Is It PDA? Demand Avoidance in the Context of Autism

On episode 270, Emily Kircher-Morris welcomes Dr. Taylor Day, a licensed psychologist who specializes in neuro-affirming care for autistic children and their families. They discuss the complexities of Pathological Demand Avoidance (PDA) in children, and the importance of understanding neurodiversity and the need for family-centered care. They cover the challenges of identifying PDA, the risks of misdiagnosis, and the necessity of adapting parenting and therapeutic strategies to better support children with this profile. They also validate parents' experiences and intuition, and endorse a holistic approach to autism care that considers the needs of the entire family.

TAKEAWAYS

• PDA is a conceptualization rather than a formal diagnosis.

• Validating lived experiences is crucial for families.

• Research on PDA is progressing slowly.

• Parents often face dismissal in the medical community.

• PDA behaviors may resemble defiance or oppositionality.

• Affirming approaches can prevent family burnout.

• Quality of services is more important than quantity.

• Parents are the experts on their children.

• Therapy can take many forms beyond traditional methods.

The Neurodiversity University Therapist Hub registration window is closed for now, but will open again soon, and you can get on the list to be notified! If you're a mental health professional we want you in our group of like-minded peers, in a vibrant community where learning and sharing are front and center.

Meantime, we'll be opening our Educator Hub to new members in the next couple of weeks! If you're an educator or have a student in your life, we would love for you to be part of it. We can notify you as soon as it opens, so get on the list here!

Dr. Taylor Day is a licensed psychologist specializing in neuro-affirming care for autistic children and their families, with a focus on early diagnosis and intervention. She is the CEO and founder of Dr. Tay Concierge Clinical Care, where she developed The Whole Family Approach, an evidence-informed model designed to address gaps in autism care by supporting both children and their families.

Dr. Day holds a Ph.D. in clinical psychology and is dedicated to advancing early childhood autism support through personalized, family-centered interventions. Her passion for child psychology and autism advocacy is deeply rooted in her personal experience growing up with a brother diagnosed at 23 months of age.

BACKGROUND READING

Dr Day’s website, Instagram, EVOLVE with Dr. Tay: The Podcast of Parents of Autistic Kids (Spotify)