Pathological Demand Avoidance (PDA) is increasingly recognised as part of the autism spectrum, but many in the neurodivergent community prefer affirming terms such as Persistent Drive for Autonomy or Pervasive Drive for Autonomy. These names shift the focus away from seeing PDA as “oppositional” and instead highlight the fundamental need for autonomy and the anxiety that arises when control feels lost.
To support families, educators, and professionals, I’ve created a free downloadable resource:
👉 Download the PDA Resource here
What is PDA?
PDA describes a profile where everyday demands can trigger high levels of anxiety and avoidance behaviours. This is not about “defiance” or “stubbornness.” Instead, it reflects a deep drive for autonomy and a need to feel safe, respected, and in control.
PDA is increasingly discussed within the wider framework of neurodiversity, which recognises that different brains process the world in different but equally valid ways. From this perspective, PDA is not a deficit but a different way of experiencing and responding to demands.
For a wide range of community perspectives, you can also explore Neuroclastic, a platform where neurodivergent voices share lived experiences.
Top 10 Tips for Supporting Children with PDA
The downloadable resource includes a Top 10 Tips section for supporting children with PDA. These tips encourage collaboration rather than command, offering choices, using indirect language, and celebrating autonomy.
Simple strategies like reducing unnecessary demands, working with interests, and supporting emotional regulation can transform how children with PDA experience everyday life.
Tips for Adults with PDA
PDA doesn’t disappear in adulthood. Many adults find that demands in the workplace, university, or social settings can be just as overwhelming. That’s why the resource also includes practical strategies for adults, such as:
Self-advocacy phrases (“I work best with flexibility”).
Task reframing (seeing demands as choices or opportunities).
Compassionate breaks and flexible scheduling.
Why Language Matters
Calling PDA Pathological implies something is inherently wrong. By using terms such as Persistent Drive for Autonomy, we acknowledge that these individuals are not “difficult” they are responding to a heightened need for safety and self-determination.
Affirming language not only changes how others perceive PDA but also helps children and adults build a positive self-identity.
How I Can Help
As an independent Speech and Language Therapist, I work with children, young people, and adults to:
Explore individual communication styles.
Build confidence in self-advocacy.
Develop strategies that support autonomy and reduce anxiety.
Reframe “deficit-based” language into affirming, identity-positive communication.
Whether in therapy sessions, school consultations, or workplace support, my approach centres on empowerment and positive self-identity.
Download the Resource
You can access the free resource here:
👉 Understanding PDA (Pathological / Persistent Drive for Autonomy)
This tool is designed to spark reflection and provide practical strategies for anyone supporting children or adults with PDA.
