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What’s the Difference Between PDA (Pervasive Demand Avoidance)and Just Being Strong-Willed?

“Demand avoidance”—a knee-jerk, defiant reaction to any direction to cooperate with a task or to make a transition— is a phenomenon that I see frequently in my work with families of highly sensitive children(HSC)/big reactors.

This pattern of behavior has been officially termed "Pathological Demand Avoidance" (PDA), but many experts, myself included, prefer "Pervasive Demand Avoidance." 

The first and most important thing to know about PDA is that it is a reaction that is based in the nervous system and is not purposeful "opposition" or "defiance."  The nervous system interprets the demand as a threat to the child's autonomy and triggers a stress response that prepares the body to fight or flee.

While PDA is associated with ASD (Autism Spectrum Disorder), I work with hundreds families each year and see many kids who are not on the Autism spectrum but are prone to demand avoidance. Most of these children are HSCs who often feel overwhelmed on the inside because of how deeply they process their experiences in the world. To cope—to make life more manageable—they seek to control as much as they can on the outside. This frequently translates into refusal to follow a direction, given the fact that directions are designed to control a child's behavior—to get them to do something you want them to do. These kids are totally clued into this and resisting the demand is a way to feel in control. 

So what's a parent to do when many of these tasks HAVE TO BE DONE to keep their children healthy and safe, and to run an effective household, especially a busy one with multiple kids? Teeth need to be brushed; kids need to be at school, doctor appointments, and activities on time; baths/showers have to be taken; kids need to stay safely in their rooms at night to get the sleep they need (if you are choosing to have your children sleep independently.) 

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