TPP 173a: What is Pathological Demand Avoidance in Children? With Dr. Melissa Neff

This episode is a deep dive into pathological demand avoidance in children (also known as PDA), which is typically defined as a pervasive developmental disorder that falls under the autism spectrum. It’s a label that’s frequently used in the United Kingdom, and it’s often defined as a complicated and misunderstood condition wherein some people have a heightened anxiety response to demands being placed on them. PDA isn’t universally recognized as a diagnosis, and it’s also a label rooted in controversy. To talk with us about all of this is friend of the podcast Dr. Melissa Neff, a licensed clinical psychologist who specializes in the assessment of ADHD, depression, anxiety, trauma, nonverbal learning disorder, and autism spectrum disorders, about the diagnostic process. Melissa Neff, Ph.D. is a clinical psychologist in private practice in Missoula, MT. She conducts psychological evaluations for children and adults. She specializes in the assessment of giftedness, ADHD, depression, anxiety, trauma, nonverbal learning disorder, and typical and atypical presentations of autism. Learn more about your ad choices. Visit megaphone.fm/adchoices

Om Podcasten

Feeling overwhelmed by the complexities of raising a neurodivergent child? Tilt Parenting is here to help. Hosted by parenting activist and author Debbie Reber, this podcast is your go-to resource for navigating life with ADHD, autism, PDA (Pathological Demand Avoidance), giftedness, and twice-exceptional (2e) kids. With expert interviews and candid conversations, you'll discover practical solutions for things like school challenges and refusal, therapy options, and fostering inclusion, social struggles, advocacy, intense behavior, and more — all through a strengths-based, neurodiversity-affirming lens. Whether you're struggling with advocating for your child at school or seeking ways to better support their unique needs, Debbie offers the guidance and encouragement you need to reduce overwhelm and create a thriving, joyful family environment. It's like sitting down with a trusted friend who gets it. You’ve got this, and we’ve got your back!