9 Signs Your Child Is Ready for Potty Training

Rose McLean

Rose McLean

Rose McLean, PT, DPT, c/NDT, is co-owner and lead physical therapist at Chicago Pediatric Therapy & Wellness Center, where she has dedicated over 20 years to helping children with developmental challenges achieve their movement goals. Rose's specialized focus on pediatric physical therapy, combined with her commitment to multidisciplinary collaboration, has made her a trusted resource for families navigating motor delays, neurological conditions, and complex developmental needs throughout Chicago. Rose earned her Doctorate in Physical Therapy from Northwestern University in Chicago in 2004, where she received rigorous training in both pediatric and neurological rehabilitation. She began her clinical career at Cincinnati Children's Hospital, consistently ranked among America's top pediatric medical centers, where she gained invaluable experience treating children with diverse and medically complex conditions. This foundation shaped her evidence-based, child-centered approach to therapy. Beyond her doctoral training, Rose holds certification in Neurodevelopmental Treatment (NDT), a specialized intervention approach for children with cerebral palsy, neurological impairments, and other developmental disorders. She also maintains registration with Illinois' Early Intervention Program, allowing her to provide services to infants and toddlers (birth to age 3) in both home and clinic settings. Rose's therapeutic style is distinctively playful and highly individualized. She invests time in understanding each child's personality, interests, and motivators, then designs sessions that feel like play while targeting specific developmental goals. Whether working on strength, balance, coordination, or motor planning, Rose ensures therapy remains engaging and appropriately challenging. In 2014, Rose partnered with her husband Patrick to establish Chicago Pediatric Therapy & Wellness Center, driven by a vision that pediatric therapy should be comprehensive, collaborative, and convenient. She wanted to eliminate the fragmentation families often experience when their child needs multiple therapies—instead offering coordinated care where physical therapists, occupational therapists, speech-language pathologists, behavior analysts, and social workers communicate regularly about each child's progress. Rose also prioritized creating community spaces where families can connect and children can learn social skills alongside therapeutic development.

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Potty Training


9 Signs Your Child Is Ready for Potty Training – A Pediatric Pelvic Health Physical Therapist’s Perspective

Potty Training can be a stressful, yet exciting experience for both the child and the caregiver. It is a period of time where your child is exploring a new level of independence! But, how do you know that your child (and your family) is ready to start Potty Training?

Amanda DiGangi from Chicago Pediatric Therapy & Wellness Center is a board-certified in pediatric physical therapist trained in pediatric pelvic health and she is here to help! She’s put together 9 signs that your child is ready for toilet training to help you and your family decide if it is time to embark on this Potty Training journey.

With her background in pediatric pelvic health physical therapy, she provides a unique approach to this topic to encourage healthy toileting from an early age.

Here are the NINE benchmarks you may want to consider before attempting to start Potty Training your child:

118 months of age or older

  • Quite honestly, you may want to wait until your child is closer to 22 months to even consider it. The very earliest the nervous system is ready for traditional Potty Training is 18 months, but this is for a select, few children, and quite the minority.
    • This means that some children are physically capable of making the decision of when to go and when to hold. More commonly, children are ready to toilet train between 22 and 30 months of age.

120px-NYCS-bull-trans-2.svgAware of when they’re going to the bathroom

  • Is your child pressing on their belly when they go? Are they adopting a characteristic potty position such as crouching down or hiding behind the couch?
  •  Your child’s awareness of when they are going is a very important sign of readiness for potty training.

NYCS-bull-trans-3.svgDry diaper for 2 hours at a time

  • This is important because it indicates that your child’s bladder capacity is increasing.
  •  This means that your child’s nervous system is maturing and is getting ready to have greater toileting success!

120px-NYCS-bull-trans-4-red.svgDry diaper after naptime

  • Another sign that your child is ready is when they make it through naptime without a wet diaper. The ability to decrease the flow of urine while resting is yet another indication that your child’s nervous system is maturing.
  •  This means that child’s body is physically ready to embark on this journey.

120px-NYCS-bull-trans-5-red.svgNo longer having bowel movements at night

  • This is a real big-kid transition that, you guessed it, indicates nervous system maturity.
  •  It demonstrates that your child is one step closer to having potty training success.

 

120px-NYCS-bull-trans-6-red.svgRegular or predictable bowel movements

  • Having regular bowel movements is helpful in potty training as it can simply make toileting success much easier during the training process.
  •  It also indicates that your child’s sleep patterns, diet, fluid intake, and physical activity may be adequate for potty training, as regular bowel movements often rely on regularity of such systems.

 

120px-NYCS-bull-trans-7-red.svgAbility to play in a deep squat position

  •  – Playing in deep squat is a great skill to achieve prior to potty training. This skill improves your child’s hip and pelvic mobility to make for smoother passing of both urine and bowel movements.
  •   Prolonged play in this position is helpful for elongating the pelvic floor muscles and encouraging movement of stool along the bowel.
  • It also provides feedback to your child when their bladder is full. Another important aspect of this skill is your child’s ability to maintain postural control and coordination of the muscles in the pelvic area.
  • Each of these skills will improve your child’s ability to successfully sit on the potty with good control, coordinate their pelvic floor, and achieve adequate hip/pelvic position to allow urine and stool to empty.

120px-NYCS-bull-trans-8-red.svgAbility to help with the process such as pulling pants down

  • It is always important to involve your child in the toilet training process. This can look very different from child to child. Encourage your child to actively participate in the process as they are able.
  •  For example, pulling their own pants down, turning on the light, putting on the training potty seat, or flushing the toilet afterwards.
  • Engaging your child in the process and rewarding them each step of the way is likely to progress their independence and success!
  • If your child is not typically developing, you should still involve them in the process! Just like their peers, the end goal is to have your child be as independent with the toileting process as possible.
  • Involve your child in ways you feel they can be successful to promote independence. Be sure to provide them with plenty of positive encouragement and praise for all successes in the bathroom, not just for urinating or having a bowel movement.

120px-NYCS-bull-trans-9-red.svgEmotional readiness of the child and caregiver

  • A huge aspect of toileting success is not only the emotional readiness of the child, but also the readiness of the caregiver. Some families commit to spending four straight days working on potty training. Other families simply cannot devote that much time continuously to potty training.
  • Whenever you’re ready, be sure that everyone on your team is also ready! This includes your partner, but may also include a caregiver, preschool teacher, or relative that is assisting with childcare.

PT TIME

Ready To Get Potty Training Started?

Convinced your child is ready? Awesome, we can’t wait to hear about your successes on our social media! Still nervous to get started? That is okay too! As mentioned, success relies on a team approach and readiness from all caregivers. If work is busy, your child’s schedule is atypical that weekend, or you plain need a break, just wait.

Find a time that works best for you and your family. If you’ve read these 9 signs and would like more information, check out our blog – Putting The PT in Potty Training or check us out on our Facebook and Instagram page

If you feel your child is still not physically ready to potty train but would like some direct guidance to get started, please contact our office at 773-687-9241 to schedule a pediatric pelvic health physical therapy evaluation at Chicago Pediatric Therapy & Wellness Center.


 

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