YOUR SITUATION IS VERY SIMILAR TO MINE, I TOO HAVE A 4 1/2 YEAR OLD DAUGHTER WHO CONSTANTLY PEES IN HER IN HER PANTS, BUT WILL POOF IN THE TOILET. SHE TOO IS VERY LOVING NORMALLY, BUT WILL YELL AT ME AND HER DAD AND GET VERY ANGRY WHEN SHE DOESNT GET HER WAY OR WHEN WE TRY TO CORRECT HER. I THINK ALOT OF HER ANGER HAS TO DO WITH HER DAD, HE WAS RAISED BY PARENTS WHO YELLED AND SPANKED AND I THINK HE TREATS HER THE WAY HE WAS TREATED AS A CHILD. ME, ON THE OTHER HAND AM MORE OF A TALKER, I TRY TO EXPLAIN THINGS TO HER, I TRY TO MAKE HER UNDERSTAND THAT HER ACTIONS HAVE CERTAIN CONSEQUENCES INSTEAD OF GETTING ANGRY AND YELLING. THIS WHOLE POTTY TRAINING THING JUSTHAS ME AT MY WITS END THOUGH. IM SO AFRAID THAT WHEN SHE STARTS SCHOOL IN SEPTEMBER SHE WILL PEE IN HER PANTS AND BE MADE FUN OF AND I DONT WANT THAT FOR HER BUT I DONT KNOW WHAT TO DO. HAS ANYTHING WORKED FOR YOU?
You are correct in thinking that evaluation may be required. There's no indication that she needs to see a neurologist, but sje should see a child psychiatrist or child psychologist. The problems with soiling may not be related to her emotional problems, though they probably are to some extent. Be sure that she is not constipated - impacted bowels are the chief reason for encopresis in children.