Potty Training Autism: Toilet Training Guide & Tips for Parents and Professionals

Dr. Mary Barbera

  • Most children with autism can learn to use the toilet with the right plan.
  • Learn the key potty training prerequisites for autistic children.
  • Discover 3 simple steps to start potty training for a child with autism today
  •  Avoid common problems like accidents, withholding, and potty refusal.
  • Make sure to sign up for a step by step potty training course for autism here.

How to Potty Train a Child with Autism

Potty training a child with autism can feel confusing, frustrating, and sometimes even impossible.

Many parents worry that their child just isn’t ready yet—or that they’ve somehow missed the right window to start.

But here’s the truth: most children with autism can learn to use the toilet, even if they aren’t showing all the typical readiness signs right now. In fact, with the right plan and consistent teaching, many children can be successfully potty trained by around age five.

The key is having a clear step-by-step approach and knowing how to teach the skills that may be missing.

That’s why I created a potty training guide for children with autism, along with a low-cost mini-course that walks parents through the entire potty training process step-by-step.

Potty training may not happen overnight, and that’s okay. With the right strategies, patience, and support, progress is absolutely possible. 

So how can you start potty training a child with autism

Potty Training Prerequisites for Children with Autism

Before starting potty training, it helps if your child demonstrates some basic readiness skills.

These skills don’t guarantee success, but they can make the learning process smoother. If a child doesn’t have all these skills, it does not mean that they cannot potty train, and I can help you to build these skills and potty train with success! 

1. Age Two or Older

Most children are ready to begin potty training sometime after age two.

While some programs suggest training babies, children with autism or developmental delays often need more developmental readiness first

If your child is over age five and still not potty trained, don’t panic.

Many children can still learn with the right approach.


2. Ability to Follow Simple Directions

Children who can follow basic instructions such as:

• “Sit down”
• “Come here”
• “Give me the toy”

will usually find potty training easier.

If following directions is difficult, it may help to first focus on building cooperation and learning skills.


3. Staying Dry for 1.5–2 Hours

A helpful sign of readiness is when a child can stay dry for about 1.5 to 2 hours.

This shows their bladder is developing enough control to hold urine.

In the meantime, it’s important to change diapers quickly so children can feel the difference between wet and dry.

4. Predictable Bowel Movements

Potty training becomes easier if your child:

• Poops at predictable times
• Does not have frequent small bowel movements all day

This predictability allows parents to schedule potty opportunities.


5. Ability to Pull Pants Up and Down

Ideally, children can begin practicing:

• Pulling pants down
• Pulling pants up

Even partial independence helps.

This is typically an 18-month developmental skill, but children with delays may need extra teaching.

6. Responds to Reinforcement

Motivation is one of the most powerful tools in potty training.

Ask yourself:

• What snacks does your child love?
• What toys make them smile?
• Do they like bubbles, tickles, or praise?

These preferred items become reinforcers for successful potty behavior.


7. Ability to Sit for Short Periods

If a child cannot sit at a table for:

• meals
• books
• short activities

they will likely struggle to sit on the toilet.

Before potty training, it can help to build short sitting routines.


8. Awareness of Being Wet or Dirty

Many children show early signs of awareness such as:

• touching their diaper
• bringing you a diaper
• hiding to poop
• going to another room

These behaviors show the child is noticing the sensation, which is helpful for toilet training. 

 

autism potty training. potty training pre-requisites.

3 Simple Steps to Start Potty Training for Autistic Child

Potty training doesn’t need to be complicated.

Here are three foundational steps to get started.

Step 1: Assess Readiness

Before starting, observe your child for:

• dry periods
• bowel movement patterns
• sitting tolerance
• reinforcement preferences

This helps you create a potty plan that fits your child.

Step 2: Build the Sitting Routine

Before expecting success on the toilet, teach the child to:

• walk to the bathroom
• sit calmly on the toilet
• stay seated briefly

Start with short successful sits, then gradually increase time. 

We can do this by providing reinforcement just for sitting and making the bathroom the most fun place to be! 

Step 3: Reinforce Success

When your child successfully:

• sits
• urinates
• has a bowel movement

Immediately provide strong positive reinforcement.

Examples include:

• favorite snacks
• praise
• bubbles
• short videos
• toys

The goal is to make potty success highly motivating.

Sticker charts aren’t the answer- Make sure the reinforcement is immediate and strong! 

Want to Learn how to Increase Talking & Decrease Tantrums in Children with Autism or Toddlers Showing Signs?

Want to start making a difference for your child or clients?

A Step-by-Step Potty Training Plan

Potty training a child with autism is not just about waiting for readiness.

It’s about teaching the skills step-by-step.

In my new low-cost potty training mini-course, I walk you through:

✔ Teaching prerequisite skills
✔ Creating a simple potty training schedule
✔ Helping children sit on the toilet willingly
✔ Preventing accidents
✔ Solving poop withholding and resistance
✔ Troubleshooting common problems

Potty Training Is Possible

If potty training has felt frustrating or impossible, you are not alone.

But with the right strategies and the right plan, most children can learn.

Even if your child:

• resists the potty
• has frequent accidents
• has been in diapers for years

progress is still possible.

Start the Potty Training Workshop

If you want the full step-by-step system, you can join my new Potty Training Workshop.

Inside you’ll learn:

• How to teach prerequisite skills
• The exact steps to potty train successfully
• How to prevent accidents and setbacks
• Solutions for poop withholding and resistance

👉 Join the Potty Training Workshop here:
marybarbera.com/pottyworkshop

Problems to Avoid

There are a few outdated potty training methods and steps I would avoid!

Doctors Azrin and Foxx in their book, Toilet Training in Less Than a Day, which was published in 1974, also includes 2 steps that I don’t use. One of them is dry pants checks to make sure the child can stay dry, which involved keeping the child in underwear and visually inspecting the underwear at a time schedule.

You can see how that would not be appropriate in a public school setting where the child would then just be in underwear. So dry pants checks are kind of out with my approach as well as positive practice. This is a punishment procedure and in most cases not legal to carry out within public school settings, especially without really having a system of positive reinforcement.

Get Autism Potty Training Help!

My approach differs from what a lot of behavior analysts are following right now in terms of toilet training. So you will want to check out the full mini-course at marybarbera.com/pottyworkshop

 I do have a podcast on potty training autism too that can help.

I also talk about potty training throughout my online courses and community. If you’d like to find out more about joining those, you can go to marybarbera.com/workshops. If you liked this video/article on potty training autism, give me a thumbs up, share the video, leave a comment, and I will see you right here next week.

Want to Learn how to Increase Talking & Decrease Tantrums in Children with Autism or Toddlers Showing Signs?

Want to start making a difference for your child or clients?

Top FAQ Potty Training Autism

Start by assessing readiness skills, teaching the child to sit calmly on the toilet, and using strong reinforcement for successes. A structured step-by-step plan works best.

Many children begin around age two or three, but children with developmental delays may take longer.  That doesn’t mean that you can’t start pairing the toilet or starting teaching early skills like pulling pants up and down. Most kids, even those with severe delays can be potty trained by 5.

Even older children can often learn with the right approach.

Start by pairing the toilet with positive experiences such as books, toys, or short videos. Gradually increase the time they sit.

The potty training without tears course can help!

This is one of the most common issues I see!

Constipation is often a factor as myself and Steve Hodges discuss here. 

Poop training often takes longer. Tracking bowel patterns and reinforcing successes can help solve this common issue.