Become a Certified Toilet Training Specialist β€” Helping Hands Therapy Servicesβ„’
⚑ Founding Bundle: Get BOTH credentials (RFTTP + CTTS) for $547 β€” same price as Level 1 alone Β· Price increases to $797 on [DATE]
✦ Regulation Firstβ„’ Certification Β· Helping Hands Therapy Servicesβ„’

Become a Certified
Toilet Training Specialist

The only toilet training certification built on nervous system regulation, polyvagal theory, and the Regulation Firstβ„’ framework β€” with AOTA-approved CEUs and internationally recognized credentials for licensed therapists.

βœ“ AOTA Approved CEU Provider #0000001046  Β·  βœ“ IAOTH Internationally Accredited  Β·  βœ“ Regulation Firstβ„’ Methodology

3Certification Levels
1.0AOTA CEUs Included
20+Clinical Downloads
$547Founding Bundle
AOTA Approved Provider #0000001046
IAOTH Internationally Accredited
Kathleen Yopp, MOT, OTR/L
Arianna Medina, COTA/L
Helping Hands Therapy Servicesβ„’

A Different Approach: The Regulation Firstβ„’ Method

Potty training is not just a developmental milestone. It is a complex process that requires nervous system regulation, body awareness (interoception), sensory safety, and motor coordination.

Most traditional approaches start with behavior. But behavior is not the root cause. It is the output of what is happening in the body.

This certification teaches a step-by-step clinical model: Regulation β†’ Interoception β†’ Sensory β†’ Motor β†’ Routine β†’ Independence

An important distinction:

Routines, schedules, and behavioral strategies are valuable tools β€” and they are part of this certification. But they are not the starting point. When used before the nervous system is regulated, these strategies often fail β€” not because they are wrong, but because the body is not yet ready to learn from them.

The body cannot learn when it does not feel safe. Regulation comes first. Once the nervous system is ready, routines and schedules become powerful tools that actually work.

The traditional-only approach starts here
β†’ Reward charts + schedules first β€” before the nervous system is ready
β†’ Resistance is treated as defiance β€” not as a nervous system signal
β†’ Behavior is the focus β€” the root cause is missed
β†’ Progress stalls β€” because the body was never prepared
These strategies have value β€” but only after the foundation is in place.
The Regulation Firstβ„’ approach starts here
βœ“ Regulate the nervous system first β€” create safety before asking for skill
βœ“ Resistance is information β€” read it, don't fight it
βœ“ Then introduce routines + schedules β€” now the body is ready to learn from them
βœ“ Progress becomes consistent β€” because the foundation is solid
Routines and schedules work beautifully β€” when the nervous system is ready for them.
πŸ‘‰
You cannot teach toileting to a nervous system that does not feel safe.

When the body is ready β€” when the nervous system is regulated, when interoception is working, when the sensory environment feels safe β€” toilet training stops being a battle and starts being a natural progression.

Understand the Root Cause
βœ”Identify the true barriers to toileting success
βœ”Understand behavior through a nervous system lens
βœ”Recognize signs of dysregulation
βœ”Assess readiness beyond age and compliance
Build Foundational Skills
βœ”Improve interoception and body awareness
βœ”Address sensory sensitivities in the bathroom
βœ”Support motor skills needed for toileting
βœ”Prepare the body and nervous system for success
Implement With Confidence
βœ”Create individualized, effective treatment plans
βœ”Support parents and improve carryover
βœ”Address complex and resistant cases
βœ”Guide children toward lasting independence
You've tried everything β€” and nothing sticks

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 can see it's a nervous system issue β€” but you don't have a framework

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.

You want to specialize β€” but can't find a credential that goes deep enough

Most toilet training certifications are behavioral checklists. They don't address sensory processing, interoception, trauma responses, or PDA profiles. 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.

My name is Kathleen Yopp. I'm a pediatric occupational therapist with over 28 years of experience β€” and I want to tell you something I don't share lightly.

My daughter was potty trained at two years old. And then she became severely constipated and started stool holding. What followed was three of the hardest years of my life β€” as a mother and as a therapist.

She was terrified. I could see it clearly. But I didn't know how to help her feel safe again. I was told to use behavioral approaches. Reward charts. Routines. Consistency. And everything in me knew β€” this is not a behavior problem. This is fear.

"I didn't know how to teach her body that it wasn't going to hurt anymore."

