Pathological Demand Avoidance (PDA) is a behavioral profile most often observed alongside autism spectrum disorder. It is characterized by an overwhelming need to avoid everyday demands and expectations to a degree that affects daily functioning. Children with PDA often exhibit high levels of anxiety and may react with extreme avoidance strategies when faced with demands that appear ordinary to others. These strategies can include distraction, negotiation, withdrawal, or even aggression. It is important for parents to recognize that these behaviors are not willful defiance but rather responses driven by the child's need to alleviate their anxiety.

Therapy and assessments play a crucial role in supporting children with PDA. Comprehensive assessments can help identify PDA as part of a child's broader neurodivergent profile, providing insights into their unique strengths and challenges. This understanding allows for the development of tailored therapeutic interventions that focus on reducing anxiety, improving communication skills, and fostering emotional regulation. Therapists can work with families to develop personalized strategies that accommodate the child's need for autonomy while gently encouraging participation in everyday activities. By creating a supportive environment and utilizing child-centered approaches, therapy can significantly enhance the quality of life for children with PDA and their families, paving the way for improved relationships and greater independence.