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<blockquote data-quote="Marguerite" data-source="post: 559570" data-attributes="member: 1991"><p>Interesting point, Texasmamma. I am glad your son is doing so much better now.</p><p></p><p>What we are often dealing with, is "chicken or the egg". Is the encopresis the primary problem which is then leading on to other presentations? Or is the encopresis a result of other issues which are underlying everything? Trying to find out why is difficult, but it is also important because the primary presenting problem is the one most in need of treatment. Fix that (as you found) and the rest will (hopefully) follow.</p><p></p><p>We had encopresis issues in our house, but for us the primary presenting problem was autism. We had to adopt a piecemeal approach, dealing with each issue as it arose. Some issues we needed to walk away from - stims, for example. For us, we dealt with the encopresis by setting up a toiletting routine and a system of reminders. No shame, no stigma, but regular reminders to "go". Plus checks, availability of wipes, support with laundering and bathing. They took it on board as they were ready to. </p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 559570, member: 1991"] Interesting point, Texasmamma. I am glad your son is doing so much better now. What we are often dealing with, is "chicken or the egg". Is the encopresis the primary problem which is then leading on to other presentations? Or is the encopresis a result of other issues which are underlying everything? Trying to find out why is difficult, but it is also important because the primary presenting problem is the one most in need of treatment. Fix that (as you found) and the rest will (hopefully) follow. We had encopresis issues in our house, but for us the primary presenting problem was autism. We had to adopt a piecemeal approach, dealing with each issue as it arose. Some issues we needed to walk away from - stims, for example. For us, we dealt with the encopresis by setting up a toiletting routine and a system of reminders. No shame, no stigma, but regular reminders to "go". Plus checks, availability of wipes, support with laundering and bathing. They took it on board as they were ready to. Marg [/QUOTE]
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