Self-awakening training for bed-wetting involves having the child practice getting out of bed to go to the bathroom. This type of training works well for children older than 6 years of age.

Self-awakening training usually involves one of three techniques:

Method 1

• Tell the child to lie in bed with eyes closed.
• Have the child pretend that it's the middle of the night and his or her bladder is full and is starting to hurt.
• The child can then pretend that the bladder is trying to wake him or her up. It's saying, "Get up before it's too late."
• Tell the child to get up and run to the bathroom to urinate.
• Encourage the child to practice reminding himself or herself to get up like this during the night.

Method 2

• At bedtime, have the child lie down and count to 50.
• Have the child go to the bathroom and try to urinate.
• Have the child repeat the steps 10 to 20 times each night.

Method 3

• Set an alarm clock to go off about 3 to 4 hours after the child goes to bed.
• Place the alarm clock where the child has to get out of bed to turn it off.

Many children with bed-wetting develop complete bladder control using self-awakening training. Self-awakening training works best when both the child and the parents understand the process and are motivated to succeed.