How Bedwetting Treatment Works at Our Clinic
This page explains exactly what to expect — from your first contact through to full, lasting dryness. There are no surprises and no hidden steps. Treatment follows a clear evidence-based protocol with continuous support throughout.
If you would like a broader overview of the bedwetting treatment journey first, see our central guide: How to Stop Bedwetting — A Step-by-Step Guide.
Step 1 — Free preliminary questionnaire (5 minutes)
Before anything else, you fill in a short online questionnaire covering your child’s bedwetting pattern, sleep, daytime continence, bowel habits, and any associated anxiety. The questionnaire is anonymous — no names are required, only an email address or phone number so I can get back to you.
Within 48 hours I review the responses personally and reply with my initial impressions, whether your child is a good candidate for alarm-based treatment, and the next steps if you wish to proceed.
Step 2 — Comprehensive assessment (60 minutes, online)
The assessment is a single video consultation, usually with one or both parents and (where appropriate) the child. Together we cover:
- Bedwetting history — frequency, timing, primary vs secondary, family history of enuresis
- Sleep pattern — bedtime, wake time, depth of sleep, snoring, restless legs, night waking
- Bowel function — constipation is the single most overlooked factor in treatment failure; we screen carefully
- Daytime urinary symptoms — urgency, frequency, daytime accidents
- Fluid and toilet habits — what your child drinks, when, and toilet routines through the day
- Psychological factors — anxiety, school stress, family changes, motivation
- Previous treatments tried — and why they didn’t work
By the end of the assessment you will have a clear picture of why your child is wetting the bed, whether any medical follow-up with your GP is needed first, and a personalised treatment plan ready to begin.
Step 3 — Set up the alarm
You purchase your own bedwetting alarm — we stay neutral about brands so you can choose what fits your child. During the assessment I recommend a model based on your child’s age, sleep depth, and sensory preferences. The clinic does not sell alarms and has no commercial relationships with manufacturers.
See our detailed comparison: Bedwetting alarms compared — wired vs wireless.
Step 4 — Treatment begins (ongoing support throughout)
On average, families reach complete dryness within about five months. Throughout this entire period I provide continuous support and guidance — adjusted in frequency and focus according to how treatment is progressing at each stage. The pace is dictated by your child’s response, not by a fixed schedule.
Treatment moves through several phases:
- Initial response phase. The alarm rings; your child slowly begins to wake to it. Wet patches gradually shrink. Frequent contact to troubleshoot, adjust the protocol, and keep motivation high.
- Active learning phase. Your child begins waking before the alarm or staying dry through the night. Dry nights become more frequent. Support continues — its frequency adjusted to what the family needs at this stage.
- Consolidation phase. Most nights are dry. We work toward the treatment-success criterion: 21 consecutive dry nights with the alarm in use.
- Relapse-prevention phase. Once 21 consecutive dry nights have been achieved, the alarm is removed and we follow your child for a further dry month without the alarm. Only then is treatment considered complete. We use specific techniques (such as overlearning) during this phase to make dryness durable.
How ongoing support works — your online progress chart
Throughout treatment you have access to a secure online progress chart built specifically for our clinic. It is the heart of how we stay closely connected with your family between video sessions.
Each morning, parents log a single entry for the previous night:
- Dry
- Small wet spot
- Large wet spot
Alongside each entry you can add free-text remarks — anything you noticed about the night, how your child responded to the alarm, fluid intake the day before, illness, stress, or anything you want me to see. With one click you send the chart to me. I review it, write back my instructions and adjustments, and you have an answer ready before the next night.
The chart automatically generates two views that make progress visible:
- Weekly summary chart — a clean week-at-a-glance showing how many nights were dry, small wet, or large wet
- Progress chart — a longer-term view tracking trends over the entire treatment, so you can see clearly that what feels like a slow week is in fact part of a steady downward curve
This system means you are never alone with the difficult nights. You always know what to do next, and I always have a real picture of what is happening — not a foggy memory of last week.
Video sessions and direct contact
- Video sessions (typically 30 minutes) at the cadence appropriate to your phase of treatment
- Practical adjustments to the protocol based on the chart and what’s actually happening at night
- Email and messaging access between sessions for urgent questions — children don’t wet on a 9-to-5 schedule
- Strategies for sleepovers, school trips, holidays and other disruptors during treatment
- Support for parental fatigue — the alarm is hard work, and you deserve guidance through it
What you’ll need at home
- A bedwetting alarm (wired or wireless — we’ll help you choose)
- A reliable internet connection for video sessions
- Waterproof mattress protection
- Spare sheets and pyjamas within easy reach at night
- Patience — and the knowledge that you’re not alone in this
Our commitments to you
- No commercial bias. Any alarm recommendation is based on clinical fit alone.
- No false promises. Bedwetting takes time to treat properly, and anyone who promises a quick fix is not telling you the truth. We follow the evidence.
- Continuous support. You are not handed a protocol and left to it. Guidance continues from the first alarm-night through to consolidated dryness.