![]() This is why a university affiliated program might be a good start as they are more likely to have multiple people trained (or undergoing training) in these more nuanced behaviors. It’s not impossible it’s just harder to find someone with the qualifications that isn’t already carrying a full caseload. ![]() Ok, if there is a therapy that works OP’s doctor should have referred her to it.ĪBA can work but you’ll need to find a BCBA-D or BCBA with experience in this specific area to oversee a case like this. The use of pathological demand avoidance as a diagnosis has, at times, led to altered referral practice and misunderstandings between professionals and the families of patients. The EDA-Q should not be considered a diagnostic test. Pathological (or extreme) demand avoidance is a term sometimes applied to complex behaviours in children within or beyondautism spectrum disorder. The questionnaire allowed these traits to be measured consistently for research purposes. What is Pathological Demand Avoidance Syndrome (PDA) PDA is a pervasive developmental disorder separate from, but related to autism, first identified by Professor Elizabeth Newson at the University of Nottingham in 1983.1, 3 The diagnosis of PDA is currently not recognised in the DSM-IV or ICD- 10. The core of PDA is an anxiety-driven need for autonomy. People say it's not a real diagnosis but it's definitely something - and traditional ways of dealing with oppositional behavior are not helpful for PDA/EDA. Description: The ‘Extreme Demand Avoidance Questionnaire’ (EDA-Q) was developed to measure behaviours reported in clinical accounts of extreme/‘pathological’ demand avoidance (PDA). PDA is not a formal diagnosis in the DSM-5 or ICD-10, and it is not well known in the U.S., though it is widely acknowledged in the U.K. 2 Christie et al (2007) The Distinctive Clinical and Educational Needs of Children with Pathological Demand Avoidance Syndrome: Guidelines for Good Practice. It doesn't sound like a real diagnosis and a lot of people think it's fake or made-up - they don't have experience with it so they can't believe it. 1 Newson et al (2003) Pathological demand avoidance syndrome: a necessary distinction within the pervasive developmental disorders. Come say this again after living with a child (or adult) with PDA. Oppositional behavior is not unusual, and it is the bread and butter of behavioral therapy. Anonymous wrote:I would find a new doctor who can provide strategies for oppositional behavior instead of giving you non-DSM diagnoses. ![]()
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