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Stool Withholding Autism

A first-person social story names a child's fear of going to the toilet, reassures them that the fear is normal, and models calming and comfort strategies to help.
Year groups
Not year specific
File type
PDF
Preparation
Print ready

Updated Sep 24, 2021

Subject
Life Skills, Special Resources
Topic
Social Story, Autism
Preparation
Print ready

From the author

About this resource

Social stories use a patient and reassuring tone to teach children about social situations in a way that can be easily understood. Social stories are particularly useful for children on the autistic spectrum for whom social cues can be challenging and who often suffer anxiety if they do not know what to expect from a situation however social stories can also be useful for any child who is struggling to understand a situation or concept or needs help to understand a social skill or social cue, expectations, perspectives, common responses or is troubled about an upcoming event.

This social story is to support children who are holding their poo in, also known as stool withholding. There are different reasons that children may do this including previous experiences of pain or trauma. This social story reassures them that it is OK to feel scared but that they do not need to and that holding their poo inside or having accidents in their underwear can be equally uncomfortable. It also explains ways to make it more comfortable when they poo.

These books should be used over and over to reinforce the point so I would suggest either putting the pages into a display book or laminating and binding them.

Clipart images courtesy of Kari Bolt.

In the classroom

Teaching tips & learning objectives

Teaching tips

  • Read the story repeatedly and build it into the child's routine rather than reading it once — like other social stories, its short repeated messages are meant to normalize the topic gradually.

  • Pair the story with the two concrete comfort steps it names (soft-stool foods, more water) if those fit the child's situation, since the story presents them as things that make going to the toilet easier.

  • Use the three coping lines (deep breaths, 'I can do this,' thinking of happy things) as a script the child can rehearse and repeat in the moment, not just while reading the story.

Skills covered

  • Naming and normalizing a specific fear — the story explicitly says it is OK to feel scared and that everyone feels scared sometimes.

  • Self-regulation strategies — the story models deep breathing, positive self-talk, and redirecting attention to happy thoughts as ways to manage the fear in the moment.

Good to know

Questions teachers ask about this resource

What coping strategies does the story teach?

It models three in-the-moment strategies — taking deep breaths, repeating 'I can do this,' and thinking about happy things — alongside two comfort steps: eating foods that keep stool soft and drinking plenty of water.

Does the story end on a reassuring note?

Yes — it closes by connecting pushing the poo out to feeling healthy and proud, after first validating that feeling scared about it is normal.

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