Pathological Demand Avoidance (PDA) presents a unique challenge for professionals, whereby conventional therapy methods are often perceived as demands and met with opposition where they normally would have proven effective. This guide sets out the most effective strategies for clinicians to provide the best care for children with PDA, adapting conventional modes of therapy to suit their needs. Methods include indirect techniques such as play-based therapy or trauma-informed approaches enabling the child to process their experiences on their own terms.
With additional guidance for supporting the families of patients and addressing common obstacles, this book provides understanding and guidance for professionals making a difference to the lives of children with PDA.
Raelene Dundon is the Director of Okey Dokey Childhood Psychology in Melbourne, Australia. Raelene has extensive experience working with children with developmental disabilities and their families, as well as typically developing children, providing educational, social, emotional and behavioural support.
Introduction; 1. What is Pathological Demand Avoidance (PDA)?; 2. How might therapy assist individuals with PDA?; 3. Why might traditional therapy approaches be challenging for children with PDA?; 4. How might using a trauma-informed approach be helpful for working with children with PDA?; 5.What do you need to consider when commencing therapy with a child with PDA?; 6. What are the most important things to consider when working with children with PDA in therapy?; 7. How can we support the families of children with PDA?; 8. Practical therapy activities for common presenting difficulties; 9. Troubleshooting: what to do when ...; 10. A Final Reflection; Appendix; Bibliography
This wonderful, insightful, practical book beautifully explains PDA, why it exists and how best to offer support. It clearly separates demand avoidance from oppositional behaviour, explains why traditional therapies fail, and endorses current thinking on interoception, neurodiversity and universal design. At last supporting our PDAers through fostering safe therapeutic relationships is fully explained! -- Dr. Wenn B. Lawson (PhD) CPsychol AFBPsS MAP
An outstanding blend of practical advice and theoretical understanding. This book will be an excellent resource for anyone supporting children and young people with PDA in a therapeutic role. -- Ruth Fidler, Education Consultant, complex autism
