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HI. I have dealt with several yp’s who cannot use school or public toilets. There must be huge anxiety for this girl. One of the issues may be a embarrassment and not wanting other students or anyone to hear the noise of what she is doing (even weeing).; This is not uncommon. Is there an accessible toilet she could use that is single cubicle where she cannot be overheard. She may also be scared by the flush, again not uncommon. Justa thought, if this could be explored, maybe an arrangement for her to put lid down then come out with agreement for the adult to go in and flush for her (one could take a peek then to check usage…)