How do you potty train a difficult child? our son turned 4 in november, and is still in pullups. he will sit on the toilet and pee right before his bath, but refuses to poop on the toilet, and will not tell us when he has to go other than to sit on the to

Boys : Boys do tend to potty train later than girls. I hear terms like "difficult child" and "refuses to poop". My guess is that he picks up on this vibe as well. Sometimes if pushed too hard, a child will push back or will hold back. How about reading the "potty book" to him. There are some wonderful potty videos that are fun for kids to watch. If you can make this fun and get him invested, he may be more likely to play along. If he is pressured and faces anger, he is more likely to hold on to it.

Toileting refusal: Other than self-help/ adaptive skills delay, is his development typical? Your school district's child find does a free eval. To determine eligibility for early childhood special ed. Pull-ups impede toilet training because they wick away moisture so he isn't uncomfortable. Stop all prompts for ~2 weeks, then use a "token economy system" to promote tt. See "little people" by ed christopherson.