We began using calming strategies. We worked through her fear slowly. We helped her body feel safe again. Little by little, things shifted. And eventually β€” she was able to use the bathroom again.

That experience changed how I practice forever.

It wasn't a reward chart that helped her. It wasn't a schedule or a timer. It was safety. It was her nervous system finally being able to relax enough to let her body do what it was designed to do.

After that, I began seeing the same pattern in every complex toileting case that came through my door. The resistance wasn't behavioral. The regression wasn't deliberate. The fear wasn't something to push through. It was the nervous system protecting itself.

I built this certification around that insight. Not theory. Not someone else's research. Clinical experience from the hardest cases β€” including my own child.

Step 1
Regulate
Nervous system safety first
β†’
Step 2
Interoception
Build internal sensing
β†’
Step 3
Sensory
Environmental design
β†’
Step 4
Motor
Physical readiness
β†’
Step 5
Routine
Predictable sequence
β†’
Step 6
Independence
Generalization
πŸ’‘
Why This Is Different From Every Other Toilet Training Certification

Most 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.

⏰
Founding Bundle closes [DATE] β€” Level 2 is FREE during founding period

Level 1 alone is $547. The Level 1+2 founding bundle is also $547 β€” meaning you get the CTTS specialist certification, all Level 2 modules, and the second credential at no additional cost. After [DATE] the bundle increases to $797. This offer will not repeat.

πŸ”‘
Already purchased the $497 CEU course?

Your investment counts toward the certification. Upgrade to the full RFTTP + CTTS bundle for just $50 more β€” because $497 + $50 = $547, the exact founding bundle price. This upgrade offer closes [DATE].

