Yoeli, age 8.6

First clinic meeting with parents on February 5, 2019

I met Yoeli’s parents at the clinic on February 5, 2019. They told me that their daughter has complete control of her bladder, by day and night. She poops only in her underpants. It’s not clear in what quantities, because she deals with it herself. Almost daily she returns from school with soiled panties, and also soils in the afternoon and evening. In fact the soiling happens everywhere. She continues walking around with dirty clothes. Up to six months ago the problem didn’t exist at all. It started during the summer vacation when she had to attend a summer camp but didn’t want to go there at all. She suffered tremendously, and later developed prolonged episodes of constipation. The pediatrician ruled out organic factors and recommended Normalax. The retention and constipation got worse and worse, and the soiling episodes worsened. For several months she’s been having regular sessions with a psychologist. In the past week there’s been some improvement in her initiative to go to the bathroom. She’s described as a very well-tended girl. Strongly aware of her appearance and clothes. Highly charismatic with great sense of humor. Her language is well developed. She is very theatrical, much loved by people around her.
Follow-up

In a conversation with the parents on 17th February 2019 (two weeks after the clinic meeting) her mother, Mickey, told me that they’d started applying the rules of discipline. The girl’s reaction was very positive. She’s completely clean, but had to go every day to the bathroom at the designated time, where she immediately emptied her bowels – remaining clean until the following day. Yoeli is overjoyed with the change, and even asked to meet me personally.

On March 12, 2019 (a month after the first clinic meeting), there was a really thrilling meeting with the parents and Yoeli herself, at the clinic. She told me how she’s been freed from the problem and that it’s contributed to other aspects of her life: it has totally changed her life. She described the experience as resembling as a huge knot in headphone cables – that she managed to unravel. We decided to cancel implementation of all the disciplinary rules for the moment.

On 23rd June (4½ months since the first clinic meeting) Mickey told me that since our joint conversation with Yoeli at the clinic, the situation has improved even more because the topic is now completely off the family’s agenda. Yoeli still recalls now and then her huge sense of achievement when she overcame her problem.

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Additional Resources

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