ABSTRACT
Wetting (enuresis) and soiling (encopresis) are classified as mental health disorders, despite the fact that a better understanding has led to a view that they may be a result of physical difficulties, as well as indicative of underlying emotional problems. Although children are often referred to mental health clinics with the problem of wetting, it is generally agreed that this is better perceived as a developmental problem and that it is less likely to be related to emotional difficulties than soiling. Soiling and wetting may exist alone, together, or as part of other disorders. In a significant minority of children, the problems of soiling and wetting continue beyond what is considered the normal age. This can lead to distressing and persistent difficulties that can affect many aspects of their lives. In school, this can lead to practical problems, social difficulties and, because of associated difficulties, can impinge on children’s educational progress. It is important that teachers have an understanding of the factors involved so that they can handle such problems discreetly and sensitively, as such children are frequently very embarrassed about their difficulties. There are practical ways in which teachers can help to make the school environment less stressful for these children.
