It sounds like your daughter might be struggling with something called enuresis. Since your daughter is likely holding her bladder all day at school, her therapist should perform a thorough assessment to determine why. She could be having difficulty with sensing when she needs to go to the bathroom, difficulty with attempting, or possibly some kind of anxiety. Fortunately there are some really straightforward and evidence-based behavioral treatments that should help her with toileting and also help her regain her confidence. Finally, you are absolutely right that the longer you wait this could be negatively impacting her socially and emotionally, so the sooner you meet with a therapist and start an intervention the better. Get our email?