PDA in ADHD and Autistic Kids and How to Help Them Thrive

Pathological Demand Avoidance (PDA) in ADHD and autistic kids is more common than you may realize.

Picture this: It’s almost time for dinner and you ask your ADHD 8-year-old to clean up his toys and wash his hands. He procrastinates, “I just need to finish this one thing first.” You ask him again 5 minutes later. “I’m too tired. My tummy hurts.” Getting frustrated, you put your foot down and insist, “No more excuses, time to clean up now!” Your child escalates, crumples to the floor, crying and in full meltdown. You wonder why your child is so defiant and can’t just listen to you when you ask for something simple like tidying up. If this sounds familiar, you aren’t alone. Getting dressed, brushing teeth, cleaning up, turning off the Playstation or tablet, getting into bed- seemingly simple requests are continuously met with resistance that seems way over the top. The more you insist, the harder they resist. It’s a cycle that leaves you frustrated and angry with a child in a meltdown. Pathological Demand Avoidance , known as PDA, is a term that has gained increasing recognition within the neurodivergent community, particularly when discussing children with ADHD and autism. For those of us parents homeschooling neurodivergent kids, understanding PDA in ADHD and autistic kids is crucial to understanding our kids and then providing the right supports to create an effective learning environment. But what even is PDA? How does it manifest in neurodivergent children and what makes it different than straight-up defiance?

What is PDA?

PDA in ADHD and autistic kids refers to a behavioral profile characterized by an extreme avoidance of everyday demands and expectations, driven by a need to maintain a sense of control. Unlike typical forms of demand avoidance, PDA is rooted in anxiety, where the child’s need to avoid demands is not about defiance but rather about a deep-seated fear of losing autonomy.

PDA is increasingly recognized as a distinct profile within the autism spectrum. It can also co-exist with ADHD , leading to a complex interplay of symptoms that can make traditional behavioral interventions less effective.

It’s important to note that this avoidance is not merely defiance; it’s driven by anxiety and an overwhelming need to maintain control over the situation. The child isn’t rejecting the task itself but rather the perceived loss of autonomy and the fear of failure or overwhelm if they try to comply.

Another important understanding is what is a “demand”? When we hear the word demand, it can sound like strict orders, but really a demand is any mandatory request, ie. something you tell them to do that they don’t see themselves having an option about complying with. We all make and receive many “demands” every day in our lives.

Signs and Symptoms of PDA in ADHD and Autistic Kids

Recognizing PDA in ADHD and autistic kids involves observing specific behaviors that go beyond a typical resistance to tasks. Here are some common signs you can look out for:

1. Extreme Demand Avoidance: Children with PDA will go to great lengths to avoid demands, often using strategies like distraction, excuses, or outright refusal. They might agree to tasks but then find ways to delay or disrupt them. Their need to avoid demands is so intense that they may do things out of character, like lie, manipulate, or coerce to avoid it.?
2. Surface Sociability: Kids with PDA often appear socially adept on the surface, and you may find they get good at using charm or negotiation to avoid demands. However, this sociability can be superficial and more of a learned behavior than a genuine personality trait, and may be masking deeper social difficulties common in autistic people.
3. Mood Swings and Emotional Dysregulation: PDA in ADHD and autistic kids can result in rapid mood changes, especially when they feel pressured. These mood swings are often linked to their anxiety about demands. They may seem to swing suddenly from happy and relaxed to stubborn, angry, and resistant.
4. Obsessive Behavior: Children with PDA may develop intense interests or obsessions, often as a way to gain control or escape demands. Special interests , or SPINs, are common in autistic people, but may become more pronounced and the need to engage in them more intense when faced with demands.
5. Resistance to Routine: Most autistic children find comfort in routine. ADHD children usually thrive with routine but seek novelty to help with dopamine deficiency. Those with PDA may resist routines imposed by others, preferring to set their own schedules and routines, or buck the routine entirely. This is a bid for control and autonomy as a way to combat their anxiety.

