My daughter started holding it when we brought her new brother home from the hospital. We saw a pediatric gastroenterlogist. He has her on Milk of Magnesia - 1 1/2 tsp per day. Our goal was to keep the stool so soft she couldn't hold it, while we resolved the emotional and diet issues. We also had "toilet time" After she ate, spend 5 minutes of time while we read to her, sing songs, etc. Now, she goes every day on her own. Good luck!