What We’re Learning About (Pervasive) Pathological Demand Avoidance
Release Date: 07/08/2026
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Today's episode is a heartfelt conversation about the importance of helping neurodivergent children understand themselves and their brain profile, and how this understanding can foster confidence and self-advocacy. Emily talks with Dr. Liz Angoff about the need for transparent communication with children about their diagnoses, and the use of relatable metaphors to explain complex concepts. They discuss collaborative approaches in assessments, the challenges of co-occurring diagnoses, and the role of parents in supporting their children. How can families find practitioners who align with...
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It's easy to view academic difficulties and mental health challenges as two separate issues when a child struggles. However, the emotional toll of an unaddressed learning difference often leads to chronic anxiety, low self-esteem, and a loss of motivation. Dr. Karen Wilson is a pediatric neuropsychologist and the host of the Diverse Thinking-Different Learning Podcast, and she joins Emily this week to talk about the deep overlap between learning differences and emotional well-being. TAKEAWAYS Learning differences and mental health challenges are deeply connected, with neurodivergent kids...
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The Evolution of Assessment: It's More Than Just a Score
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Autistic Girls Are Going Undiagnosed or Misdiagnosed
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Often, autistic girls are called shy, introverted, perfectionistic, confused, anything BUT autistic. There is a pervasive impression, even in the medical community, that autism occurs in boys vastly more often than girls. The result is, autistic girls are missing out on services and tools that are available to them. Holly Blanc Moses is a therapist, and the host of the Autism ADHD Podcast, and she joins Emily Kircher-Morris in this encore presentation to talk about missing autism in girls. You can for our upcoming continuing education course for mental health professionals, Clinical...
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Neurodiversity Podcast
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What We’re Learning About (Pervasive) Pathological Demand Avoidance
Neurodiversity Podcast
When an autistic child or teen consistently pushes back against daily expectations, traditional parenting and teaching methods often default to high-pressure enforcement. This pattern routinely triggers escalating defensive behaviors, creating a continuous loop of friction that strains the entire family system. In this encore conversation, Sandra McConnell, an advocate known as the PDA Mama Bear, joins Emily Kircher-Morris to unpack the nuanced framework of pervasive demand avoidance and explore how it reshapes typical social navigation. They talk about ways to shift the focus away from...
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The Parenting Long Game: Finding the Problem Under the Problem
Neurodiversity Podcast
Today we talk about how parent reactivity, historical family patterns, and systemic overwhelm inadvertently trap families in cyclical power struggles. Emily Kircher-Morris welcomes Diane Dempster, a professional coach, author, and co-founder of ImpactParents, to talk about how urgency often drives parents out of an objective problem-solving mindset, and toward reactionary behaviors that over-manage their kids, rather than supporting their neurological growth. They talk about the family as an interdependent system, and about how interpersonal traps of the traditional drama triangle can cause...
info_outlineWhen an autistic child or teen consistently pushes back against daily expectations, traditional parenting and teaching methods often default to high-pressure enforcement. This pattern routinely triggers escalating defensive behaviors, creating a continuous loop of friction that strains the entire family system.
In this encore conversation, Sandra McConnell, an advocate known as the PDA Mama Bear, joins Emily Kircher-Morris to unpack the nuanced framework of pervasive demand avoidance and explore how it reshapes typical social navigation. They talk about ways to shift the focus away from top-down behavior tracking, and why common behaviorist tools like point charts or sudden restrictions fail to foster authentic growth for youth with this cognitive profile.
TAKEAWAYS
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PDA represents a distinct neurodivergent profile rooted in a protective baseline of sensory anxiety and a heightened resistance to coercion.
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Traditional behavioral adjustments such as top-down discipline, sudden restrictions, and performance rewards lose their utility when applied to youth with deep demand avoidance patterns.
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Apparent behavioral compliance can hide severe internal masking and exhaustion, which often surfaces later as profound burnout and sudden academic avoidance.
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Manifestations of demand avoidance often vary between protective escape patterns and a desire to control the immediate household environment.
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Shifting the caregiver approach from a position of top-down authority to that of an instructional mentor lowers daily pressure and builds authentic family trust.
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Protecting a child’s long-term social and emotional development requires moving away from absolute compliance demands to focus instead on reducing baseline nervous system stress.
This week’s special CE training for mental health professionals features Dr. Christopher Willard, and is titled, “The New 3 R’s: Mindfulness-Based Resilience, Regulation, and Relationships.” The training is live online Friday, July 10 from 2:00 to 3:30 pm Eastern, and is approved for 1.5 APA and NBCC continuing education hours. Everyone who registers can earn those credits by watching the event live, or can choose to watch it later. Register here.
Sandra McConnell is a blogger, speaker, and trainer on Autistic Pathological Demand Avoidance (PDA). She conducts webinars, workshops and conferences all across the country to train and inform people about PDA.
She has two graduate certificates in Learning Differences & Neurodiversity specializing in Executive Functioning and Autism (Landmark College, 2021); a certification in PDA through the UK-based, OCN-accredited organization Neurodivergent Education Support and Training (NEST, 2020); a master's degree in Forensic Psychophysiology (Argosy University, 2006); and a bachelor's degree in Psychology and Criminology (UNM, 2000).
Sandra lives in Maryland, USA, with her husband, who's ADHD, her 13-year-old son, who's PDA, her 10-year-old son, who's ADHD, and her 6-year-old daughter, who's TBD.
BACKGROUND READING
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