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All about the girl
By skater

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We are a foster family with a 7 1/2 year old girl who has this problem. After reading many forum messages, I only found one that offered a positive approach. Every day is all about her pooping, changing her clothes, and using
the toilet. That has become who she is. We just recently tried to take the focus off of that and talk about other things, spend more time with her, and, not surprisingly, she's been much more pleasant to be around. She is still going in her pants, but she is not as defiant about changing and she doesn't deny that it has happened. Her specialist says that it's not medical, but behavioral.
I'm convinced that one day she will have enough confidence in herself and will start to use the toilet, but for now we're working on keeping it positive and changing our behavior since she is so reluctant or unable to change her behavior. Many people say it's a control issue and if she can feel control in other parts of her life, she might relinquish control over pooping her pants. We try to give her choices even for little things. It's a long hard challenge, but we need to all support each other.

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