What is Pathological Demand Avoidance and How Do I Parent This Child?

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Are you familiar with pathological demand avoidance? Do you need helpful strategies to raise a child with the challenging behaviors that characterize PDA? Listen in to this conversation with Dr. Cynthia Martin, a clinical psychologist, the former Senior Director of the Autism Center at the Child Mind Institute, and founder of CM Psychology in Manhattan, NY.

In this episode, we discuss:

What is Pathological Demand Avoidance?What makes PDA different from typical defiance or resistance?Is PDA considered an official diagnosis, or is it more of a way to describe a cluster of behaviors that we’re seeing in some kids?What do we know about the underlying causes?How does PDA relate to other conditions like autism or ADHD? What are the overlaps with trauma, prenatal substance exposure??What are the types of behaviors parents or caregivers might see?How can a caregiver tell the difference between a child who can’t comply and one who won’t comply?Where do parents start when considering if their child has a PDA profile?What observations or examples should parents share to help a clinician understand their child’s challenges?What kinds of strategies are effective for parenting a child with PDA traits?How can parents reframe their approach so that daily demands — like getting dressed, brushing teeth, or doing homework — don’t turn into constant battles?What types of therapies or interventions tend to be most helpful? What do you say to caregivers who are feeling worn down and ineffective? Where do they start?How can a parent or caregiver set their child up for success even if they do have this PDA profile?What words of hope or encouragement would you offer to parents and caregivers just starting to investigate?

Resources:

Pathological Demand Avoidance (PDA) in Kids - Child Mind InstituteDemand Avoidance: Why Kids Refuse to Follow Directions - Psychology TodaySymptom Tests for Children: Is Your Child Showing Signs of Pathological Demand Avoidance? - ADDitude: ADHD Science & StrategiesUnstuck & On Target - Evidence-Based Curricula and Resources for Professionals and Families to Support Executive Functions.

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