What is Pathological Demand Avoidance USA?

Pathological Demand Avoidance (PDA) is a behavioral profile associated with autism spectrum disorder. In the USA, PDA is becoming more recognized by mental health professionals for its unique characteristics. Individuals with PDA show an extreme avoidance of everyday demands, often driven by high anxiety. They may appear socially confident but resist routine, authority, and expectations.

Although PDA is not yet formally listed in diagnostic manuals in the USA, awareness is growing. This increased recognition is helping adults and children access support through customized therapy approaches. With the right strategies, those with PDA can manage anxiety, build communication skills, and improve daily life.