Level 1 Β· Foundation
Regulation First
Toilet Training Practitioner
RFTTP
$547
Or get both credentials for the same price β€” see bundle β†’
✦ 1.0 AOTA CEU · 10 Contact Hours
  • βœ“Regulation First Frameworkβ„’ β€” Kathleen Yopp, MOT, OTR/L
  • βœ“Full TTSA CEU Course β€” Arianna Medina, COTA/L
  • βœ“Expert guest speakers β€” Kelly Mahler, Dr. Steve Hodges + more
  • βœ“All module quizzes + assessments (multiple attempts)
  • βœ“Toileting Nervous System State Chart + Decoder
  • βœ“Co-Regulation Planner
  • βœ“Interoception Activity Library
  • βœ“Fine + Gross Motor Pre-Toileting Skills Checklist
  • βœ“Seating Adaptation Guide
  • βœ“Toilet Training Interview + Profile Form
  • βœ“RFTTP credential + certificate + digital badge
  • βœ“IAOTH directory listing
  • βœ“Access to Helping Hands community
  • βœ“24 months to complete Β· Lifetime content access
Enroll at Level 1 β€” $547 β†’
Level 1 + Level 2 Β· Full Specialist
Certified Toilet
Training Specialist
RFTTP + CTTS
$547
$797
Founding price Β· Increases to $797 on [DATE]
✦ Both Credentials · 1.0 AOTA CEU + Specialist Modules
  • βœ“Module 11: Anxiety, Fear & PDA in Toileting
  • βœ“Module 12: Potty Training with Sensory Sensitivities
  • βœ“When Your Child Won't Poop β€” Clinical Module
  • βœ“Potty Training with Communication Delays
  • βœ“12-Week Implementation Curriculum (Weeks 1–12)
  • βœ“Session-by-session implementation guide (Sessions 1–8+)
  • βœ“Treatment planning + goal writing templates
  • βœ“Complete assessment protocol
  • βœ“Bathroom Sensory Checklist
  • βœ“Sensory Desensitization Plan
  • βœ“CPT code reference guide
  • βœ“Referral letter templates
  • βœ“Business + marketing tools module
  • βœ“Access to Certified Practitioners community
  • βœ“CTTS credential + certificate + digital badge
Level 2 specialist modules releasing over 60 days inside your dashboard
Enroll β€” Founding Bundle $547 β†’
Level 3 Β· Licensed Provider
Licensed Regulation Firstβ„’
Provider
LRFP
$1,997
First year renewal: $297 (founding) Β· then $397/yr
Application required Β· Limited availability
Learn More & Apply β†’
Everything in Level 1 + 2, Plus
  • βœ“License to use Regulation Firstβ„’ curriculum with clients
  • βœ“Helping Hands Certified Providerβ„’ designation
  • βœ“Listed on Helping Hands provider directory
  • βœ“Quarterly live strategy calls with Kathleen Yopp
Parent Course Library β€” Share Directly with Families
  • βœ“What To Do When Your Kid Won't Poop (full course)
  • βœ“Potty Training Made Simple (full course)
  • βœ“14-Day Sensory Success Training (full course)
  • βœ“Potty Training with Communication Delays (full course)
  • βœ“eBook: Potty Training a Child with Special Needs
  • βœ“Complete Family Resource Library
  • βœ“Potty songs, routine scripts, visual schedules for families
  • βœ“Nutrition guides β€” high fiber foods, hydration, constipation
Facility License β€” Up to 10 Therapists
Everything in Level 3 Β· For your entire team
$6,500
First year renewal: $597 (founding) Β· then $797/yr  |  New hire seats: $697/seat
Each of the 10 Therapists Gets
  • Full Level 1 + Level 2 certification (RFTTP + CTTS)
  • 1.0 AOTA CEU (10 contact hours)
  • All 20+ clinical downloads and resources
  • IAOTH directory listing
  • Access to Helping Hands community + Certified Practitioners group
  • Access to parent course library to share with families
The Facility Gets
  • Licensing rights to use Regulation Firstβ„’ curriculum internally
  • Helping Hands Certified Facilityβ„’ designation
  • Quarterly live strategy calls with Kathleen
  • Complete Family Resource Library for all clients
  • All 4 parent-facing courses to share with families
  • Admin oversight of therapist completions
  • New hire per-seat rate: $697/seat
LEVEL 1 Β· PART 1 β€” Regulation First Framework  Β·  All Levels  Β·  Kathleen Yopp, MOT, OTR/L
RF1
Introduction to the Regulation First Framework
Why the nervous system comes first. What makes this approach different from every other toilet training program. The clinical framework overview.
All Levels
RF2
The Framework Course
Deep dive into the six-step Regulation Firstβ„’ clinical model. Polyvagal theory applied to toileting. The nervous system states and how they drive toilet training outcomes.
All Levels
RF3
Bridge to Part 2 β€” The Next Step
Connecting the Regulation First framework to the TTSA clinical system. How the two parts work together as a unified approach.
All Levels
LEVEL 1 Β· PART 2 β€” TTSA CEU Course  Β·  All Levels  Β·  1.0 AOTA CEU Β· Arianna Medina, COTA/L
1
Mindset Transformation
Breaking limiting beliefs about toilet training. Why neurodivergent children can be trained. Clinical confidence building.
All Levels
2
Meeting the Family Where They Are
Readiness signs for child and family. Toilet training from a neuro-perspective. Assessment of family readiness and dynamics.
All Levels
3
Preparing From the Inside Out
Brain-gut connection. Selective eating and bowel/bladder health. Interoception basics. Meltdown management during toileting.
All Levels
4
Working With Neurodivergent Behaviors
Strengths-based approaches. Skilled teaching strategies for elimination. Complex behavioral profiles.
All Levels
5
Addressing Underlying Skills Through Play
Cognition, executive function, pelvic floor, motor, sensory, and behavior. Therapeutic play activities. Goal writing templates.
All Levels
6
Toilet Training Blueprint Protocols
3 evidence-based treatment packages across all settings. Encopresis, enuresis, regression prevention. CPT codes and billing.
All Levels
7
Coaching and Carryover β€” The Game
Coaching caregivers, teachers, and daycare providers. At-home carryover strategies. Telehealth delivery.
All Levels
8
