BED-WETTING – PSYCHOTHERAPY
Posted on May 12, 2009 under General health | No CommentIf the child or his parents show signs of marked emotional disturbance, referral to a psychiatrist is usually advisable and psychotherapy and counselling may be necessary.
The most effective treatment is some form of conditioning device. This is usually referred to as the “pad and bell”. There are different brands and they can be hired rather than bought.
The child lies on a special sheet which has electrodes connected to a loud bell. When the child wets, this allows the electric circuit to be completed and the buzzer sounds.
This should wake the child, who then gets up and finishes emptying the bladder. Eventually the child learns to wake under the stimulus of a full bladder before he wets. It may take three months or so for regular dryness to be achieved.
In those cases where the enuresis is secondary to disorders of the kidneys or bladder, attention to the problem usually results in eventual control of the bed-wetting.
Some parents become obsessive over toilet training of their children and some attempt to get the child to control bowels and bladder at around nine months. It is worth remembering that where toilet training is left to later, say around two, children learn quicker than those started earlier.
This may be because the child’s bladder and nervous system are more mature and also because the parents are less obsessive and provoke less anxiety in the child.
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