From Personal Crisis to Clinical Breakthrough
The story behind the Regulation Firstβ’ framework
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.
β AOTA Approved CEU Provider #0000001046 Β· β IAOTH Internationally Accredited Β· β Regulation Firstβ’ Methodology
Every other toilet training certification teaches you how to start a consulting business. This one is built for licensed therapists.
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.
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.
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, or PDA profiles. You need more than that.
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 story behind the Regulation Firstβ’ framework
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.
A six-step clinical model built on polyvagal theory, sensory integration, and nervous system regulation
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.
Three clear pathways β each building on the last
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.
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].
Every module across all certification levels
Every tool you need to assess, plan, and implement β ready to use with your next client
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.
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
Toilet Training Interview Form Β· Profile Form Β· Readiness Signs Checklist Β· MAIA Interoceptive Awareness Questionnaire Β· Fine + Gross Motor Pre-Toileting Skills Checklist
Bathroom Sensory Checklist Β· Sensory Desensitization Plan Β· Seating Adaptation Guide Β· 14-Day Desensitization Framework Β· Environmental Modifications Guide
Session-by-Session Guide Β· Treatment Planning Templates Β· Goal Writing Templates Β· Case Study Submission Template Β· Assessment Protocol
Play-Based Interoception Activities (tactile, taste, smell, sound, temperature, clean/dirty) Β· Autism-specific interoception activities Β· Clothing Management Toolkit
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
Everything you need to build a toilet training specialty and attract the right referrals β designed specifically for licensed therapists
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.
How to structure toilet training service packages β evaluation only, treatment packages, home program consults, telehealth. Private pay and insurance options.
Specific CPT codes for toilet training OT services. What to document to support each code. How to justify medical necessity for toileting goals.
Ready-to-send letters to pediatricians, GI physicians, and urologists introducing your toilet training specialty. Plus a template for referring out when needed.
A customizable professional bio positioning you as a toilet training specialist for your Psychology Today profile, clinic website, and insurance panel listings.
How to announce your certification, what to post to attract referrals, and how to talk about the Regulation Firstβ’ approach to parents and providers.
Step-by-step guide to running a toilet training workshop for families in your community. A ready-made additional income stream for certified practitioners.
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
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.
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. Exploring the underlying reasons for various toileting challenges was extremely helpful.
What you need to complete to earn each credential
The only certification built for licensed therapists. Nervous system framework. AOTA CEUs. Both credentials. Closes [DATE].
β AOTA Approved Provider #0000001046 Β· β IAOTH Accredited Β· β Founding price closes [DATE] Β· β 24 months to complete Β· β Lifetime content access
Get started today before this once in a lifetime opportunity expires.