In this episode, I'm joined by someone I genuinely love collaborating with — Calista Powell, a pelvic floor physiotherapist at Pine Integrated Health Center here in Edmonton. And I'll be honest, before I became a psychologist and before I had kids, I would have assumed that a child having bladder or bowel accidents past a certain age was either a behavioural problem or a parenting problem. I was completely wrong — and this conversation challenged that assumption in the best way.
Because what looks like defiance or laziness is almost always something happening in the body. And there is real, effective help available.
Calista walks us through what's actually going on physiologically when kids struggle with accidents, why constipation is so much more complicated than most of us realize, and how anxiety and stress can create a cycle in the body that's really hard to break on your own. She also explains exactly what appointments with a pelvic floor physiotherapist actually look like for kids — because I know a lot of parents are nervous about that — and spoiler: it's nothing to be afraid of.
I also share some of the ways I approach this in my own psychology practice, including why I always start with a parent session alone, and why shifting our language around accidents can make a huge difference for kids.
In this episode, we talk about:
- What enuresis and encopresis actually mean — in plain language
- When parents should start seeking support (hint: it's earlier than you might think)
- Why accidents are almost never intentional or behavioural
- The surprisingly powerful connection between constipation and bladder accidents
- Why your child can be constipated even if they're going every day
- How anxiety and stress tighten the pelvic floor and make everything worse
- The dysfunctional evacuation cycle — and why we have to break every part of it
- Why laxatives alone only get you about 25% of the way there
- What pelvic floor physiotherapy with kids actually looks like (no scary exams)
- How to shift your language so kids feel supported instead of blamed
One takeaway I hope parents rememberThese kids are not choosing this. There is always something more complicated going on — in their bodies, their nervous systems, or both.
Our job isn't to fix their frustration or rush the process. It's to take the blame out of the equation, get curious about what's actually happening, and get them the right support.
Because when we stop asking "why won't they just go?" and start asking "what's getting in the way?" — that's when things start to change.
Connect with Calista: Pine Integrated Health Center — Edmonton (Calgary Trail) Holistic Fertility Group — St. Albert Instagram: @lifewithyourpelvicpt Virtual appointments available across Alberta