ASPERGERS SYNDROME

We have a son who is diagnosed with Aspergers.  He was fine last year with going to the restroom when he needed to, now he doesn't even try.  He simply poops his pants and then lies about it when asked why he stinks.  He leaves poop trails all over the house.  He starts school next year and we are so worried this will embarrass him.  We know that he does it when he is having fun and know that he gets wrapped up but this needs to be fixed.  We are so frustrtated

[Rebecca Resnik, PsyD]

Hello,
  children on the autistic spectrum disorder can be highly sensitive to sensations. Feelings that do not bother most people (such as those created by defecating on the toilet or hearing the flush) can be intolerable or even painful to them. Children with Aspergers often do not anticipate or recognize the social consequences of their actions, so its up to you to teach him before his peers make his life miserable.

   I would recommend you find a pediatric psychologist who has some expertise in managing elimination disorders (encopresis and toileting issues). This person will help you learn to manage this behavior and reestablish healthy bowel habits. Your pediatrician will be able to refer you. In the meantime, I would get some big pull ups to save your carpet!

Best Wishes
Rebecca Resnik