It’s incredibly frustrating to deal with a child who refuses to take care of himself or herself—a child with bad hygiene. They look bad and we often see it as a reflection of our parenting. It’s embarrassing.

We hear from many parents during parent coaching sessions whose kids won’t shower or brush their teeth—sometimes for days or even weeks at a time. It’s a common problem.

Maybe your child refuses to put on deodorant or wash his face. Perhaps your daughter wears the same lived-in clothes every day and rarely brushes or shampoos her hair.

We say to ourselves: “I can’t let her leave the house looking like that!”

This is a normal response. But, it’s also normal for kids to go through phases during which hygiene can be challenging, particularly during puberty. Here’s what you can do if your child has poor hygiene.

“Bad hygiene is sometimes part of a larger, ongoing power struggle—a power struggle in which your child doesn’t shower and clean up in order to resist you and push your buttons.”

Rule Out Mental or Physical Health Problems

One of the most important things to consider about kids who have poor hygiene is that refusal to shower, bathe, or brush their teeth can sometimes be a symptom of depression, bipolar disorder, trauma, or another mental health issue.

If your child has poor hygiene coupled with behavior changes, declining academic performance, trouble with peers, or if you just think your child’s poor hygiene is a health risk, we recommend that you make an appointment with your child’s pediatrician. You want to rule out a physical or mental health issue.

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Why Does My Child Refuse to Take Care of Himself?

Typically, children refuse to shower, refuse to brush their teeth, and refuse to take care of themselves for a simple reason: they just don’t want to do it.

Many kids don’t want to spend their time on self-care activities. It’s often much more fun for them to spend time on things like playing video games. Kids can sometimes get so into a certain activity that it’s all they want to do. For a child, the choice between something fun and something that seems boring is an easy one. They will almost always choose what’s fun.

It’s also important to consider that puberty is a major transition for children. Their bodies suddenly need more care to remain clean. They need lots of time and practice to learn the new habits that are required to keep up with their changing bodies. It is a confusing time and many children resist the change in routine. Understand that, in this case, resistance is simply due to a lack of knowledge, and the need for time to adjust.

In other instances, though, bad hygiene is part of a larger, ongoing power struggle. Your child may be refusing to clean up in order to resist you and push your buttons. When this happens, the more you try to control your child, the more she resists.

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Whether your child or teen’s hygiene problems are due to ignorance or an ongoing power struggle, here are some steps you can take to tackle the issue head-on.

Talk with Your Child

No matter what you think might be going on, we always recommend that you talk with your child and listen to her perspective. Understanding your child’s perspective is part of the key to working through this issue. Try sitting her down at a relatively calm time and ask:

“What’s the reason you don’t want to shower? What don’t you like about it?”

Then talk with your child about how she might solve this problem so that she can take care of herself in a healthy way.

If your child is going through puberty it is helpful to talk about the changes going on with her body that make personal hygiene so important, such as skin becoming oilier and sweat glands becoming more active in the underarm area.

If you aren’t sure how to have this conversation with your child, her pediatrician or school nurse should be able to give you some information and pointers.

Be Gentle and Loving

I can’t state this strongly enough: be gentle and loving when handling delicate issues like hygiene.

Your child will most likely be very sensitive and embarrassed about them.

Focus on What You Can Control

Don’t try to physically force your child to bathe or brush his teeth. Don’t get him to shower by shaming him, calling him names, telling him that he smells, or telling him that you don’t want to be around him. Ultimately, you just can’t make another person do something they don’t want to do. It’s far more effective to focus on what will motivate your child and hold him accountable for practicing better hygiene.

Behavior charts and incentive systems are a great place to start, especially with younger kids. You can use a daily chart, such as our multiple behavior chart, to reinforce hygiene-related behaviors. Give a daily reward once the tasks are done.

For older kids, you can also establish weekly rewards. For example, showering 5 out of 7 days might earn your child extra time at night before lights out.

Related content: Free Downloadable Behavior Charts

Using a reward system has a built-in consequence, so it’s not necessary to give an additional consequence for failing to shower. If your child does not earn their reward for the day or week, the loss of the reward is the consequence.

You can create a menu of rewards your child can choose from to keep him interested. Offering a variety of different rewards helps to prevent the boredom and loss of motivation that often happens when the reward is always the same day after day.

Related content: How to Create a List of Consequences and Rewards for Children

Allow for Natural Consequences

I always say to parents, “Never underestimate the value and power of natural consequences.” What’s a natural consequence of poor hygiene? The negative reaction of his peers to his body odor or greasy hair. Indeed, kids are very blunt and many won’t hesitate to tell your child that her breath stinks.

I talked to a mom once whose son didn’t shower as often as she would like, and his girlfriend would come right out and tell him he smelled bad. And that ultimately solved the problem.

I’ve also known teachers to send kids to the guidance counselor to talk about hygiene. These are all the natural consequences of your child not showering or brushing his or her teeth. And they can go a long way toward getting your child to improve.

Do you want any of these embarrassing things to happen to your kid? Probably not. Is it a reflection on you as a parent? It certainly feels like it, but it really isn’t as long as you are doing your job.

In the end, giving your kids the opportunity to practice good hygiene by providing all the necessary knowledge and tools is the best you can do.

Related content: The Benefits of Natural Consequences

Power Struggles and Defiance

Be aware that your child’s hygiene problem may be an act of defiance, in which case, the real issue is a power struggle. So how do you know if you’re in a power struggle with your child? If your child refuses to comply anytime you ask him to do something—when you find him constantly pushing back against your rules and requests—you’re in a struggle.

The key to dealing with a power struggle is not to get sucked into it and to help your child develop more appropriate problem-solving skills.

For more information on dealing with power struggles I recommend starting with James Lehman’s article Power Struggles: Are You at War with a Defiant Child.

Be Patient

Finally, be patient. Kids will always make their own choices no matter what. As long as you are problem-solving with your kids, using rewards and consequences, and supplying them with the necessary tools to take care of themselves, that’s the best you can do as a parent.


Sara Bean, M.Ed. is a certified school counselor and former Empowering Parents Parent Coach with over 10 years of experience working with children and families. She is also a proud mom.

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