Jackie, is there a reason why she can't change herself in the morning? I don't think anyone has a problem with a teenager having continence problems, I think it is you changing her that people find unusual. My 11 year old isn't incontinent, but does have periods, she sorts herself out. I don't touch her sanitary towels and she wouldn't want me to do that. I think encouraging our children to develop independence is an important part of parenting and my daughter taking care of matters like this is an important part of growing up. I understand that children develop at different rates but at 16 very few children couldn't take a pair of pull-ups off and shower themselves. It is part of growing up that children begin to want to have their own privacy. Of course I used to bathe and wash my daughter and now she does it herself. She would hate the idea of people seeing her half naked if I changed her in a shopping mall. If your daughter needs pull-ups at night... fine ... that's not an issue to me. But surely an intelligent A grade student that your daughter appears to be can manage to change herself?