Case Study Part II
Realizing you must move on with the visit, you ask about Jack’s eating habits.
Jack’s mother describes him as a picky eater who refuses to drink milk. He prefers to eat chicken nuggets, crackers, toast, cheese, and grapes, and he drinks mostly juice.
With such a limited diet, you ask whether he has problems with constipation or diarrhea.
In fact, he is only stooling every few days, and his stools are very hard. Jack’s mother has been trying to toilet train him for the past six months without success. He has never had a bowel movement on the toilet.
Recently, she started having him sit on the toilet once a day after dinner, right before his bedtime routine. Jack will urinate in the toilet when asked to do so, but does not go to the bathroom on his own to urinate.