Execution β€” Conclusion
Bringing it all together. Step-by-step action plan. Case study application. Certification pathway next steps.
All Levels
LEVEL 1 Β· PART 3 β€” Clinical Application  Β·  All Levels  Β·  Kathleen Yopp, MOT, OTR/L
C1
How the Nervous System Plays a Role in Emotional Regulation and Toileting
The connection between nervous system state, emotional regulation, and toileting success. Clinical application framework.
All Levels
C2
Interoception
What interoception is, why it matters for toileting, and how to assess and build it. The most overlooked piece of toilet training.
All Levels
C3
Potty Training Through a Polyvagal Lens
Polyvagal theory applied directly to toilet training. The three nervous system states and their clinical implications for toileting.
All Levels
C4
Emotional Regulation β€” The Key to Success
How emotional regulation drives or prevents toileting progress. Strategies for building regulatory capacity before asking for skill performance.
All Levels
C5
Understanding Behaviors as Stress Responses
Reframing resistance, refusal, and regression as nervous system communication. What behaviors are telling you and how to respond.
All Levels
C6
Polyvagal Strategies to Improve Emotional Regulation Related to Toileting
Specific polyvagal-informed strategies for use before, during, and after bathroom trips. Clinical application with real cases.
All Levels
C7
Bringing It All Together β€” Practical Application of Strategies
Integration of all clinical modules into a unified treatment approach. Case application and clinical decision-making.
All Levels
C8
Wrap Up, Conclusion + Bonus: How to Conduct a TT Workshop
Course conclusion and RFTTP credential pathway. Bonus: how to run a toilet training workshop for families in your community.
All Levels
LEVEL 2 β€” Specialist Modules  Β·  Level 2 + 3 Only  Β·  Releasing over 60 days
11
Anxiety, Fear & PDA in Toileting
Fear-based avoidance. Pathological Demand Avoidance profile. Trauma-informed strategies. Low-demand language as a clinical tool.
Level 2 + 3
12
Potty Training with Sensory Sensitivities
All seven sensory systems in toileting. Hypersensitivity vs. hyposensitivity. 14-day desensitization framework. Environmental modifications.
Level 2 + 3
13
When Your Child Won't Poop β€” Clinical Module
stool holding, chronic constipation, fear-based avoidance. Physiology and nervous system overlap. Clinical intervention sequence.
Level 2 + 3
14
Potty Training with Communication & Cognitive Delays
Strategies for children with communication limitations. Visual supports, AAC, simplified routines. Autism-specific approaches.
Level 2 + 3
LEVEL 2 β€” 12-Week Implementation Curriculum  Β·  Level 2 + 3 Only
W1–2
Weeks 1–2: Building Interoceptive Awareness
Body sensation activities. Bladder and bowel cue recognition. Interoception charting. Parent coaching scripts for body check-ins.
Level 2 + 3
W3–4
Weeks 3–4: Establishing Predictable Routines
Visual schedule creation. Potty routine scripts. Bathroom social stories. Consistent language across settings. Parent coaching tips.
Level 2 + 3
W5–6
Weeks 5–6: Sensory Strategies + Sit and Go
Pre-toilet sensory warm-up. Sensory toolbox. Co-regulation coaching. Environment modifications. Sit-and-go practice with support.
Level 2 + 3
W7
Week 7: Motor Skills, Clothing Management + Hygiene
Dressing skills for toileting. Wiping techniques. Handwashing sequence. Fine and gross motor activities. Clothing adaptation strategies.
Level 2 + 3
W8
Week 8: Introducing Underwear + Managing Accidents
Underwear transition protocol. Accident response scripts. Reward systems β€” when to use and when not to. Managing regression with calm.
Level 2 + 3
W9–10
Weeks 9–10: Generalization β€” New Environments + Public Restrooms
Toileting in school, daycare, public bathrooms. Social stories for new environments. Portable toilet kit. Public restroom desensitization.
Level 2 + 3
W11
Week 11: Nighttime Training
Nighttime readiness signs. Bedtime routine protocol. Managing nighttime accidents. Parent coaching for realistic expectations.
Level 2 + 3
W12
Week 12: Self-Advocacy, Communication + Graduation
Building communication for toileting needs. AAC + visual supports. Fading prompts toward independence. Potty graduation celebration.
Level 2 + 3
LEVEL 2 β€” Clinical Toolkit + Business Tools  Β·  Level 2 + 3 Only
CT1
Complete Assessment Protocol
Intake process. Nervous system state assessment. Readiness scoring. Identifying which framework area to address first.
Level 2 + 3
CT2
Session-by-Session Implementation Guide
Exactly what to do in Sessions 1 through 8+. Decision points and adaptation. What to assess, address, and assign for home practice.
Level 2 + 3
CT3
Treatment Planning + Goal Writing
OT assessment templates. Plan of care templates. Long and short-term goal examples. Progress monitoring. Documentation for billing.
Level 2 + 3
BT1
How to Market Your Toilet Training Specialty
Specialty bio template. Psychology Today profile. Social media announcement. How to position yourself to pediatricians and referral sources.
Level 2 + 3
BT2
CPT Codes, Billing + Documentation
CPT codes for toilet training OT services. Documentation to support each code. Justifying medical necessity. Private pay packaging.
Level 2 + 3
BT3
Referral Letter Templates + Scope of Practice Guide
Ready-to-send letters to pediatricians, GI, and urologists. When to refer out. How to document scope in your notes.
Level 2 + 3
BT4
CTTS Capstone + Case Study Submission
Final case study guidelines. Submission template. Review process (7–10 business days). CTTS credential issuance.
Level 2 + 3
πŸ“‹
No other toilet training certification comes close to this resource library

