I provide Occupational therapy services for a 4 and a half year old child who has (and is) experience neglect in her life. She is behind on all milestones, needs assistance eating solid foods and randomly hollers things such as, I said no to you, you loser, shut up fatty. The recent behavior (about 3 months now) is following a UTI that she had. The child is at our center for 5-6 hours a day and refuses to urinate. Her stomach by the end of the day is rock hard and she is crying in pain. She does a lot of pottying dancing by the end of the day to prove she needs to go. We have tried everything from distracting her with singing, reading books and coloring while on the toilet. While on the potty she rocks from left to right to hold the urine in. If we do (very seldom) get her to go she shakes due to the release. I really want to help this little girl, but don't know what to do next. I would greatly appreciate any help, Thanks, Trish