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It is heartbreaking to have a child who is toilet trained lose his toilet training. If that occurs, the first step is to rule out a urinary tract infection that can be easily diagnosed with a urine sample. Other possible causes could be GI problems such as diarrhea or parasites. Dr. Bauman has found that some pre-teen children lose bladder control due to a spastic bladder and that sometimes the drug Ditropan is helpful.

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In conclusion, it is vital to remember that, with most children with autism, and especially with those who are nonverbal or have limited verbal skills, behavior is communication. Sudden or unexplained acting out behaviors that continue for days or weeks are often the result of hidden physical issues affecting the child. Before you ask for more and more powerful psychiatric drugs, you must absolutely, positively rule out a treatable medical problem.

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Temple Grandin "The Way I See It: A Personal Look at Autism & Asperger's" (2011)

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