‘Pathological Demand Avoidance’ (PDA) may be one explanation. 2.1. Origins of the term ‘Pathological Demand Avoidance’ 2.1 Origins of the term ‘Pathological Demand Avoidance’. including ODD (Oppositional Defiant Disorder) and anxiety. Others, including Soppitt et al [7] propose a formulation including co-occurring diagnosis of ADHD.. Her actual diagnosis is written as: 1. Autistic Spectrum Disorder and 2. Oppositional behaviours/pathological demand avoidance behaviours. After a few months of searching for general information on autism, we experienced our ‘lightbulb moment’ when we stumbled across Pathological Demand Avoidance (PDA).

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Pathological Demand Avoidance (PDA) Defiant behavior may signal PDA when it occurs almost without exception. This profile is characterized by an overwhelming and consistent need to avoid or resist demands. PDA is more intense and pervasive than is ODD; it is not limited to certain people or situations. Kids with PDA are obsessive in their.. Pathological (or extreme) demand avoidance is a term sometimes applied to complex behaviours in children within— or beyond—autism spectrum disorder. The use of pathological demand avoidance as a diagnosis has, at times, led to altered referral practice and misunderstandings between professionals and the families of patients.