Why is PDA More Common in Neurodivergent Kids?

PDA in ADHD and autistic kids is more prevalent due to the underlying cognitive and emotional challenges associated with these conditions. Here’s why PDA is often seen in neurodivergent children:

1. Heightened Anxiety: Children who are ADHD and autistic often experience higher levels of anxiety, making them more likely to develop avoidance behaviors as a coping mechanism. Because daily life can be more challenging to those who are ADHD or autistic, along with the persistent feeling that they are unlike their peers, The demands of daily life can feel overwhelming, leading to the development of PDA.
2. Need for Control: Neurodivergent children, particularly those who are autistic, may have a heightened need for control in order to feel safe and secure. This need can manifest as PDA when they perceive demands as a threat to their autonomy. If you find your child is especially demanding and needs to control their world very strictly, along with resistance to demands you make of them, then this can be a warning sign for PDA.
3. Executive Functioning Challenges: ADHD, and sometimes autism as well, can be characterized by difficulties with executive functioning , such as planning, organizing, and following through with tasks. This can heighten anxiety, as well as make demands feel more burdensome and stressful, leading to avoidance strategies seen in PDA.
4. Sensitivity to Change: Many autistic children are sensitive to changes in their environment or routine. Often, they are not only sensitive to change, but require routine for function and comfort. PDA can develop as a way to resist changes that feel unpredictable or uncontrollable.

Strategies for Managing PDA in ADHD and Autistic Kids

Managing PDA in ADHD and autistic kids can feel really frustrating as a parent. It requires an approach that respects the child’s need for control while gently encouraging cooperation. And lots of patience!

Here are some strategies that can help:

1. Collaboration

Instead of imposing demands, engage your child in collaboration with you, especially if this can be built around problem solving. This approach means you invite your kiddo to engage in a demand with you, rather than asking them to do it alone. Collaborative problem solving involves working together to identify a problem, discuss possible solutions, and agree on a plan of action. By involving your child in decision-making processes, and working together, you can reduce their anxiety and resistance to demands.

Tip: Use language that emphasizes partnership. Two powerful words for kids with PDA are “together” and “let’s”. Instead of saying, “Put on your shoes so you’re ready to go,” try “Let’s put on our shoes together so we are ready to go.” This way, you make the task collaborative and reduce the stress of demand.

2. Offer Choices

Providing choices is a powerful way to give your child a sense of control and autonomy while still guiding them toward completing the tasks you need them to complete. Offer limited, structured choices that allow your child to feel empowered without being overwhelmed by too many options. This can work for both day-to-day parenting and in your homeschool.

Tip: Present choices that are acceptable to you and get what you need done, but still give your child the autonomy of choice. Instead of saying, “It’s time for math,” try “Would you like to start with math or reading today?” This way, tasks are still being completed, but you aren’t triggering your child’s PDA tendencies with a direct demand. You’re also giving them ownership over their learning, which will help them complete activities and tasks assigned to them without feeling like it’s an obligatory demand from you.

3. Reduce Perceived Demands and Create Challenges

This is when we can minimize the pressure of demands by breaking tasks into smaller, manageable steps or turning them into a challenge or game. Use indirect language or suggestions to reduce the intensity of demands, such as “I wonder if…” or “It might be fun to…” Avoid framing activities as demands and instead present them as opportunities for play by making them a game, or turning them into a challenge. For example, instead of saying, “You need to clean your room,” you could say, “Let’s see how many toys we can put away together in the length of a song.” Another strategy is to use PDA to your advantage by suggesting your child can’t do the thing you want them to do. For example, “I bet you can’t get all the blocks back in the bin before I finish setting the table.” For a lot of people with PDA, suggesting they can’t do something creates a challenge they want to take on. When you turn a demand into a challenge or a game, it not only makes it more motivating and stimulating, but it also creates dopamine in the brain, which ADHDers are lacking and can help them focus and manage stress.

