Psychological factors are considered uncommon causes of primary nocturnal enuresis but are seen more frequently in secondary enuresis or daytime wetting. Enuresis can be a regressive symptom after stress or trauma such as parental divorce, neglect, or sexual abuse Some evidence shows that once an underlying psychological issue is treated, enuresis improves or resolves completely .In addition, enuresis may occur when parents neglect to adequately toilet train their child or the toilet training process becomes a struggle between child and parent