The Hardcore Self Help Podcast with Duff the Psych cover image

The Hardcore Self Help Podcast with Duff the Psych

431: Pathological Demand Avoidance & Persistent Low-Grade Depression

Feb 21, 2025
Explore the complexities of Pathological Demand Avoidance and its impact on coaching neurodivergent individuals. Discover practical strategies for fostering autonomy and collaboration in challenging situations. Shift focus to Persistent Low-Grade Depression, where insights on behavioral activation shine as an effective treatment approach. Delve into innovative therapies for treatment-resistant cases, while underscoring the importance of hope and identity in one’s journey towards mental wellness.
28:35

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Quick takeaways

  • Pathological Demand Avoidance (PDA) can be reframed as a quest for autonomy rather than defiance, guiding more effective coaching strategies.
  • Persistent low-grade depression can be addressed through behavioral activation, encouraging engagement in enjoyable activities despite the lack of immediate pleasure.

Deep dives

Understanding Pathological Demand Avoidance (PDA)

Pathological demand avoidance (PDA) is characterized by a strong need to resist demands and expectations, which can often be mistaken for defiance. Many individuals with PDA experience a high drive for autonomy, making them more likely to avoid tasks that threaten their sense of control, even everyday activities like grooming and chores. This avoidance behavior can manifest not just in response to direct requests but also in reaction to societal expectations and pressures from institutions like schools or workplaces. Understanding PDA through the lens of autonomy rather than pathology allows for a more constructive approach, helping caregivers and educators frame their interactions with individuals exhibiting these traits.

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