However, they could also be misdiagnosed with Reactive Attachment Disorder (RAD), Conduct Disorder (CD), ADHD, or have their behavior blamed on poor parenting.Ĭhildren with ODD aren’t as likely to avoid activities that they enjoy simply to avoid the demand, but children with PDA are.Īlso, children with ODD will try not to draw in negative attention from their peers because they’re more social and want to fit in. How can you distinguish between oppositional defiant disorder and pathological demand avoidance?ĭue to PDA only beginning to receive recognition, children may be susceptible to misdiagnosis. There are a lot of overlapping symptoms between ODD and PDA, however, the two are very different. When other avoidance techniques are unsuccessful, your child’s behavior may escalate to a full meltdown in order to resist or avoid demands. For example, they may say ” I can’t get dressed because I’m a dog and dogs don’t wear clothes!” For example, singing loudly, yelling or screaming and even swearing. Withdrawing, for example hiding their face, acting as if they don’t hear you, or running away.Delaying, for example, “I will do it in 10 minutes”.Distraction, for example, asking questions, changing the subject. As opposed to children with classic autism whose language may plateau or catch up gradually.Ĭhildren with pathological demand avoidance will use various avoidance techniques to avoid demands. In reality, they don’t want to hurt or upset others, it’s a reaction to anxiety.Įven when caught in the act, they may outright deny behavior or blame their actions on someone else.Īlthough they may have an early language delay, typically they “catch up” suddenly to their peers. It may seem like children with pathological demand avoidance are manipulative or always know just want to do to upset somebody. For example, a police officer, teacher, etc. However, children with PDA do engage in pretend play and may often take on the role of an authority figure. Sudden changes in mood and impulsive behavior may be used as an avoidance technique or as a stress response to anxiety.Ĭhildren with autism often do not meet the developmental milestones of play skills and seem to lack imagination. However, they often copy the social behaviors of others without really understanding the meaning of them. This includes day-to-day activities such as getting dressed, eating meals, family activities, etc.Ĭhildren with PDA will resist these demands even if it’s something they want to do.įor example, if the family was going to the playground and the child was told “put on your shoes, we’re going to the playground”, despite wanting to go, the child would resist because of the way the demand was placed.Ī child with pathological demand avoidance may appear to be far more social than what you would typically see in classic autism symptoms.
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