Oh Crap!, IPSP, and Settled Petals combined don't offer the depth of clinical tools included in Level 2. These aren't generic handouts β€” every resource was developed from real clinical cases and is designed specifically for licensed therapists working with complex presentations.

🧠
Nervous System Tools

Toileting Nervous System State Chart (2 versions) Β· Nervous System Decoder Β· Nervous System Map Β· Co-Regulation Planner Β· TTSA Nervous System Connection Slides

πŸ”
Assessment Tools

Toilet Training Interview Form Β· Profile Form Β· Readiness Signs Checklist Β· MAIA Interoceptive Awareness Questionnaire Β· Fine + Gross Motor Pre-Toileting Skills Checklist

πŸ›
Sensory Tools

Bathroom Sensory Checklist Β· Sensory Desensitization Plan Β· Seating Adaptation Guide Β· 14-Day Desensitization Framework Β· Environmental Modifications Guide

🎯
Clinical Implementation

Session-by-Session Guide Β· Treatment Planning Templates Β· Goal Writing Templates Β· Case Study Submission Template Β· Assessment Protocol

🎨
Activity Libraries

Play-Based Interoception Activities (tactile, taste, smell, sound, temperature, clean/dirty) Β· Autism-specific interoception activities Β· Clothing Management Toolkit

πŸ‘¨β€πŸ‘©β€πŸ‘§
Parent + Carryover Tools

Potty Routine Scripts (therapist + parent versions) Β· Potty Songs + Rhymes Β· Visual Schedules Β· Introducing Underwear Steps Β· Weekly Readiness Log Β· Accident Response Scripts

βš–οΈ
This is what sets licensed therapists apart from coaches and consultants

You're not starting a potty training consulting business β€” you're building a clinical specialty within your existing license. That means knowing how to document it, bill for it, market it to referral sources, and position yourself as the expert in your area.

πŸ’°
Pricing + Packaging Guide

How to structure toilet training service packages β€” evaluation only, treatment packages, home program consults, telehealth. Private pay and insurance options.

πŸ₯
CPT Code Reference Guide

Specific CPT codes for toilet training OT services. What to document to support each code. How to justify medical necessity for toileting goals.

βœ‰οΈ
Referral Letter Templates

Ready-to-send letters to pediatricians, GI physicians, and urologists introducing your toilet training specialty. Plus a template for referring out when needed.

πŸ‘€
Specialty Bio Template

A customizable professional bio positioning you as a toilet training specialist for your Psychology Today profile, clinic website, and insurance panel listings.

πŸ“±
Marketing + Social Media Guide

How to announce your certification, what to post to attract referrals, and how to talk about the Regulation Firstβ„’ approach to parents and providers.

🎀
How to Conduct a TT Workshop

Step-by-step guide to running a toilet training workshop for families in your community. A ready-made additional income stream for certified practitioners.

✍️
How Certified Practitioners Use These Credentials
  • 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, urologists, and GI physicians
  • Social media certification announcement posts
  • Visibility in the Helping Hands community β€” families already searching for specialists
πŸ–οΈ
Occupational Therapists

OT, OTR/L, COTA/L β€” any setting: clinic, school, home health, telehealth

πŸ’¬
Speech-Language Pathologists

SLP, CCC-SLP, SLPA β€” especially those working with AAC users and complex cases

πŸƒ
Physical Therapists

PT, DPT, PTA β€” pelvic floor, motor, and postural aspects of toileting readiness

🧠
ABA Therapists + BCBAs

BCBAs, RBTs (under supervision) β€” adding a nervous system lens to behavioral approaches

πŸ’›
Psychologists + Mental Health

Psychologists, LPCs, LCSWs β€” addressing anxiety, trauma, and PDA in toileting

🌱
Early Intervention + Educators

EI specialists and special education teachers with therapy backgrounds

This completely changed how I approach every single toileting case. I stopped fighting the resistance and started listening to it. My outcomes improved immediately.

