12/10/2025
In addition to the external senses we all know (sight, smell, hearing, taste, touch), we also have three INTERNAL sensors. We have vestibular which tells us where our head is in space...it's like a 3d level that connects the body and brain. Next, we have proprioception which tells us where our body is in space. It's what keeps us from running into countertops and tripping over inanimate objects. Finally we have interoception, it's our internal system gauge. It's like the gas meter for p*eing, p**ping, eating, temperature, and even registering pain. All of these tend to slightly overlap as they all aspects communicate with each other.
🎠VESTIBULAR🎠
This is the child that may struggle to sit still on the toilet ti the point they fall off the toilet seat. Depending on if they sense too much or too little, they may either have difficulty climbing a step stool to reach the toilet out of fear or because they are doing an interpretive dance on the stool. They may also do okay on a low toilet but dislike taller toilets or heights in general.
🎡VESTIBULAR SUPPORT🎡
If your child avoids high places, including the toilet, they may be okay with a smaller toilet that is placed on the floor. If your toilet seat wobbles this can cause dysregulation. They may also struggle with hand-eye coordination and need additional support with wiping. If they are constantly on the go then you might notice they improve with planned wiggles, swinging, spinning and hanging upside down in between restroom times. Tummy time (coloring on stomach or playing games) can help kids feel more grounded.
🪨PROPRIOCEPTION🪨
This child may also be a wiggle worm on the toilet, struggling to sit still without leaning forward on themselves or leaning back for more support. A child that needs more proprioceptive support may not fully p*e or p**p because they are always on the go. They may also struggle with the physical act of getting dressed or wiping. You might also notice they are "picky" or struggle with some clothes and are fine with others.
🏋♀️PROPRIOCEPTIVE SUPPORT🏋♀️
If your child looks like they are going to wiggle off of the toilet, they may benefit from increased support. You can try having them sit backwards so they can support themselves on the toilet tank, grab a pillow or stuffed animal to hold, or make sure they strong foot support so they can sit. Since proprioceptive seekers often struggle to slow down, you can give them something to focus on while using the restroom...this could be bubbles, a pinwheel or something heavy to play with.
🔮INTEROCEPTION🔮
Children with interoceptive needs often struggle with potty training or making it to the toilet. This is because they do not feel the urge to p*e or p**p and may experience a lot of leaks because they "wait until the last minute" to go to the bathroom. They may not fully p*e or p**p and frequently need to use the restroom. A child in need of interoceptive support may frequently mention stomach pains or headaches or may be "super tough" and seem to never feel pain. This may also be a "super emotional" child or a child that gets angry whenever you ask if they need to p*e or p**p.
🎱INTEROCEPTIVE SUPPORT🎱
Realistically, this one needs the most support in my opinion. A lot of kids struggle with not only feeling sensations but also having enough executive functioning skills to connect what the sensation is to what it means to what they need to do because of it. One of the most helpful things you can do is label what you see, rather than what you think. Is the child doing the potty dance or squeezing their butt cheeks or hiding behind the couch and making a funny face? If so, instead of telling them to use the restroom, you can highlight what action they are doing and ask, "what do you think your body is asking you?" This helps them connect their actions and sensations with what it means and how they need to respond (ie. Lower tummy pressure tells me my bladder is full so I need to p*e). If your child gets "angry" or seems to laugh at accidents, it may actually be embarrassment, feeling powerless or ashamed. One of the best things you can do is normalize the bathroom. There are a ton of books and online videos that can help normalize bathroom habits to ease those emotions (I'll post those next).
If you feel like your child needs more support in any of these areas or you're not sure where to start, I'm here to help.