 
                                                                                                    11/10/2025
                                            …..And here we go again. 
Not many weeks after the Gregg Wallace “Autism means I can’t wear pants” headlines, more negative headlines about neurodiversity. This time PDA, Pathological Demand Avoidance. The headline is misleading, but aren’t they always?
The response of most people “Never like it my day”, “I wouldn’t let a child of mine get away with it”, “There’s no discipline anymore”, “You’ve just got to be tougher on them”. I’ve posted a few of the comments on the article. Although there were some supportive ones that understood neurodiversity, most don’t
PDA hasn’t made it into the Big Book of Mental Health Conditions, The DSM 5 because it is so new, and massively underreached that it hasn’t got an official space in there, yet.
That doesn’t mean it doesn’t exist and doesn’t cause distress to the lives of those who have the profile and those that live and love them. I often see clients who have an unrecognised PDA profile and after a few questions, I explain what it is and how it shows up in their lives, and I can see a lightbulb turning on above their head. Then by changing the way they approach things and those in their life approach things, their levels of distress.
PDA is profile of autism characterized by an extreme avoidance of everyday demands, even those the person might want to do. It's often driven by anxiety and a need for control; responding to a demand can trigger an anxiety response. Individuals may use a variety of strategies, such as direct refusal, procrastination, or imaginative role-playing, to avoid requests. 
Using a low demand approach and remembering that having autonomy, or agency is the key for those with PDA. It’s different from just being in control or a ‘control freak’. If a PDA person is told to do something, even if they were going to do it, they then can’t do it. If they are asked, and they see a need for it, they then can do it.
The thing about children with a PDA profile is that they grow into adults with a PDA profile, it doesn’t disappear on their 18th birthday. Many people at the ages of 30, 40, 50 and beyond are discovering they are neurodivergent, they don’t catch it from anywhere, it was always there, but the recognition can be life changing.  I think a lot of PDA adults find themselves in jobs where they have a lot of autonomy, or even self-employed as that is the ultimate way of getting agency.
If there’s anything you’d like me to write about in connection with PDA or other parts of neurodiversity, comment on this post or send me a message.                                        
 
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                         
   
   
   
   
     
   
   
  