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Become a Certified Toilet Training Specialist β Helping Hands Therapy Resourcesβ’
Become a Certified
Toilet Training Specialist
The only toilet training certification built on nervous system regulation, polyvagal theory, and the Regulation Firstβ’ framework β for therapists who want real results with complex cases.
β AOTA Approved CEU Provider Β Β·Β β IAOTH Accredited Β Β·Β β Regulation Firstβ’ Methodology
Sound Familiar?
If you work with children who struggle with toileting, you have probably experienced at least one of these
Reward charts, timers, schedules, behavioral protocols. You've implemented all of it. The child is still refusing, regressing, or shutting down. You know something deeper is going on.
You understand polyvagal theory. You've taken the courses. But when you're in the room with a dysregulated child and a frustrated family, you need a clear clinical roadmap β not just concepts.
Most toilet training certifications are behavioral checklists. They don't address sensory processing, interoception, trauma responses, PDA profiles, or the nervous system. You need more than that.
The Regulation Firstβ’ approach changes everything.
When you stop trying to train behavior and start addressing the nervous system underneath it β resistance becomes information, regression becomes communication, and families finally see progress. This certification gives you the complete clinical framework, the assessment tools, the session-by-session roadmap, and the credential to practice with confidence.
The Regulation Firstβ’ Framework
A six-step clinical model built on polyvagal theory, sensory integration, and nervous system regulation
Most toilet training programs start at Step 4. The Regulation Firstβ’ framework starts at Step 1 β because a child cannot learn a new skill in a dysregulated nervous system state. Safety, regulation, and interoceptive awareness must come before any skill-building begins. This is not just a philosophy. It is the clinical sequence that produces results when everything else has failed.
Choose Your Certification Level
Three tiers, each building on the last β start where you are and grow at your own pace
When you purchase Level 1 at $497, your full investment is credited toward Level 2. You only pay $400 to upgrade β not $897. This means starting at Level 1 is completely risk-free. You get the credential, the CEUs, and the credit toward the next level.
- Full TTSA CEU course (7 modules)
- Regulation First intro module by Kathleen Yopp
- Regulation First wrap-up module by Kathleen Yopp
- All module quizzes + assessments
- 50+ downloadable resources
- Interoception activity library
- Seating adaptation guide
- RFTTP credential + certificate
- Expert guest speaker interviews
- Referral network listing
- $497 credit toward Level 2 upgrade
- Everything in Level 1
- Regulation First Frameworkβ’ deep dive
- Anxiety, Fear & PDA in Toileting
- What to Do When Your Child Won't Poop
- Potty Training with Communication Delays
- Potty Training with Sensory Sensitivities
- Full clinical curriculum (C1βC6)
- Session-by-session implementation guide
- Treatment planning & goal writing templates
- Full resource library + visual tools
- Business + marketing tools module
- 12 months community access
- CTTS credential + certificate
- Everything in CTTS
- License to use Regulation Firstβ’ curriculum with clients
- Helping Hands Certified Providerβ’ designation
- Client-facing parent education video library
- Parent education video series
- Priority coaching for complex cases
- Listed on Helping Hands provider directory
- Quarterly live strategy calls with Kathleen
- Annual renewal: $597
Full Curriculum
Every module across all three certification levels
Certification Requirements
What you need to complete to earn each credential
- βComplete all 9 modules (TTSA + intro + wrap-up) to 100%
- βPass all module quizzes (multiple attempts allowed)
- βComplete post-course satisfaction questionnaire
- βSubmit brief case application worksheet (1 page)
- βComplete within 12 months of enrollment
- βComplete all Level 1 requirements
- βComplete all Part 3 specialist modules
- βComplete full clinical curriculum (C1βC5)
- βPass CTTS knowledge assessment
- βSubmit full case study (reviewed in 7β10 business days)
- βComplete within 24 months of enrollment
Who This Certification Is For
Open to licensed professionals working with children of all abilities
OT, OTR/L, COTA/L β any setting: clinic, school, home health, telehealth
SLP, CCC-SLP, SLPA β especially those working with AAC users and complex cases
PT, DPT, PTA β pelvic floor, motor, and postural aspects of toileting readiness
BCBAs, RBTs (under supervision) β adding a nervous system lens to behavioral approaches
Psychologists, LPCs, LCSWs β addressing anxiety, trauma, and PDA in toileting
EI specialists and special education teachers with therapy backgrounds
- Email signature: "Jane Smith, OTR/L, RFTTP" or "Jane Smith, OTR/L, CTTS"
- Psychology Today profile specialty section
- Clinic website bio and specialty page
- Insurance panel specialty listings
- Referral letters to pediatricians and urologists
- Social media bios and certification announcement posts
What Practitioners Are Saying
From therapists who have completed the TTSA program
This completely changed how I approach every single toileting case. I stopped fighting the resistance and started listening to it. My outcomes improved immediately.
I've taken a lot of CEU courses. This is the only one that gave me a complete clinical framework I can actually use β not just information to know, but a step-by-step process to follow.
The interoception module alone was worth it. I had never made the connection between interoceptive awareness and toilet training. It explained everything about why my kids were struggling.
Frequently Asked Questions
Ready to Become a Certified
Toilet Training Specialist?
Join practitioners across the country who are getting results with complex cases using the Regulation Firstβ’ approach. Start at Level 1 risk-free β your full investment applies toward Level 2.
β AOTA Approved CEUs Β Β·Β β IAOTH Accredited Β Β·Β β $497 credited toward Level 2 Β Β·Β β Multiple attempts on all quizzes
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