Autism Therapy: Azrin & Foxx’s Rapid Toilet Training

definition of Azrin & Foxx’s Rapid Toilet Training: Method for teaching toilet training skills to people with autism and to people with other brain disorders. The method uses intensive training over a period of days.

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Research in Autism Spectrum Disorders, by Kroeger, KA, and Sorensen_Burnworth R., published in 2009, summarized Jul 31, 2009

Several methods of behavioral therapy may be useful for toilet training children with autism and mental retardation.

This article talked about nine different applied behavior analysis (ABA) methods for toilet training. The most common method was called graduated guidance. This method uses prompts to teach each step of behaviors needed to go to the bathroom independently. Prompts include word and hand gestures. Reward for successes and taking away rewards for mistakes may be a helpful system for toilet training. Other methods include setting schedules for sitting on the toilet, following the child's own personal schedule for when they usually need to go, and giving plenty of liquids so they need to go often. Another approach is to ask the person to make up for mistakes when they happen, like cleaning up accidents. Also, showing children videos about the process of going to the bathroom can help them understand what it is they will be doing.


Denise Reynolds, a registered dietician, has provided some good suggestions for toilet training your child with autism. She reminds parents that there are milestones that must be reached before a child can be toilet trained, for example, knowing how to dress and undress, understanding the bodily clues needed to use the bathroom, and walking. She explains that sometimes kids with autism have gastrointestinal problems that need to be addressed before successful toilet training. She quotes from an referenced article by Danica Mamlet, Autism and Toilet Training, for motivation cues and potential social integration issues. “A system that uses picture icons with each step identified is recommended as a tool to teaching toilet independence. A consistent routine capitalizes on the autistic’s child need for repetition.” Other tips include a transition object such as a book or a toy and teaching your child words specific to the bathroom so he can communicate. Reynolds’ final reminder is that each child has his own timetable and some children take longer than others to toilet train.

Read original article: Potty Training Tips for An Autistic Child


Children with autism often suffer from sensory processing disorder (SPD), and because of this, toilet training may be one of the hardest things for a child to learn. Children with SPD or sensory integration issues often have difficulties in receiving information about their bodies from their 5 senses. Maria Wheeler, author of "Toilet Training for Individuals with Autism and Related Disorder," suggests a couple of ideas to help children learn the behavior and adapt to their body: 1) don't get angry; 2) establish a routine; 3) use picture cues to help the child understand; and 4) lots of praise.

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The Twinkling Eye Day Care Center in Virginia caters specifically to children with autism and other developmental disabilities. The center, which opened a year ago, specializes in interventions that include: fine motor skills, gross motor skills, speech therapy, literacy training, sign language, and toilet training. Twinkling Eye has full week-day hours as well as special weekend hours. There are currently 29 children enrolled working with 8 full time staff members.

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Toilet training any child can be daunting, but autism and other developmental disabilities may make this job even harder. The authors of Toilet Training in Less Than a Day use the principles of applied behavior analysis (ABA) to encourage and reward children. Toilet training may start with teaching the child sign language to indicate he needs to use the bathroom and can include wearing regular pants instead of diapers or pullups. Regardless of the time it takes, once children are toilet trained, they may sense increased independence and self-esteem. If they can be successful in this area, the potential is there for success in the classroom and in the community.

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