Rotem D, age 8
At our first meeting on 14th August 2018 his parents told me that Rotem controls his bladder by day and night. However , when he’s really forced to, he poops in the toilet. He does several bowel movements in his clothes during the day, in differing amounts. He does it everywhere and walks around with soiled clothes. That behavior has always been present. The pediatrician ruled out a range of organic problems.
He has been diagnosed with ODD – Oppositional Defiant Disorder. ODD’s characteristic is pattern of negative defiant behavior, on purpose, to be difficult. He takes medication to ease the ODD. The parents have consulted with various psychologists. He’s a very smart, highly sensitive child, outstanding in math, a football fan. Highly competitive, with a very low frustration threshold. His parents are at their wits end about the question of pooping.
I gave the parents instructions about applying disciplinary therapy.
On 29th August, two weeks after the clinic meeting. The first disciplinary measure – a long period in the bathroom – hadn’t changed his behavior. As a result, we decided to add a punishment to it. Also a ban on screens, we forbade him to use the tablet, computer and smartphone.
September 5th – about a week after the screen ban. His father reported a significant change in Rotem’s behavior. He was actively working at emptying his bowels in the toilet, and keeps himself clean and tidy. Over time, the need to use disciplinary principles lessened.
January 2019 – his parents got in touch to report a deterioration in Rotem’s behavior. Therefore, he resumed his old habits. So, we started reapplying the disciplinary principles and the prohibition of screens. Within ten days he resumed functioning properly. He was doing full bowel movements in the toilet and staying clean.
On 20th 20, 2019 – Rotem’s parents reported that he is persisting with his perfect cleanliness habits. In conclusion, the need to use the disciplinary rules has now vanished.