How Can OT Help My Child With Toilet Training?

Kirsten Amundson

Kirsten Amundson, MOT, OTR/L, is a licensed pediatric occupational therapist who has distinguished herself as a specialist in pediatric pelvic floor therapy—an emerging and essential area of pediatric rehabilitation. Since joining Chicago Pediatric Therapy & Wellness Center in 2021, Kirsten has helped families navigate challenges that many parents struggle to discuss, bringing clinical expertise and compassionate support to issues including toileting difficulties, bedwetting, constipation, bowel and bladder control, and sensory-related pelvic concerns. Kirsten's academic foundation was built at Saint Louis University, where she completed her Bachelor's degree in 2018 and immediately continued into their Master of Occupational Therapy program, graduating in 2019. This comprehensive educational pathway provided her with strong clinical reasoning skills and a pediatric-focused lens from the start of her career. In her clinical practice, Kirsten takes a holistic, play-based approach to therapy. Children in her sessions engage with age-appropriate tools and activities—using crayons, manipulating utensils, building with blocks, navigating obstacle courses—all while working toward functional goals that improve independence and quality of life. Kirsten's treatment plans are highly individualized, reflecting each child's unique needs, developmental level, sensory preferences, and family circumstances. Her specialized focus on pediatric pelvic floor therapy sets her apart in the field. Many families don't realize occupational therapists can address toileting challenges, and Kirsten's expertise fills a critical gap. She helps children develop body awareness, establish healthy bathroom routines, manage sensory sensitivities related to toileting, and overcome physical or behavioral barriers to continence. Her approach empowers rather than shames, recognizing that these challenges significantly impact children's confidence and social participation. Beyond direct patient care, Kirsten serves as co-leader of the occupational therapy team alongside Joanna Pasheluk. In this leadership capacity, she mentors newer therapists, facilitates case discussions, ensures evidence-based practice standards, and promotes seamless collaboration with physical therapists, speech-language pathologists, and behavior analysts. Kirsten's commitment to involving parents throughout the therapeutic process ensures skills generalize across all the environments where children function.