Pathological Demand Avoidance in Children

Pathological Demand Avoidance in Children, Pasadena, CA

All children try to avoid doing what they're told from time to time. However, when a child goes to extremes to avoid having to do what they're told, it can be a sign of pathological demand avoidance (PDA) in children. This mental health condition can range from children seeking distractions to having panic attacks.
PDA can be a complex condition that puts strain on autistic children and their family members. If your child has shown symptoms of PDA, you need the help of a neurofeedback specialist who can identify and provide support for the condition.
At Vital Brain Health, we provide optimal neurofeedback therapy to optimally perform the assessment process and aid in emotional regulation and brain training to help our clients find success in improving their condition.

What is Pathological Demand Avoidance?

Pathological demand avoidance (PDA) is a condition where children feel overwhelmed when told what to do, even if what they're told is a normal part of their daily life or directly beneficial to them. This leads to affected children developing pathological avoidance techniques and, in some cases, even suffering panic attacks when asked to do something. PDA is also common in neurodivergent children or children who are on the autism spectrum.
At Vital Brain Health, we are dedicated to using our advanced technology to meet the unique demands of our clients. We can help children, young adults, and adults improve conditions ranging from depression and PDA to a variety of learning disabilities. We avoid unnecessary medications and procedures with our approach while still providing you optimal support.
Schedule an appointment with Vital Brain Health today. Our staff is ready to help your child get the support they need to thrive.

Common Risk Factors Associated with Pathological Demand Avoidance

Understanding the risk factors commonly associated with pathological demand avoidance can help you get the support your child needs. PDA is often associated with the following risk factors:
Severe cases of anxiety can make performing even simple tasks overwhelming for children with PDA. This leads to them developing avoidance techniques and suffering from panic attacks.
Children on the autism spectrum have more inflexible thinking, which can cause demands placed on them to seem sudden and overwhelming. This can lead to the development of PDA as well.
Various developmental disorders can make it more difficult for a child to cope with demand and instructions they are given, leading to PDA.

What symptoms are associated with pathological demand avoidance?

Symptoms of PDA can vary in type and severity. Some of the symptoms that benefit from an evaluation at Vital Brain Health include:
  • Extreme avoidance of even simple demands
  • Struggles with social understanding
  • High levels of anxiety in response to demands
  • Difficulty transitioning to new tasks or activities

Frequently Asked Questions

How can you help with pathological demand avoidance?
Our support for people with PDA addresses the specific brain communication patterns that create and maintain the behaviors commonly associated with the condition, helping individuals experiencing PDA develop more balanced emotional regulation and behavioral management capabilities. We help processing areas learn to modulate their intensity and communicate more appropriately with cognitive control systems in individuals with PDA.
What does neurofeedback do?
Our Neurofeedback 3.0 represents a comprehensive meta-strategy that strategically combines multiple analysis methods—including AI-based analysis, network connectivity assessment, normative database comparisons, and symptom tracking—to create a complete picture of each client's unique brain patterns. We then strategically select from over 20 different neurofeedback techniques to design truly personalized protocols. Our Neurofeedback 3.0 approach helps clients of all ages get the support they need when teaching their brains to optimize communication systems.
How is Vital Brain Health neurofeedback different from other neurofeedback practices?
Vital Brain Health stands apart as Los Angeles' premier evidence-based neurofeedback center through our Neurofeedback 3.0 approach—an integrated multi-modal training system that represents a comprehensive meta-strategy pulling from many forms of analysis and neurofeedback tools. While other practices use basic single-method training, we strategically combine multiple analysis methods including AI-based analysis, network connectivity assessment, normative database comparisons, and symptom tracking to create the most personalized and effective training for each individual. When standard treatments and budget neurofeedback options have failed, discerning families and individuals choose us for results-driven, scientifically-validated training.
References
Enriquez-Geppert, Stefanie, et al. "The Morphology of Midcingulate Cortex Predicts Frontal-Midline Theta Neurofeedback Success." Frontiers in Human Neuroscience, vol. 7, 2013, pp. 1-10. Gruzelier, John H. "EEG-Neurofeedback for Optimising Performance. I: A Review of Cognitive and Affective Outcome in Healthy Participants." Neuroscience & Biobehavioral Reviews, vol. 44, 2014, pp. 124-141. Ros, Tomas, et al. "Consensus on the Reporting and Experimental Design of Clinical and Cognitive-Behavioural Neurofeedback Studies (CRED-nf Checklist)." Brain, vol. 143, no. 6, 2020, pp. 1674-1685. Micoulaud-Franchi, Jean-Arthur, et al. "Electroencephalographic Neurofeedback: Level of Evidence in Mental and Brain Disorders and Suggestions for Good Clinical Practice." Neurophysiologie Clinique, vol. 45, no. 6, 2015, pp. 423-433. Escolano, Carlos, et al. "EEG-Based Upper-Alpha Neurofeedback Training Improves Working Memory Performance." Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2014, pp. 2327-2330. Vernon, David J. "Can Neurofeedback Training Enhance Performance? An Evaluation of the Evidence with Implications for Future Research." Applied Psychology, vol. 54, no. 3, 2005, pp. 385-404.

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