Thank you for answer. I do not think it is directly some food sensitivities. It is irrestible urge/impulses to do the inappropiate behavior based on the need for certain sensory stimulation (which is conscious but very hard to resist. If resisted; using the toilet instead, the urge get stronger and stronger each time until I eventually get a heavy meltdown with depersonalization, derealization, hallucinations and so, and then I wet/soil myself anyway. This was tried once in therapy and concluded that it was not a good mean to solve the problem). For me it fit somewhat the description of what may be common in teens and adults with SPD according to the checklist here: "may still engage in 'childish' coping mechanisms". I think it happen mostly when I'm under stress (which is a common thing in Asperger unfortunately), and the stimulation I get from the inappropiate behavior seems to functions as the best working coping mechanism I have available. In other words, when I find myself stressful the need for a given sensory stimulation present, and I solve the situation with the inappropiate behavior which gives me the sensory stimulation.

I have in addition some problems with the introceptive sense; if it is some sort of sensory discrimination issue or a hyposensitivity I do not know for sure. I have a hard time to tell the differences between urges likes needing the toilet, being hungry, being tired and so. I'm aware that it made me wet myself sometimes in the childhood, but as an adult this has not resulted in anything other than physical pain.

I have considered occupational therapy, and your tips for Therapeutic Listening and Interactive Metronome Therapy sounds interesting, and something I will look further into.

(02-27-2013, 10:42 PM)LAC1961 Wrote: Welcome. My daughter was diagnosed with enuresis and less often suffered from encopresis. We saw five specialists, none of whom could figure why she could not control her bladder and intermittently her bowels. We discovered some food sensitivities over this past winter, and she is now able to control both bladder and bowels. If you're interested in hearing what foods/additives were causing my daughter's problems, just ask and I can post more details. I have no idea if food sensitivities could be contributing to your encopresis and enuresis, but if you want to experiment with it, keep a food diary for four weeks, including the time you eat, what you eat, and the time you have an "incident". After a few weeks of keeping the diary go back and see if you can find a pattern--are there certain foods that commonly precede an incident.
Those with SPD that have a poor interoceptive sense often can't feel the urge to use the toilet until it's already out. There's a good article on this website about the interoceptive sense. There are many theories regarding therapies that may help with the interoceptive sense. One that we use is Therapeutic Listening. Another is Interactive Metronome Therapy. I'm sure there are others as well. Although we asked numerous times for our OT to address this area in therapy, she was not helpful in this regard, which turned out to be ok for us because it was food/additive related.