Enuresis

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Children with ADHD and anxiety appear to experience more emotional dysregulation than their peers. While they experience the same emotions as individuals their age, they experience them much more frequently and intensely. They may be more likely to get stuck and caught up in their emotion due to difficulties with executive functioning skills and seeing the bigger picture.

Source: Understood.org

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Enuresis

Enuresis is an elimination disorder in which an individual consistently urinates in inappropriate places such as their clothes, bed, or the floor. It may be involuntary or intentional. Enuresis affects 5-10% of five-year old’s, 3-5% of 10-year old’s, and about 1% of individuals 15 years or older. To qualify for a diagnosis of enuresis, an individual must:

  • Have repeated urination into bed or clothes
  • Repeat the behavior at least twice a week for at least 3 months in a row
  • Experience significant distress or functional/social impairment from the behavior
  • Be at least 5 years of age or developmentally equivalent
  • Must not have an outlying medical condition or psychological explanation for the behavior (i.e. a diuretic, diabetes, seizure disorder)

Some individuals who have enuresis only experience it at night-time (i.e. bed-wetting) and some experience it during daytime. Bed-wetting is the most common form of enuresis. Day time enuresis may result from a reluctance to toileting. Some reasons for this may be:

  • Sensory issues (loud noises such as the flush of a toilet)
  • Fear of bathrooms or toilets
  • Social anxiety
  • Preoccupation with activity/ problems with shift(transition)
  • Trauma
  • Deliberate rebellion
  • Emotional distress

Enuresis causes difficulties with social functioning as children may miss school, feel guilt or shame, become embarrassed and withdrawn, or be bullied by others.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). doi:10.1176/appi.books.9780890425596

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We are not an emergency clinic. We are an outpatient provider so we do not have inpatient facilities. We are not a hospital and do not provide detox services for addictions. We do not treat schizophrenia or brain disorders related to advancing age such as dementia or Alzheimer’s. We are not contracted with any court system and do not provide court ordered services related to child custody or other matters.

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