Toileting challenges can feel overwhelming for parents of neurodivergent children, especially when withholding, accidents, or anxiety become part of everyday life. In this episode, we’re joined by the compassionate and highly experienced Charmaine Champ, who brings over 30 years of professional and lived experience to help families understand what’s really happening inside their child’s body. Charmaine shares why toileting can feel so hard, the small steps that make progress possible, and the gentle, practical strategies that help children feel safe and confident. BiographyCharmaine Champ is a Registered Nurse in Learning Disability (RNLD), Community Nurse Specialist (BSc Hons), Queen’s Nursing Institute Award winner, and a Continence, Sleep, and Understanding Emotions Consultant with over 30 years’ experience supporting children and young people. Drawing on a rich background across clinics, schools, charities, NHS services, and family homes, as well as her own lived experience as a mum in a neurodivergent household, Charmaine specialises in helping children recognise, understand, and respond to the messages their bodies send, so wees and poos can happen comfortably and safely. Her approach blends research-backed guidance with a compassionate, gut-health-informed lens, empowering families, carers, and professionals to support neurodivergent children with toileting, sleep, and emotional regulation in a way that truly meets their individual needs.Key TakeawaysWhy recognising internal body cues matters for understanding a child’s toileting challenges and choosing the right starting point.What withholding really signals and how seeing it as communication—not behaviour—shift the whole approach.Breaking skills into tiny, achievable steps helps children feel safe, confident, and less overwhelmed.Identifying missed signals such as difficulty noticing hunger, fullness, or the need to poo or wee can unlock new progress.Sensory needs play a powerful role, influencing where, when, and how a child feels able to use the toilet.Consistency across home, school, and healthcare builds familiarity and reduces anxiety for neurodivergent children.Medications like Movicol require proper guidance, and understanding dosage and purpose helps parents advocate with clarity.Using visuals and accessible communication makes environments more supporting and inclusive for all children.Understanding the ‘why’ behind toileting patterns gives parents reassurance, confidence, and a clearer sense of direction.Mentioned in This EpisodeBristol Stool Chart Connect with Charmaine ChampFree gift: https://clear-steps-consultancy.newzenler.com/courses/what-to-do-about-poo Email:
[email protected] Website: https://www.clearstepsconsultancy.co.uk Facebook: https://www.facebook.com/ContinenceConsultantTrainer Instagram: https://www.instagram.com/continenceconsultanttrainerConnect with The Autism MumsWebsite –
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Ireland