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Registered: ‎02-06-2014

When is the right time to start bedwetting treatment?/ By Dr. Jacob Sagie and Tal Sagie

[ Edited ]


There are several considerations that parents should keep in mind when it comes to determining whether or not their children are ready for bedwetting treatment:

Child’s age: only children ages four and up should be treated.

Maturity:  Those four to five years old should be responsible and good at focusing on tasks.

Motivation: Children who are ready for treatment will express frustration or concern over having a bedwetting problem. They may not explicitly state that they want to be treated, but this does not necessarily mean that they would not be open to the idea.

Unstable bedwetting frequency:  Bedwetting frequency is typically pretty consistent, but this is not always the case. In situations where a child wets the bed inconsistently, treatment may be more difficult. It is important for parents, in these situations, to seek treatment when the child is wetting the bed frequently.

Seasonal bedwetting: For some reason, some children wet the bed more during certain times of the year, such as during winter as opposed to summer. In these cases, it is important to start treatment as soon as it comes to that time of the year when the child is most likely to wet his or her bed.

Parents’ readiness: There is no understating how important it is for parents to be dedicated to helping a child overcome bedwetting. This means being able to put the time and energy into treatment that is necessary for success. Otherwise, the child could fail as a result of poor parent support.

Causes of bedwetting: Behavioral bedwetting treatments, like THERAPEE, should only be utilized in situations where a doctor has already ruled out medical issues that may be leading to bedwetting in the first place. Some common conditions that result in enuresis include epileptic seizures, frequent UTIs, spina bifida, spinal cord problems, and many more. In these cases, the medical problem should be treated directly.

Behavioral treatment for bedwetting is also not appropriate when the child is wetting the bed as a result of emotional or psychological stress. For example, if the child recently experienced trauma from a relative passing away, being in a car accident, being physically or sexually assaulted, or anything in between, then the emotional problem will need to be treated rather than the enuresis itself.

It is an unfortunate fact that many parents see a child's bedwetting as a reflection of their own parenting; they may feel as though they are failures as parents because their children wet the bed. As a result, they may understandably want to force treatment on the child, even when he or she is not ready or the behavioral treatment is inappropriate. This should be avoided at all costs, as the treatment will most likely fail and the child will end up in a worse position than when he or she started.


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