
Do you support individuals that experience Pathological Demand Avoidance (PDA)?
Yes! At our neurodiversity-affirming occupational therapy practice, we provide tailored support for individuals with a Pathological Demand Avoidance (PDA) Profile. Below, we address some frequently asked questions about our approach and how we assist PDAers across the lifespan:
What is PDA, and how do you support individuals with it?
PDA is a profile of neurodivergence characterised by an intense need to avoid everyday demands due to anxiety and a need for autonomy. While PDA is commonly linked with Autism, we recognise that individuals with other forms of neurodivergence may also exhibit a PDA profile. Our occupational therapists (OTs) provide support through authentic rapport, best practice strategies, and lived experience insights to help individuals navigate daily life with greater ease.
Do you diagnose PDA?
No, as occupational therapists, we do not diagnose any conditions, including PDA. However, a formal PDA label is not necessary to access our services. We focus on supporting individuals in their daily tasks and challenges, regardless of a formal diagnosis. Self-diagnosis and potential diagnosis is also seen as valid and valuable.
What strategies do you use to build authentic rapport?
We prioritise relationship-based approaches that respect autonomy and foster trust. This includes:
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Adapting communication styles to individual preferences
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Using a non-directive, low-demand approach
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Valuing lived experiences and self-advocacy
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Collaborating with clients to co-create meaningful goals
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Optimising regulation by matching with their unique sensory preferences
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Providing opportunities for the PDAer to have full authority to support feeling equal and heard in the therapeutic relationship
How do you ensure best practice in PDA support?
Our team engages in continuous training and professional development, staying informed about the latest research and evidence-based strategies. We utilise up-to-date resources and integrate emerging insights to refine our approach.
What types of support do you provide for PDAers?
We offer comprehensive support in various aspects of life, including:
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School Can't: Assisting individuals who do not engage with traditional educational settings by advocating for reasonable adjustments and exploring alternative learning pathways.
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Co-occurring Mental Health Conditions: Supporting emotional regulation, anxiety management, and executive functioning challenges.
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Social Connection: Helping individuals build and maintain relationships in ways that feel safe and fulfilling for them.
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Daily Living Skills: Providing strategies to manage self-care, routines, and autonomy in everyday life.
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Leisure and hobbies: Trialling new activities to build more meaningful daily tasks that align with their preferences
Do you offer advocacy support?
Yes, we advocate for PDAers in multiple areas, including education, healthcare, and community settings. We help clients and their families communicate their needs effectively and access appropriate accommodations and services.