Recommended First Line Treatment for Bedwetting

by Clinical Pediatrics and Journal of Pediatric Urology

Why “growing out of bedwetting” isn’t always the best strategy

By Jeffrey Lazarus, MD, FAAP
when will my kid grow out of bedwetting

“Don’t worry, most kids outgrow not being dry at night by the time they’re teenagers.”

How many times have you heard that?

From your pediatrician. From well-meaning relatives. From other parents. From online forums.

And yes, it’s technically true. Most children do eventually become dry at night without any intervention.

But here’s the question no one seems to ask: At what cost?

The “wait and see” approach: What it really means

When we say a child will “grow out of” not being dry at night, here’s what we’re really saying:

“Eventually, your child’s brain and bladder will mature enough to communicate properly during sleep. We don’t know exactly when that will happen, but statistically, it’s likely to happen sooner or later. So just wait.”

And for some families, this approach makes sense.

If not being dry yet isn’t causing significant emotional distress, if your child isn’t missing out on social experiences, if your family can manage the logistics without excessive stress, then waiting might be perfectly reasonable.

But let’s talk about the other families—the ones where waiting has real costs.

What gets lost while we wait

Let’s be specific about what “waiting to grow out of it” actually looks like for many families:

Ages 5-7: The “It’s Still Normal” Phase

During these years, not being dry yet at night is still pretty common. About 15-20% of 5-year-olds aren’t dry yet at night.

So parents are often told, “It’s totally normal. Don’t worry about it.”

And for many kids this age, that advice is fine. They’re still young enough that not being dry yet doesn’t carry much social stigma. Most of their friends are also navigating nighttime potty training.

But even at this age, some children are starting to notice they’re different. They’re invited to sleepovers and can’t go. They’re embarrassed about wearing pull-ups when their friends don’t.

Still, most parents in this phase are comfortable waiting.

Ages 8-10: The “they’ll outgrow it soon” phase

Now we’re in the territory where not being dry yet becomes less common. Only about 5-10% of 8-year-olds aren’t dry yet at night.

Your child is acutely aware that most of their friends became dry years ago.

They’re missing sleepovers. Avoiding overnight school trips. Feeling anxious about summer camp.

Their self-esteem is taking a hit. They’re starting to ask, “What’s wrong with me? Why am I still doing this?”

But you’re still being told, “Don’t worry, they’ll grow out of it.”

And each year, there’s a 15% chance they will spontaneously become dry. So maybe this will be the year!

But each year that passes is another year of missed experiences, growing shame, and declining confidence.

Ages 11-13: The “This is getting concerning” phase

Now we’re in middle school territory. Only about 2-3% of children this age aren’t dry yet at night.

Your child feels like they’re the only one. (They’re not, but it certainly feels that way.)

Social pressures are intensifying. Sleepovers, overnight trips, team bonding experiences—all feel impossible.

The shame is no longer just private. Your child is actively hiding this from everyone, terrified someone will find out.

And you’re still hearing, “Most kids outgrow it eventually.”

But now you’re starting to wonder: Should we still be waiting?

Ages 14+: The “Why didn’t we address this earlier?” phase

We’re now in the territory where not being dry yet is genuinely rare—only 1-2% of teenagers and adults.

But for those who are still struggling, the impact is profound.

Dating, college, independence—all feel complicated or impossible.

The emotional toll is significant. Years of shame, embarrassment, and feeling broken have accumulated.

And parents often say to me, “I wish we’d addressed this years ago. I didn’t realize waiting would cost so much.”

The math of “outgrowing it”

Let’s talk about the statistics for a moment, because they’re both encouraging and concerning.

Each year, about 15% of children who aren’t dry yet at night will end up growing out of bedwetting.

So if your child is 8 and isn’t dry yet, there’s about an 85% chance they’ll still not be dry at age 9, a 72% chance they’ll still not be dry at age 10, and a 61% chance they’ll still not be dry at age 11.

That means most children will eventually outgrow it.

But it also means that for many children, “eventually” is a long time away.

And during that time, they’re missing out. Feeling ashamed. Losing confidence.

What parents don’t realize they’re trading

Every year spent waiting is a year of:

  • Declined sleepover invitations
  • Skipped overnight camps
  • Avoided school trips
  • Missed team bonding experiences

These aren’t just logistical inconveniences. They’re formative childhood experiences. They’re where friendships deepen and confidence grows.

And once they’re missed, they can’t be reclaimed.

Your child can’t go back and have that 5th grade outdoor education experience. They can’t redo the summer they were 10 and all their friends went to sleepaway camp.

You’re trading self-esteem and confidence

Children who aren’t dry yet at night often develop a narrative about themselves:

“I’m different. Something is wrong with me. I’m not as capable as other kids.”

The longer this continues, the more deeply this narrative becomes ingrained.

