How do I support my child with a PDA profile?

In individuals with a PDA profile, demands put stress on their nervous system. ABA therapy, which is often an intervention for autism, is usually a poor match for PDA. Trauma-informed, nervous-system based, relationship-based approaches are more helpful for kids with PDA. Overall, successful interventions require a compassionate, individualized approach that respects an individual with PDA’s need for control while providing support and structure. Specific approaches they recommended included somatic therapy, DIR Floortime, talk therapy, neurofeedback, and the safe and sound protocol, among others. No single approach is the universal best fit for kids with PDA. The PDA Society also states, “The key is to reduce the ‘perception’ of demands and to provide a sense of control and autonomy. Adaptation of environments and the opportunity to develop self-management techniques are also important.”

Experts also recommend that parents find ways to understand the why, as well find ways to support and motivate kids in developing flexible thinking and appropriate adaptive skills. For example, building strengths and preferences into the daily routines, such as a specific activity, may change the child's day and lead to positive outcomes. As Dr. Burton-Hoyle says, it’s important to be creative and look for strengths in children.

Interventions that address the underlying triggers of PDA behavior can help manage PDA and support individuals in developing more adaptive strategies for handling demands and stress. You can work with your child’s therapists and teachers to tailor interventions to their specific triggers. Effective interventions typically focus on reducing anxiety, enhancing flexibility, and promoting cooperation.

For more information, see our full article Pathological Demand Avoidance (PDA) 101.