Toileting is a complex task that involves a lot of steps for a child — from recognising that their bladder is full, to relaxing their pelvic floor on the toilet, to knowing how much toilet paper to use — and the list goes on! Every child is on their own journey to build independence with toileting, and this journey might take a bit longer for some kids than others.
Here are some tips to help support your child’s toileting independence at home:
1. Model Language About Body Sensations and Feelings
Children need to develop an understanding of what their body is feeling in order to know when it's time to go to the toilet. We can support this by using language to describe sensations such as ‘full’ vs ‘empty’. You might ask your child if their bladder or stomach feels ‘full’ after a big drink, or ‘empty’ after a wee. You can also model language around having a ‘wet’ vs ‘dry’ nappy to build awareness.
2. Positioning on the Toilet Is Key
Proper positioning helps children feel comfortable and confident on the toilet. Ideally, their feet should be flat on a surface, knees above hips, and their body balanced and stable. This position supports the relaxation of the pelvic floor — which increases the chances of a successful wee or poo! You can use simple equipment like a small stool, a child toilet seat insert, or a ladder toilet seat to support this. It’s also important they can get on and off the toilet independently and safely.
3. Develop Awareness of the Toileting Routine
Toileting involves many steps, and children benefit from understanding what they are and the order in which they happen. There are lots of fun and engaging ways to support this learning:
- The Wiggles' “Toilet Song” on YouTube
- Pirate Pete’s Potty (book or video)
- Princess Polly’s Potty (book or video)
Using visual routines or songs can make learning these steps more accessible and enjoyable.
4. Build Independence with Cleaning Up
Even if your child isn’t using the toilet independently yet, they can still learn parts of the process — like pulling pants up and down, wiping, flushing, and hand washing. One great strategy is backward chaining, where you help with the early steps and your child completes the last one. For example, you might pull their pants up to their thighs and have them finish the last part. Over time, gradually reduce your help until they’re completing the entire task on their own.
5. Make Toileting Fun!
Kids learn best through play and positive experiences — and toileting is no different. You might try:
- Pretend play (e.g. teddy using the toilet)
- Special toys only used during toilet time
- Blowing bubbles to encourage deep breathing and pelvic floor relaxation
- Singing songs or using silly sounds
Think about what your child enjoys and bring that fun into the bathroom!
How Occupational Therapy Can Help
If your child is facing challenges with toileting — whether it's around physical coordination, sensory sensitivities, or understanding routines — working with an occupational therapist can make a real difference.
At Inner West Paediatrics, our OTs provide Toileting Assessments to gain a detailed understanding of your child's needs and create a personalised plan to build their independence. This might include:
- Practical strategies for motor skills, sensory regulation, or routine building
- Visual supports and routines tailored to your child
- Advice on equipment to promote comfort and safety
- Ongoing support and encouragement for both child and family
We work closely with parents and carers to make the toileting journey as positive and stress-free as possible.If you’d like support with your child’s toileting, get in touch with our friendly team at Inner West Paediatrics — we’re here to help!
