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Dr. Rossi
Dr. Rossi, Licensed Psychotherapist
Category: Parenting
Satisfied Customers: 4627
Experience:  Certified Hypnotherapist, Parenting Book Author, 13+ years of experience.
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what should I advise a parent who has informed me that her

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what should I advise a parent who has informed me that her child has defecated on purpose several times on toys or otherwise not in the toilet

Hi,

 

If you're asking about what professional would be needed to work with this child for behavioral modification, you may suggest that her mom seeks a referral for Applied Behavioral Analysis clinician through her insurance or Medicaid. Some insurance companies have specific funds allocated for treatment of pervasive developmental disorders.

Initially though, she may have her daughter evaluated by a child psychologist because she's disclosed that her behavior was purposeful. There are different triggers for encopresis ex: anxiety, attention seeking behaviors, control issues,sexual abuse,etc.

Customer: replied 5 years ago.
I was going to suggest an eval with a child psych but wondering what hands on advice for dealing with the behavior in the moment while this overwhelmed Mom seeks additional help-this family is followed by Infants & Toddlers-I see the child 2x's a week for speech language-

Mom may be able to use some behavioral modification at home by using reward/consequence options. The level of cognitive/emotional functioning of the child will dictate what tolls she uses at home. It will be helpful to know what is causing the encopresis in oder to implement a helpful technique with her whether at home or elsewhere. Mom will want to avoid shaming or punishing behaviors and power struggles. When children volitionally defecate, some of them see this as their only form of control. If this is attention seeking behavior of the middle child syndrome, then becoming familiar with that may offer some insight as to how to parent the child at home. Mom can also connect with support groups of parents with children with this condition/behavior.

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