Research I’ve read indicates the contrary. Maybe I’ve missed some- care to share some citations?
Same. Research I've read said it's one of the most effective treatments, as high as 77% effective
It is occurring basically every night and mom said she has taken her to a urologist and "nothing was wrong." From what I gather (new pt so only have seen her twice), it seems that she has had this problem her entire life. There have been periods of time (maybe a month or two) where she has been able to stay dry. I also know when she was in 7th grade she was prescribed Ditropan and it worked, although for some reason pt stopped taking it a year or two ago. Pt received Ditropan from pediatrician last month but it is no longer effective. Pt also has trouble "holding it in" during the day. For example, she was explaining how one teacher doesn't allow the kids to use the bathroom in his class and a few drops escaped. Other possibly important factors: she is a very heavy sleeper and will often not wake when her alarm sounds, her mother had a similar issue as a child but says she outgrew it long before the age of 13, I wouldn't say she is cognitively delayed but her sister is; it is likely she has some sort of learning disorder too; pt lives in a very stressful home environment and history of witnessing frequent DV. And she is a 14yr old female.
It was my original thought but she has had this issue for longer than the DV and mom had a similar problem. My thought is pt. has primary enuresis but that increased internal/external stress may explain why it seems to be worsening. Some research I read said the trauma theory isn't very well supported but it's definitely something I'm considering. I work with adolescents and adults so this is the first time I have ever had a pt with this issue. All I really know is what I've read recently and what I learned in grad school.