Motivational therapy for
bed-wetting 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 counseling sessions with a
trained professional. During the sessions, the counselor encourages the child
to take responsibility for the bed-wetting and to be very involved in the
treatment. The counselor, 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 bed-wetting.
- 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.