Alan still has a diaper at night. During the day he restrains himself for long hours – both peeing and bowel movements. He’s just terrified about having a bowel movement. For the past two days consecutively he hasn’t had a bowel movement. Finally it escaped and soiled his underwear. Everything began a week ago when his mother removed the diaper of her own initiative. The boy himself showed no sign he’s interested in going diaper-free. Immediately he started releasing urine and feces in his underwear. His reaction was hysterical when he felt he needed a bowel movement, and when he asked for a diaper his mother refused. The situation is going from bad to worse. He holds it in for entire days at home and in kindergarten, both bladder and bowels. He’s in tremendous psychological distress and has also resumed using his pacifier. His mother, Sharon, told us that although he’s very aware that she’s a single mother and lives peacefully with this situation, he’s now starting to constantly demand a father (who of course doesn’t exist in his life). In view of his tremendous misery, his mother asked for a Skype session with me on a Friday before the weekend began, in order not to wait a few more days for a meeting at the clinic. In general she described him as a well-developed joyful, a sportive boy, active, full of self-confidence, who functions well in all aspects of his life. I provided Sharon with the usual instructions about getting rid of the anxiety for good.