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My first thought of troubleshooting would definitely be anxiety related here more than anything else. If she is screaching – that can definitely be at a level of anxiety that can cause her to have trouble keeping the urine in.
She will require patience without a doubt. I would find out if she spends her time present with the owner on her lap or with a hand attached to her – this can cause bad addictions that might cause anxiety at this level.
I have also encountered the rare case of dogs that will pee in a crate, to get out of it. Since, when the owner notices the pee the dog will come out so it can be cleaned.
If she is not having accidents out of the crate supervised with a person present – i would go with an anxiety plan first- and make sure all the underlying levels have been practiced.
