Potty Training Difficulties & Pre-Potty Training Support

Potty training is often described as a milestone that “just clicks” for kids — but in reality, many families find the process stressful, confusing, and full of setbacks. Some children struggle with withholding, frequent accidents, or fear of the toilet. Others simply don’t seem to recognize when their body needs to go. While some challenges may improve with time, waiting it out can sometimes make problems worse, especially if constipation or anxiety is involved.

Pre-potty training support can make a big difference. Long before a child is ready to sit on the toilet, they can begin learning the foundations of successful toileting: recognizing body signals, getting comfortable with the bathroom environment, and practicing healthy postures. By laying this groundwork, families can approach potty training with confidence and reduce frustration when the time comes.

Potty training difficulties are often connected to underlying bowel and bladder issues. Constipation, for example, can make pooping painful, which leads to withholding and accidents. Sensory differences may also play a role — children who have trouble noticing internal signals (interoception) may not realize they need to use the toilet until it’s too late. These challenges are not behavioral, and they are not a sign of parenting failure. They are a sign that a child needs extra support in learning a complex skill.

Pediatric pelvic floor therapy helps families move forward by addressing the physical, sensory, and emotional barriers to potty training. We teach children how to coordinate the muscles needed for peeing and pooping, while also supporting families with strategies for routines, posture, and readiness. With pre-potty training guidance and targeted therapy, children can build confidence, and families can feel empowered instead of overwhelmed.

If potty training has become a daily struggle, or if you’d like support before your child begins, we’re here to help. Schedule an in-person or virtual consultation today.