PDA Strategies

Pathological Demand Avoidance (PDA) is a profile on the autism spectrum, characterised by an extreme avoidance of everyday demands and expectations. Speech and language therapy is a crucial tool in supporting children with a PDA profile, as it focuses on building communication skills and finding flexible, non-demanding ways to interact. We understand that traditional, direct approaches to therapy can often trigger demand-avoidant behaviours, so our strategies are designed to be indirect, collaborative, and highly personalised.

Katy’s therapeutic philosophy for PDA is centred around creating a safe, low-demand environment where the child feels in control. She uses a play-based, child-led approach that respects their need for autonomy and avoids direct requests. Instead of saying, “Let’s do this activity,” she might use phrases like, “I wonder what would happen if we tried this?” or “We could do this if you like.” This subtle shift in language helps to reduce anxiety and resistance. By focusing on building a strong, trusting relationship, Katy can gently introduce communication goals through shared interests and activities.