Motivational therapy for
bed-wetting uses praise, encouragement, and rewards to help a child gain bladder control. It's about telling children
that they have control of their bodies and encouraging them to take steps that bring about more and more dry nights. For best results, keep a record of your child's progress. And work with your child to design a reward system (such as a star chart).
You can reward your child for reaching both big and small goals and tasks. For example, you could reward your child when he or she:
Uses the toilet before going to bed.
Helps to change wet sheets.
Has a dry night.
As part of this therapy, it's important to not punish, blame, or embarrass your child for wetting the bed.
Motivational therapy can help
children gain some degree of control over their bed-wetting. But if it doesn't
help your child in 3 to 6 months, think about trying other methods.
This therapy may
involve a series of counseling sessions with a trained professional. During the
sessions, the counselor encourages the child to take responsibility for the
bed-wetting and to be very involved in the treatment. The counselor, parents,
and child decide what reward (praise, stickers, or trinkets) the child will be
given for dry days and/or nights.
It is unclear exactly how many children gain
complete bladder control through motivational therapy alone.
Children who do gain complete bladder control
with motivational therapy are less likely to return to accidental wetting after
treatment than children who are treated with other therapies.
This treatment works best for children who want to take part
in it. It may be used in combination with other treatments.
Glazener CMA, Evans JHC (2004). Simple behavioural and physical interventions for nocturnal
enuresis in children. Cochrane
Database of Systematic Reviews (2).
National Clinical Guideline Centre (2010). Nocturnal enuresis: The management of bedwetting in children and young people. London (UK): National Institute for Health and Clinical Excellence (NICE). Available online: http://www.guidelines.gov/content.aspx?id=25680.
Primary Medical Reviewer
Susan C. Kim, MD - Pediatrics
Specialist Medical Reviewer
Thomas Emmett Francoeur, MD, MDCM, CSPQ, FRCPC - Pediatrics
How this information was developed to help you make better health decisions.