Motivational therapy for
bedwetting often simply involves telling children that
they have control of their bodies and encouraging them to gain that control.
Parents and the child together can also design a reward system for dry days
that will encourage and motivate the child.
This therapy may involve a series of counselling sessions with a
trained professional. During the sessions, the counsellor encourages the child
to take responsibility for the bedwetting and to be very involved in the
treatment. The counsellor, parents, and child decide what reward (praise,
stickers, or trinkets) the child will be given for dry days and/or
nights.
Motivational therapy helps many children gain some degree of control
over their bedwetting.
- It is unclear exactly how many children gain
complete bladder control through motivational therapy alone. Results from
studies vary widely.
- Children who do gain complete bladder control
with motivational therapy are less likely to return to accidental wetting after
treatment than children who are treated with other therapies.
Motivational therapy has the best chance of success when the child is
eager and willing to participate, the parents are conscientious and
responsible, and the health professional and family communicate well with each
other.1
Motivational therapy is often used in combination with other
treatments, especially moisture alarms, dry-bed training, or self-awakening
therapy.