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A Developmental Approach to Toileting: Part 1

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What is DIR?

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A Developmental Approach to Toileting: Part 1
by Affect Autism

What parent doesn’t ask about toileting issues when their child is on the spectrum? I don’t think I’ve met a parent of an autistic child who hasn’t struggled with toileting. But is it the child’s issue or is it the parent’s issue? Developmental, Individual differences, Relationship-based (DIR) Occupational Therapist, Alysha Paiaro, is the Assistant Director of Little Buddies Pediatric Therapy, Inc. which is a DIR Occupational Therapy practice just outside Vancouver, British Columbia where she is lovingly known as the Queen of Poop.

Alysha has her DIR Proficient Certificate from the Interdisciplinary Council on Development and Learning (ICDL), is a PLAY Project consultant, has training in sensory integration, and in the relationship between trauma and sensory regulation. Her boss is Keith Landherr whom we podcasted with a few weeks ago, and today we are talking about toileting and interoception which is an area she has quite a bit of experience with.