Why PDA is Often Misunderstood
Pathological Demand Avoidance is widely recognised as an autism profile, but it remains poorly understood in many educational and clinical settings. There are several reasons for this:
- Not a standalone diagnosis: PDA is not formally listed in diagnostic manuals like DSM-5, which means professionals often rely on descriptive profiles rather than official codes.
- Overlap with other conditions: Some of the behaviours linked to PDA such as; refusal, anxiety or control-seeking can resemble traits of oppositional defiance disorder (ODD) or attachment difficulties, this can lead to misinterpretation and sometimes misdiagnosis.
- Social Masking: Many children with PDA appear socially confident, which can mask/obscure underlying anxiety and avoidance.
- Standard behaviour strategies often fail: Standard behaviour management approaches often increase anxiety and resistance.