Poop and pee withholding is exhausting, confusing and honestly scary to watch. Pushing harder rarely fixes it. Understanding why your child is holding is where it starts.

The tiptoes. The crossed legs. The sudden quiet. Hiding behind the couch, red-faced, body stiff, insisting "I don't NEED to go!" while every part of them is clearly fighting it.
One day without poop. Two. Three. You start counting. You start checking.
Then it finally comes, and it hurts. They scream. They cry. And now they're even more scared to go next time.
And the pee. Holding it all day at daycare. The little dance in the kitchen. Refusing every bathroom that isn't home. Then the flood: in the car seat, at pickup, in the middle of the grocery store.
If you're nodding at more than one of these, you're not imagining it, and you're not alone.
For a lot of kids, holding starts after one poop that hurt, or one moment that felt scary or out of their control. The body learns that letting go feels bad. So it holds. And holding can make the next poop harder, which makes them want to hold even more.
That's why pushing harder rarely works. You can't force a body to relax.
And if your child asks for a diaper, hides, and then poops comfortably? That's not "she has no idea how to potty train." That pattern tells me she already has several pieces of the skill. What I want to understand is why the toilet changes the conditions her body needs to let go. Take the diaper away too soon, and a toilet problem can become a comfortable-pooping problem. That's the one I care about more.
The pediatrician has done their part. The stool is softer, the constipation is being treated, and your child still won't go on the toilet.
That's exactly the space I work in. I work alongside your child's doctor, never instead of them, and I never give medication or dosing advice. If something needs medical attention, I'll tell you.
When the urge comes, what your child does with it, where they feel safe letting go, and what happens right before and after.
Fear, discomfort, control, routine, school or the words the adults use: each one needs a different approach.
I would much rather protect comfortable pooping than "win" the toilet this week.
Small steps your child can actually take, with every adult responding the same way.
Your child's body tells us when to take the next step, and when another professional should be involved.
It's for the kids a bootcamp didn't work for. And for the parents who don't want to win the toilet and lose comfortable pooping.

I'm a Certified Oh Crap! Potty Training Consultant and a mom to three boys, so yes, I've stood outside that bathroom door too. I look at the whole child, because potty problems are rarely just potty.
Not before we understand why your child needs it. Sometimes the diaper is a bridge, not the problem.
Yes, alongside your pediatrician. Medical treatment stays with them. I work on the fear, the routine, the language and the steps toward the toilet. I never give medication or dosing advice.
No. Holding can show up at any age, and the earlier we understand it, the easier it usually is to unwind.
Yes. Getting the teachers on the same page is often a big part of it.
I don't promise a timeline. It depends on how long the holding has been going on and what's driving it. We'll talk about your child specifically on the call.
No, and I'd be careful of anyone who does. What I can promise is that I'll understand what's happening before I ask you to change anything.
If you've caught yourself thinking "I KNOW she can poop, why won't she do it on the toilet?", or you're counting days between poops, or you're dreading the next call from daycare: you're in the right place. Tell me what's happening, without organizing it perfectly.