I'm just thinking that a few strategic moments with a washcloth can take care of the "tough issues". I'm also thinking that her insistence on cleanliness is probably a form of self-rejection. She has made some progress there, I think. Not so long ago, her "routine" had to include a long bath beforehand, to "relax and get in the mood." She didn't require this last weekend, and imho it made things a whole lot better. If she really feels she needs a shower ahead of time, I'm thinking we might be able to work that into the early-evening schedule, so there's not a lot of overhead at bedtime. Just some things for us to work on...
And you're right, there ARE other issues for us to work on, and I think those will surface once we get the frequency up to where patterns can start to surface. That's my major focus at the moment - in order to get those issues in the open, there needs to be enough activity to produce the required data...
