PDA, or Pathological Demand Avoidance, is a profile that falls under the autism spectrum. It is characterised by an extreme avoidance of everyday demands and expectations due to high anxiety levels. Unlike some other forms of autism, individuals with PDA may appear socially confident and communicative, but they often use strategies such as distraction, negotiation or refusal to avoid tasks or situations they find stressful.

Key Features of PDA

People with PDA typically struggle with everyday demands, even those that seem simple or routine to others. Their avoidance behaviours are driven by intense anxiety and a need to maintain control. This can result in challenging behaviours like meltdowns, outbursts or withdrawal when they feel pressured. Despite these difficulties, individuals with PDA often have good imaginative skills and social understanding, though these may be used in ways that support avoidance.

Diagnosis and Support

PDA is not always recognised in standard autism assessments, and diagnosis can be complex. It is usually identified through detailed behavioural analysis and clinical observation. Support strategies for PDA focus on reducing anxiety, using flexible approaches, building trust and allowing more choice and control to the individual. Traditional demand-focused approaches may increase resistance and distress.

Living with PDA

Understanding PDA helps families, educators and professionals create supportive environments that respect the individual’s needs. Early recognition and tailored support improve quality of life and help individuals with PDA develop coping skills and achieve their potential.

Summary

PDA is a form of autism marked by high anxiety and extreme avoidance of demands. It requires specialised understanding and flexible support to help individuals manage anxiety and thrive.