Understanding Pathological Demand Avoidance (PDA) – A Low Demand Approach to Therapy

Description

Pathological Demand Avoidance (PDA) presents unique challenges for therapists, educators, and caregivers working with neurodivergent individuals. Traditional therapeutic approaches often fail to engage PDA clients effectively, as demand avoidance is deeply rooted in anxiety and the desire for autonomy.

In Pathological Demand Avoidance (PDA)–The Low Demand Approach to Therapy, clinical psychologist Emma Spencer introduces a set of guiding principles designed to help therapists create a supportive, neuroaffirming environment where PDA clients can thrive. Rather than offering a new therapeutic model, this book provides a framework that allows practitioners to apply their existing clinical skills in a way that minimises demands and fosters engagement.

Through an in-depth exploration of PDA within the autism spectrum, this book covers:

• Understanding PDA traits, diagnostic criteria, and how they differ from other presentations such as Oppositional Defiant Disorder (ODD).
• Assessment and diagnosis, including the use of clinical interviews and standardised tools to identify PDA traits.
• Exploration of the six core principles of the Low Demand Approach and how to apply them in the support of your PDA clients.
• Practical strategies for supporting PDA individuals in therapy, school, and home settings.
• A neuroaffirming and trauma informed perspective that prioritises respect, autonomy, and collaboration in working with PDA clients.

This essential resource is designed for psychologists, therapists, and educators, looking to deepen their understanding of PDA and implement effective, low-demand strategies that foster connection, trust, and meaningful therapeutic progress.

Empower your PDA clients with a therapy approach that meets them where they are—on their own terms, at their own pace.