praise your child for their successes, no matter how small. Positive reinforcement helps build their confidence and encourages them to continue using the toilet.
Types of positive reinforcement you can try include:
A sticker chart to track their progress and possibly work towards a small toy or other reward
High-fives and big hugs for a job well done
A special happy dance that you and your child do when they successfully use the toilet
Just make sure that any rewards are immediate and directly linked to their success.
6. Revisit potty training basics
Sometimes, a refresher on the basics of potty training can be beneficial. Remind your child of the steps and routines they need to follow. You can also share interactive books and videos about potty training to make the learning process fun.
How long do regressions usually last?
Potty training regressions vary in duration based on the root cause, but typically last anywhere from a few days to a couple of weeks.
What NOT to do during a regression
Certain actions can exacerbate regressions. Avoid these common pitfalls to help your child get back on track faster.
1. Scolding or punishing
Punishments can create fear and anxiety, making the problem worse. Never make your child feel bad if they have an accident—they are not intentional! Instead, focus on positive reinforcement and encouragement.
2. Comparing to other children
Every child is unique and develops at their own pace. Avoid comparing your child to others, as this can create unnecessary pressure and frustration and may negatively affect their self-esteem. Instead, celebrate your own child’s progress, no matter how slow it may seem.
3. Ignoring the problem
Address regressions promptly rather than hoping they will resolve on their own. Ignoring the issue can prolong the regression and make it harder to overcome.
4. Automatically returning your child to diapers
If your child is potty trained and has the skills to maintain this habit, helping them get back on track without diapers is generally a better choice. Reintroducing diapers may be confusing to your child—are they supposed to pee and poop in the potty or not?
However, if you think that your child was not fully potty trained and is not developmentally ready for potty training, then allowing them to wear diapers again may be the right choice for your family. A short return to diapers may allow your child to reset before beginning the toilet training process again.
When to consult with a healthcare professional
While most regressions are temporary and able to be addressed at home, some factors indicate a need for professional advice. These include:
Persistent regressions
If the regression lasts for an extended period despite your efforts to address it or continues to occur, consult a healthcare professional to help identify any underlying issues, such as medical conditions.
Physical discomfort or pain
If your child experiences pain or discomfort while using the toilet, it’s essential to seek medical advice. This could indicate an underlying health issue that needs attention. Addressing physical discomfort promptly can prevent further complications.
Behavioral changes
Significant changes in behavior, such as increased anxiety or withdrawal, warrant professional attention. These could be signs of emotional distress that need to be addressed.
Frequently asked questions
Is potty training regression normal?
Yes, potty training regression is a normal part of the toilet training process for many children. Children may experience setbacks due to various factors such as stress, changes in routine, new environments, or other emotional or developmental reasons.
What causes regression in potty training?
Potty training regression can be caused by factors like stress, changes in routine, fear, discomfort, attention-seeking behavior, new environments, physical issues, emotional changes, or developmental stages.
How long does a potty training regression last?
The duration of a potty training regression varies based on cause, but typically lasts from a few days to a few weeks. Consistent support, patience, and positive reinforcement can help children navigate and overcome this temporary setback in their toilet training journey.
How do you fix potty training regression?
To address potty training regression, first rule out any medical issue, then maintain consistency, offer encouragement, avoid pressure, address any underlying issues, stay calm, provide positive reinforcement, and reestablish routines.
When should I be concerned about potty training regression?
If your child's regression persists for an extended period, is accompanied by other concerning symptoms like pain or discomfort, or if you have concerns about your child's health or development, you should consult a healthcare provider for guidance and support.
Can potty training cause a sleep regression?
Potty training can sometimes cause a temporary sleep regression due to changes in routine, increased nighttime awakenings for bathroom trips, or heightened emotions. Establishing a consistent bedtime routine and offering reassurance can help manage this transition.
The Takeaway
Potty training regressions are a normal part of child development. Understanding the causes and knowing how to address them can make this phase more manageable.
Remember to stay patient, offer positive reinforcement, and revisit the basics of potty training as needed. Avoid scolding, comparisons, and ignoring the problem, as these actions can worsen regressions.
With the right support and approach, your child can get back on track!
Sources:
Schmitt CM, Schoen S. Interoception: A Multi-Sensory Foundation of Participation in Daily Life. Front Neurosci. 2022 Jun 9;16:875200. doi: 10.3389/fnins.2022.875200. PMID: 35757546; PMCID: PMC9220286.
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