Potty Training Struggles are Common, New Poll Reveals – and Patience is Key
A new report highlights the challenges many families face when transitioning their toddlers out of diapers, with nearly 40% of parents reporting difficulties like potty anxiety or a process more challenging than anticipated.
Learning to use the toilet is a significant developmental milestone for young children, but a recent study from the University of Michigan Health C.S. Mott Children’s Hospital National Poll on Children’s Health reveals the journey isn’t always smooth. The poll, based on responses from 820 parents of children aged one to six, demonstrates that while parents generally approach potty training thoughtfully, setbacks, frustrations, and uncertainty are common.
Timing the Transition: A Balancing Act
More than half of parents initiate potty training around age two, the report found. However, a substantial minority – 21% – began earlier, while 22% waited until age three. Most parents felt they selected an appropriate time, though some acknowledged potentially starting too soon or too late.
The decision to begin isn’t solely based on age. Practical considerations, such as daycare or preschool requirements, often play a role. Financial pressures also contribute, with one in five parents citing the cost of diapers as a motivating factor.
“Waiting until a child is truly ready can make the process smoother for everyone,” explained Susan Woolford, M.D., Mott Poll Co-Director and Mott pediatrician. “Pushing it too soon often leads to frustration and delays. But some families don’t have the flexibility to wait.”
Recognizing Readiness and Navigating Challenges
Several indicators suggest a child may be prepared for potty training, including staying dry for extended periods, expressing interest in the bathroom, following simple instructions, and demonstrating independence in dressing and undressing. Children might also exhibit behavioral cues like hiding when needing to go or mimicking adult bathroom routines.
However, even with readiness, difficulties are frequent. Parents reported common struggles such as a child’s refusal to cooperate, conflicting family schedules, coordinating efforts between home and daycare, and general household disruptions. Children may resist due to fears – like the sound of flushing – or discomfort with standard-sized toilets.
Regression is also prevalent, with approximately one-third of parents reporting a step backward after initial progress. Furthermore, 8% of families experienced issues with constipation or encopresis.
“Potty training isn’t always a straight path,” Woolford stated. “Understanding that it’s a gradual process can help parents stay patient. Setbacks are normal, particularly when there are stressful events in the child’s life such as a new sibling or a move to a new home.”
Strategies for Success: Consistency and a Calm Approach
Parents employ a variety of techniques to support their children during potty training. The most common include regular bathroom trips, small rewards, allowing diaper-free time during the day, and gamifying the experience. Approximately 16% experimented with the “three-day potty training” method, which can be effective when time is limited but may be stressful for some families.
For children experiencing high levels of potty anxiety, creating a relaxed bathroom environment – perhaps with books or calming music – is recommended. Utilizing tools like sticker charts, dedicated potty toys, and consistent routines can also be beneficial, as can employing a child-sized potty to enhance feelings of security.
“Regardless of the method, the most important things are consistency, encouragement, and keeping the experience as low-pressure and supportive as possible,” Woolford emphasized.
She added that parents should consult their pediatrician if a child continues to struggle, particularly if pain, withholding, or ongoing anxiety are present.
Source: Michigan Medicine – University of Michigan.