Tip: Try implementing a rewarding deadline. A “rewarding deadline” is a concept used in time management and productivity strategies, particularly for people who struggle with motivation, such as people who are ADHD and autistic. It involves setting a deadline for completing a task and then linking the completion of that task with a reward. The idea is to create a positive incentive to finish the task by the deadline, making the process more motivating and enjoyable. For example, if you want your child to complete their chores by 2pm, instead of saying, “You need to finish your chores by 2:00,” try saying, “If you finish your chores by 2pm, we can go to the park afterward.” The deadline is not just about the time by which the task needs to be completed, but also about the positive outcome that follows, making it a “rewarding deadline.” This technique helps to make the task more appealing and provides a tangible benefit that your child can look forward to, thus increasing the likelihood of task completion. It leverages the brain’s reward system to encourage better time management and task follow-through while avoiding PDA triggers.

4. Establish Predictable Routines

While children with PDA may resist externally imposed routines, establishing a predictable and flexible routine can provide a sense of security. Many autistic kids need routine to thrive, and most ADHD kids do better with a routine as well. Involve your child in creating the routine, allowing them to have input on the schedule and activities. Use visual schedules or checklists that your child can personalize, giving them ownership of their daily routine. This collaborative approach can reduce resistance and increase cooperation. Predictability is important to a feeling of safety, especially in our autistic kids, and deviation from the predictable can cause considerable stress. Stress means we are more likely to trigger their PDA.?

Tip: If a change in routine is unavoidable, as it sometimes is in life, there are things you can do to mitigate the distress for your child. Priming is when we prepare our autistic kids for an unknown or a deviation from the routine by telling them in advance what will be happening, and providing them with as much detail about what the change will be like as possible. Another helpful tool, especially if the change was unexpected and last minute, is simple distraction. Allow them to engage in their special interest or use noise canceling headphones or a tablet or other device to help them regulate through the change in routine.

5. Use Positive Reinforcement

Positive reinforcement is always a more powerful motivator for children than negative consequences, especially for children with PDA. Focus on praising effort and progress rather than specific outcomes, and use rewards that are meaningful to your child. Rewards aren’t the same as bribes, but rather they are recognition of their hard work and cooperation and a goal for your child to strive towards while completing their obligations.

Tip: Create a reward system that is consistent and predictable. Using something visual is helpful, especially for younger children. Make sure your system is predictable but also flexible enough to adapt to your child’s changing needs and preferences as they grow.

6. Be Patient and Flexible

Managing PDA in ADHD and autistic kids requires a lot of patience and flexibility. Recognize that progress may be slow and that setbacks are normal. Give yourself forgiveness when you inevitably get frustrated or angry. It’s important to remain calm and avoid power struggles, as these can exacerbate the child’s anxiety and resistance. It’s also more important to model for our children how we apologize and repair our mistakes then to model perfect behavior, so be sure to be patient with yourself as well.

Tip: Celebrate small victories and remember that this is not a condition your child asked for, or that they can control or turn off. Remember that you are both learning and growing through this process.

The Role of Homeschooling in Supporting PDA

Homeschooling offers a unique advantage for managing PDA in ADHD and autistic kids. The flexibility and individualized nature of homeschooling allow us as parents to create a learning environment that respects our children’s need for control while gently encouraging progress. It also creates an environment where you can prioritize emotional safety and comfort while helping your child learn about themselves and how to self-manage their needs.

Understanding and managing PDA in ADHD and autistic kids is essential for helping them thrive both academically and emotionally. By recognizing the signs of PDA and implementing these strategies, you can create a supportive and effective homeschooling environment that empowers your child to not only succeed now, but to learn how to manage their own needs in the future. Remember, patience, empathy, and flexibility are key to navigating the challenges of PDA, and with the right approach, your child can develop the confidence and skills they need to manage demands and achieve their full potential.

If you find that PDA is a significant challenge for your child, consider seeking additional support from professionals who specialize in ADHD, autism , and demand avoidance. Together, you can address your child’s unique needs and help them build a positive relationship with learning.

Created by Lindsey Casselman, Head of Learning