Faith C., OTR/L
Outpatient Pediatrics

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.

Ann T., OTR/L
Pediatric Practice

I love how in-depth the course went into evidence-based toilet training methods. Exploring the underlying reasons for various toileting challenges was extremely helpful.

Stephanie C., OTR/L
School-Based OT
Level 1 β€” RFTTP
Regulation First Toilet Training Practitioner
  • βœ“Complete all Level 1 modules to 100%
  • βœ“Pass all module quizzes (multiple attempts allowed)
  • βœ“Complete post-course satisfaction questionnaire
  • βœ“Submit brief case application worksheet (1 page)
  • βœ“Complete within 24 months of enrollment
Outcome: RFTTP Certificate + credential + digital badge + 1.0 AOTA CEU
Level 2 β€” CTTS
Certified Toilet Training Specialist
  • βœ“Complete all Level 1 requirements
  • βœ“Complete all specialist modules + 12-week curriculum
  • βœ“Complete full clinical toolkit modules
  • βœ“Pass CTTS knowledge assessment
  • βœ“Submit full case study (reviewed 7–10 business days)
  • βœ“Complete within 24 months of enrollment
Outcome: CTTS Certificate + credential + digital badge + IAOTH listing
During the founding period, Level 1 and the bundle are both $547 β€” what's the difference?
Level 1 alone gives you the RFTTP credential, 1.0 AOTA CEU, and all Level 1 content. The founding bundle gives you everything in Level 1 PLUS all Level 2 specialist modules, the 12-week implementation curriculum, the clinical toolkit, business tools, and the CTTS credential β€” for the exact same price. During the founding period, there is no reason to buy Level 1 alone. After [DATE], the bundle increases to $797.
I already purchased the $497 CEU course. What does this mean for me?
Your $497 investment counts toward the certification. You can upgrade to the full RFTTP + CTTS founding bundle for just $50 more β€” $497 + $50 = $547 exactly. This upgrade offer closes on [DATE].
The Level 2 modules aren't all available yet β€” should I wait?
No. Founding members get the best price and access to every module as it releases over the next 60 days. If you wait, the bundle goes from $547 to $797. Enroll now, start Level 1 immediately, and Level 2 releases into your dashboard over 60 days.
How do the AOTA CEUs work?
Helping Hands Therapy Services is an AOTA Approved Provider (#0000001046). The certification provides 1.0 CEU (10 contact hours). Distance Learning β€” Independent. Intermediate educational level. CEU certificates are issued upon completion. You have 24 months to complete. For full AOTA compliance details including presenter disclosures, visit the TTSA course page.
What is the CTTS case study submission?
You submit a written case study applying the Regulation Firstβ„’ framework to a real client case. It is reviewed within 7–10 business days. Detailed guidelines and a submission template are provided in the capstone module.
Can I use this with neurotypical children?
Absolutely. The Regulation Firstβ„’ framework works for all children. It is the most effective approach for children who have failed everything else β€” neurotypical children with mild resistance or anxiety benefit just as much.
What is the IAOTH and why does it matter?
IAOTH (International Association of Therapists) is an internationally recognized accrediting body for therapy training programs. Your RFTTP and CTTS credentials are recognized globally. Your first year of IAOTH directory listing is included in your certification β€” families and other providers can find you as a certified toilet training specialist.
What about Level 3?
Level 3 β€” the Licensed Regulation Firstβ„’ Provider (LRFP) β€” is application-based and limited availability. It includes full licensing rights to use Kathleen's curriculum with clients, access to four complete parent-facing courses to share with families, quarterly live strategy calls with Kathleen, and provider directory listing. $1,997 + $297/yr first renewal (founding) then $397/yr. Contact us to learn more.
⏰ Founding bundle closes [DATE] β€” Level 2 is FREE during the founding period After [DATE] the bundle increases from $547 to $797. The $50 upgrade offer for existing CEU students also closes.

Ready to Become a Certified
Toilet Training Specialist?

The only certification built for licensed therapists. Nervous system framework. AOTA CEUs. Both credentials. Closes [DATE].

βœ“ AOTA Approved Provider #0000001046  Β·  βœ“ IAOTH Accredited  Β·  βœ“ Founding price closes [DATE]  Β·  βœ“ 24 months to complete  Β·  βœ“ Lifetime content access