Hi, my 9yo difficult child NEVER wipes his butt or washes his hands after using the restroom. I'm sure he gets away with it all day at school and camp, but around the house it never occurs to him to close the bathroom door so I'm painfully aware of what's going on. Usually I just shout up the stairs, "difficult child! Wipe your butt! Wash your hands!" and he will go back and do it, but c'mon, he's NINE. I'm not sure if it's a sensory thing (he is sensitive to loud noise and food textures, says he doesn't like the cold water on his warm hands...neglecting the fact that we actually have hot water in the house ;-)) or if it's an ADHD thing (gotta move on to the next thing NOW!) but it's driving me nuts! He fully understands the WHY of it - he understands about germs and bacteria. In general the rest of his hygiene (bathing, tooth brushing, etc.) is on par with a typical 9yo. How would you deal with this? Thanks! P.S. Gotta change my signature to indicate that we're weaning him off the Tegretol this summer...wish me luck!