Toilet Training
Success Academy
Online CEU Course
A comprehensive, evidence-based system for pediatric therapists who want to toilet train neurodivergent children and teens β with confidence, carryover, and results.
You start as soon as you enroll and have immediate 12-month access to the self-paced curriculum. Complete at your own pace. CEU certificate issued upon successful completion.
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RFIntroduction to the Regulation First FrameworkWhy the nervous system comes first. The six-step clinical model. How regulation, interoception, and sensory safety drive toileting outcomes.
- 1Mindset TransformationBreaking limiting beliefs. Why neurodivergent children can be trained. Building clinical confidence.
- 2Meeting the Family Where They AreReadiness signs for child and family. Toilet training from a neuro-perspective. Family assessment and dynamics.
- 3Preparing From the Inside OutBrain-gut connection. Selective eating and bowel/bladder health. Interoception basics. Meltdown management.
- 4Working With Neurodivergent BehaviorsStrengths-based approaches. Skilled teaching strategies for elimination. Complex behavioral profiles.
- 5Addressing Underlying Skills Through PlayMotor, sensory, pelvic floor, cognition, and executive function. Therapeutic play activities. Goal writing templates.
- 6Toilet Training Blueprint Protocols3 evidence-based treatment packages across all settings. Encopresis, enuresis, regression. CPT codes and billing.
- 7Coaching and Carryover β The GameCoaching caregivers, teachers, and support teams. At-home carryover strategies. Telehealth delivery.
- 8Execution β Conclusion + Case StudyStep-by-step action plan. Guided assessments and to-do lists. Case study application. Certification pathway.
- C1How the Nervous System Plays a Role in Emotional Regulation and ToiletingThe connection between nervous system state, emotional regulation, and toileting success.
- C2InteroceptionWhat interoception is, why it matters for toileting, and how to assess and build it clinically.
- C3Potty Training Through a Polyvagal LensPolyvagal theory applied directly to toilet training. The three nervous system states and clinical implications.
- C4Emotional Regulation β The Key to SuccessHow emotional regulation drives or prevents toileting progress. Building regulatory capacity before skill performance.
- C5Understanding Behaviors as Stress ResponsesReframing resistance, refusal, and regression as nervous system communication.
- C6Polyvagal Strategies to Improve Emotional Regulation Related to ToiletingSpecific polyvagal-informed strategies for before, during, and after bathroom trips.
- C7Bringing It All Together β Practical ApplicationIntegration of all clinical modules. Case application and clinical decision-making.
- C8Wrap Up + ConclusionCourse conclusion. RFTTP credential pathway. What comes next as a Regulation First practitioner.
I really struggled when I started as a pediatric COTA/L. I had a 4-year-old non-speaking client who had a major meltdown in the clinic's bathroom β directly in front of the waiting room β while I was trying to help him become independent in toileting.
I was struggling with knowing how to go about addressing toileting goals. There were not many resources available. I was feeling more and more incompetent, lost, and overwhelmed, with over 70% of my caseload over the age of 3 still in soiled pull-ups.
Then I discovered this evidence-based toilet training system. Everything changed. I learned how to address underlying skills, measure progress, improve carryover, and bill for toileting goals. I was able to toilet train even the most challenging cases β including an autistic 13-year-old nonspeaking teen with a history of potty training fails.
If you implement each step in this course, you'll know exactly how to approach different behaviors, address underlying skills, solidify carryover, and get your clients independent in toileting.
The Toilet Training Success Academy has been an invaluable resource in expanding my expertise as a therapist while helping me feel confident in providing families with solutions that actually work.
The course includes evidence on protocols that work and that are individualized. The details and helpful checklists make you the expert on how to choose the right protocol.
I love how in-depth the course went into evidence-based toilet training methods in different settings. Exploring the underlying reasons for various challenges was extremely helpful.
30-Day Money-Back Guarantee
If you are not satisfied with the course within 30 days of purchase, contact us at [email protected] and we will issue a full refund. No questions asked. Note: refunds are not available after a CEU certificate has been issued.
If you are in the US, you can use it for your state and national license renewal.
The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is not approved by any speech or physical therapy associations. However, you can check with your state board to see if it meets your license renewal requirements.
After the final module, you will submit a case study. After we review it (within 7β10 business days), you will receive your certificate by email.
AOTA Approved Provider #0000001046
- Provider: Helping Hands Therapy Services, PLLC Β· AOTA Approved Provider #0000001046 Β· Course Approval ID #7621
- Contact Hours: 1.0 CEUs Β· Intermediate Β· OT Service Delivery and Foundational Knowledge
- Delivery Format: Distance Learning β Independent
- Educational Level: Intermediate
- Completion Window: 12 months from enrollment date
- Target Audience: Occupational Therapists, COTAs, Speech-Language Pathologists, Physical Therapists
- Complete all modules to 100%
- Pass all module quizzes (multiple attempts allowed)
- Submit case study application worksheet
- Complete required post-course satisfaction questionnaire
Presenter Disclosure β Arianna Medina, COTA/L (TTSA Modules):
Financial: Arianna Medina received a one-time honorarium for presenting this course and is an affiliate.
Non-financial: Arianna Medina has no relevant non-financial relationships to disclose.
Presenter Disclosure β Kathleen Yopp, MOT, OTR/L (Regulation First Modules):
Financial: Kathleen Yopp is the owner of Helping Hands Therapy Servicesβ’ and receives financial benefit from course enrollment.
Non-financial: Kathleen Yopp has no relevant non-financial relationships to disclose.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
Enroll in the TTSA CEU Course
Start immediately. Self-paced. 12-month access. 1.0 AOTA CEU upon completion. Includes all Regulation Firstβ’ modules and 50+ clinical downloads.
π This Course Is the Level 1 RFTTP Certification
Completing this CEU course fulfills the Level 1 requirements for the Regulation First Toilet Training Practitioner (RFTTP) credential. During our founding period, you can also get the Level 2 CTTS credential β plus all specialist modules β for the same $547 price.
Founding price closes June 8, 2026 Β· After that the bundle is $797