Conversation: The conversation between human and AI assistant.
[|Human|] I am a licensed associate counselor and my 11 year old male client has not learned to go to the bathroom on his own. He continues to soil his clothing, both urination and defecation. He has already had all physical examinations/assessments have determined he is physically fine. He is learning disabled. When asked, the client says that he believes he will miss out on something by going to the bathroom. He wears a watch that vibrates as a reminder to go to the bathroom, but ignores it. His school and mother are on board for consistency. Can you direct me to research material addressing this problem. Kind regards, Colleen Young, M.A./Ed.S., LAC
[|AI|]  Hi, Welcome to the ChatDoctorAs these symptoms can occur in mental disabled child and the child having bad experience in surrounding and with friends and family.First neurological problem has to be ruled out, and if he gets some back pain, he may need MRI spine to be done to rule out nerve injury S1 or sacral plexus injury. If only counseling is not helping then he may need psychotherapy and needs to get checked by psychologist for discussing further. Chat Doctor.