Enuresis & encopresis, where to start

If bedwetting or soiling is the primary concern, this isn’t the right starting point. The first step is medical: a paediatrician who can rule out or address the medical contributors, bladder capacity, constipation patterns, sleep architecture, urinary tract issues, before any behavioural plan makes sense. The paediatric workup will tell you whether to escalate or whether the next step is behavioural support.

Once medical causes are addressed and behavioural support is the next step, that’s a specific subspecialty, typically a paediatric psychologist or behavioural paediatrician with bowel/bladder training. I don’t currently take primary enuresis or encopresis cases on. If you’re already in my practice for something else (ADHD, anxiety, broader behavioural concerns) and bedwetting comes up alongside it, we can fold it into the plan; but as the primary presentation, you’ll get a better outcome with someone whose practice is built for this.

If you’re not sure where to start

The fifteen-minute Meet & Greet is free. If you’d like, we can talk briefly about your situation and I can point you toward the right kind of paediatric specialist for your child.