This paper presents a case study of a young woman diagnosed with Pathological Demand Avoidance (PDA) while in a low secure hospital. The study highlights the importance of accurate assessment in residential and secure settings, as misdiagnosis or inappropriate formulations can lead to distress and increased challenging behaviours.
The paper outlines the clinical features observed in the patient and details the management strategies and psychological interventions implemented following her diagnosis. It emphasises the need for professionals working in secure settings to be aware of PDA, as traditional behaviour management approaches may be ineffective or even counterproductive. The study underscores the importance of tailored care planning to ensure that individuals with PDA receive appropriate support. This research is particularly relevant for clinicians, caregivers, and professionals working in forensic or residential settings.