By the time they become dry, many children carry emotional scars—anxiety, shame, low self-worth—that persist long after the nights that aren’t dry stop.

The goal isn’t just a dry bed. The goal is a confident, resilient child.

You’re trading family stress and logistics

Let’s not minimize the impact on parents, either.

Years of:

  • Washing sheets multiple times a week
  • Managing pull-ups and nighttime routines
  • Worrying about your child’s emotional wellbeing
  • Navigating social situations and making excuses
  • Fielding judgment from relatives or other parents

This takes a toll on the whole family.

You’re trading the potential for intervention

Here’s something that often gets overlooked:

The approaches that teach brain-bladder communication often work better with younger children.

Children who are 7, 8, 9 years old are often more responsive to cognitive behavioral techniques and medical hypnosis than teenagers who’ve been struggling for a decade and have developed layers of shame and anxiety.

By waiting too long, you might actually be making the problem harder to solve.

When “wait and see” makes sense

I don’t want to suggest that every family should immediately pursue treatment for not being dry yet at night.

There are situations where “wait and see” is completely reasonable:

  • Your child is 5 or 6 years old, and not being dry yet isn’t causing emotional distress.
    At this age, not being dry yet at night is very common, and there’s no urgent reason to intervene.
  • Your child isn’t missing out on social experiences.
    If they’re not being invited to sleepovers yet, or if they don’t seem bothered by missing out, waiting might be fine.
  • Your child isn’t expressing shame, embarrassment, or frustration.
    If they’re emotionally okay with the situation, that changes the calculus.
  • Your family can manage the logistics without significant stress.
    If beds that aren’t dry aren’t causing major disruption or conflict in your household, waiting might work.

But if any of these things are NOT true—if your child is feeling ashamed, missing experiences, losing confidence, or if your family is stressed—then “wait and see” has real costs.

The question to ask yourself

Instead of asking, “Will my child eventually outgrow this?” (because the answer is probably yes), ask: “What is waiting costing us? And is that cost worth it?”

Be specific:

  • What experiences is my child missing right now?
  • How is bedwetting affecting their self-esteem and confidence?
  • What is the stress level in our household around this issue?
  • If we address this now, what could change for our family?

If the costs are minimal, then waiting is fine.

But if the costs are significant—emotionally, socially, psychologically—then waiting might not be the best strategy.

The alternative to waiting

Here’s what many parents don’t realize:

You don’t have to choose between “wait and see” and invasive, difficult treatments.

There are effective, gentle approaches that teach the brain-bladder connection without medication side effects, without disruptive alarms, without months of frustration.

Our program uses medical hypnosis, cognitive behavioral techniques, and motivational tools to help children learn the skill their body hasn’t mastered yet.

Most families see significant improvement within a few months.

And here’s the beautiful part: When children learn this skill, they don’t just become dry at night. They gain confidence, empowerment, and pride in themselves.

They learn that they can overcome challenges. That their body is capable. That they’re not broken.

That’s worth not waiting for.

What families say after treatment

I hear this over and over from parents who decided not to wait:

“I wish we’d done this sooner.”

“I didn’t realize how much the bedwetting was affecting her until after it stopped. She’s so much more confident now.”

“He went on his first overnight trip last month and had the time of his life. I’m so glad we didn’t wait another year.”

“We spent years just hoping it would go away on its own. I feel guilty that we waited so long, but I’m so grateful we finally addressed it.”

The relief in their voices is palpable.

Not just because the laundry has stopped, but because they’ve given their child the gift of confidence, independence, and full participation in childhood.

You don’t have to wait

Yes, most children will eventually become dry at night.

But “eventually” can be a long time. And the costs of waiting—missed experiences, declining self-esteem, accumulated shame—can be significant.

If your child is struggling. If they’re missing out on social experiences. If you’re worried about their emotional wellbeing. If your family is stressed.

You don’t have to wait.

There’s another option. An option that teaches the skill, resolves the problem, and gives your child their confidence back.

And that option is available right now.

Jeff Lazarus, MD, FAAP
Keeping the Bed Dry®


About Dr. Jeffrey Lazarus, MD, FAAP

Dr. Jeffrey Lazarus is a board-certified pediatrician who combines over 25 years of medical experience with expertise in medical hypnosis and cognitive behavioral therapy. He is one of only 8 pediatricians in the United States certified as an Approved Consultant by The American Society of Clinical Hypnosis.

After completing his pediatric residency at Stanford University Medical Center, Dr. Lazarus specialized in using medical hypnosis to address conditions that traditional medicine doesn’t treat effectively. He created Keeping the Bed Dry®, an at-home video program that teaches children’s brains and bladders to communicate effectively—proven successful in independent research published in Clinical Pediatrics and recommended as a first-line treatment by the Journal of Pediatric Urology.

Dr. Lazarus practices in Menlo Park, California, and works with families nationwide via telemedicine.