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A Parent’s Guide to Navigating Pathological Demand Avoidance

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Learning about Pathological Demand Avoidance (PDA) — a profile characterized by intense, anxiety-driven resistance to everyday demands and expectations — finally helped me understand my son, Max, and how to support him.During his early years, Max would frequently refuse to do what was asked of him and insist everything be done his way.

He would inexplicably melt down or erupt in anger over seemingly minor issues. By the time he was 7, he had collected several diagnoses, including ADHD, autism, and ODD.

Commonly suggested behavioral strategies for neurodivergent children — from setting clear rules to using checklists, visual timers, and liberally doling out praise — didn’t help.

In fact, all they seemed to do was set up further power struggles where everyone lost.If this story sounds familiar, learning about PDA may also help you.Children with PDA have extremely reactive nervous systems that prime them to interpret requests and expectations as threats.

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COVID-19
United States
United States
Cases: 46 252 513
Deaths: 750 423
Recovered: 0
India
India
Cases: 34 321 025
Deaths: 459 652
Recovered: 0
Brazil
Brazil
Cases: 21 835 785
Deaths: 608 235
Recovered: 0
United Kingdom
United Kingdom
Cases: 9 215 683
Deaths: 141 607
Recovered: 0
Russia
Russia
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Deaths: 237 619
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