{"id":11126,"date":"2025-04-29T17:53:04","date_gmt":"2025-04-29T16:53:04","guid":{"rendered":"https:\/\/www.pdasociety.org.uk\/?page_id=11126"},"modified":"2025-06-30T17:45:15","modified_gmt":"2025-06-30T16:45:15","slug":"health-and-social-care","status":"publish","type":"page","link":"https:\/\/www.pdasociety.org.uk\/pda2025staging\/research-professional-practice\/health-and-social-care\/","title":{"rendered":"Health and social care"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; background_color=&#8221;gcid-d4d84b5e-d061-48e7-894c-a52b4e3d47de&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-d4d84b5e-d061-48e7-894c-a52b4e3d47de%22:%91%22background_color%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row column_structure=&#8221;3_5,2_5&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_css_main_element=&#8221;margin: auto;&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_heading title=&#8221;Health &#038; social care&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;0px||32px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_heading][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_image src=&#8221;https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-content\/uploads\/2025\/04\/4a.-Professional-practice-guidance-1.png&#8221; title_text=&#8221;4a. Professional practice guidance 1&#8243; align=&#8221;center&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;15px||||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; border_radii=&#8221;on|24px|24px|24px|24px&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; module_id=&#8221;introduction&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; background_color=&#8221;gcid-9868c831-dc08-4be7-96b8-e0cb537cb9dc&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-9868c831-dc08-4be7-96b8-e0cb537cb9dc%22:%91%22background_color%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; custom_padding_phone=&#8221;||24px||false|false&#8221; 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custom_padding_tablet=&#8221;32px|0px||0px|false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;left&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>This guide is designed for:<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; height=&#8221;100%&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221; custom_css_free_form=&#8221;selector ul li strong {|| font-weight: 900;||}||selector ul li {|| font-weight: 400 !important;|| position: relative;|| padding-left: 37px;|| margin-bottom: 15px;||}||||selector ul {|| list-style-type: none;|| padding: 0 !important;||}||selector ul li::before{|| content: %22%22;|| position: absolute;|| width: 24px;|| height: 24px;|| background-image: url(%22data:image\/svg+xml;base64,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%22);|| background-size: contain;|| background-repeat: no-repeat;|| top: 4px;|| left: 0;||}||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<ul>\n<li>Primary are clinicians (GPs, practice nurses) in the UK.<\/li>\n<li>Secondary care clinicians in non-autism-focused fields.<\/li>\n<li>Allied health professionals (e.g. therapists, dietitians, physiotherapists) who may encounter individuals with PDA characteristics.<\/li>\n<li>Social workers and support staff who assist with medical appointments and care coordination.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px|0px|0px|0px|false|false&#8221; custom_padding=&#8221;0px|0px|16px|0px|false|false&#8221; custom_padding_tablet=&#8221;32px|0px||0px|false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;left&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>Whether working in primary, secondary, or tertiary care in both NHS or private practice, understanding PDA helps professionals tailor their communication, the clinical environment, and treatment plans to reduce stress and achieve better outcomes for both parties.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding=&#8221;||||false|false&#8221; module_id=&#8221;mindset-first-a-foundation-for-support&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; background_color=&#8221;gcid-d4d84b5e-d061-48e7-894c-a52b4e3d47de&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-d4d84b5e-d061-48e7-894c-a52b4e3d47de%22:%91%22background_color%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row custom_padding=&#8221;0px||30px||false|false&#8221; column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_button custom_css_free_form=&#8221;selector {||\tline-height: 110% !important;||}&#8221; button_bg_enable_color=&#8221;on&#8221; button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE0ODY5In19@&#8221; button_text=&#8221;1. Healthcare approaches&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.27.4&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;_initial&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][et_pb_button custom_css_free_form=&#8221;selector {||\tline-height: 110% !important;||}&#8221; button_bg_enable_color=&#8221;on&#8221; button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE0ODY2In19@&#8221; button_text=&#8221;2. What PDA can look like in clinic&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.27.4&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;_initial&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][et_pb_button custom_css_free_form=&#8221;selector {||\tline-height: 110% !important;||}&#8221; button_bg_enable_color=&#8221;on&#8221; button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE1MTMzIn19@&#8221; button_text=&#8221;3. Healthcare foundations&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.27.4&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;_initial&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_button custom_css_free_form=&#8221;selector {||\tline-height: 110% !important;||}&#8221; button_bg_enable_color=&#8221;on&#8221; button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE0ODc1In19@&#8221; button_text=&#8221;4. Personal practice&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.27.4&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;_initial&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][et_pb_button custom_css_free_form=&#8221;selector {||\tline-height: 110% !important;||}&#8221; button_bg_enable_color=&#8221;on&#8221; button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE0ODc4In19@&#8221; button_text=&#8221;5. Service design&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.27.4&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;_initial&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px|0px|0px|0px|false|false&#8221; custom_padding=&#8221;0px|0px|16px|0px|false|false&#8221; custom_padding_tablet=&#8221;32px|0px||0px|false|false&#8221; custom_padding_phone=&#8221;0px||16px||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;left&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>This content is best read through in the order above, and navigated in order using arrows at the bottom of pages \u2013 but if you want to jump to a particular section you can do so using the buttons above. <span>You can also access a short downloadable resource <a href=\"https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-content\/uploads\/2025\/06\/PDA-for-Social-Care-updated.pdf\" rel=\"attachment wp-att-15118\">here<\/a> <\/span><span>which summarises how PDA can present in both children and adults and offers some helpful approaches.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; module_id=&#8221;introduction-to-pathological-demand-avoidance&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; background_color=&#8221;gcid-9868c831-dc08-4be7-96b8-e0cb537cb9dc&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-9868c831-dc08-4be7-96b8-e0cb537cb9dc%22:%91%22background_color%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row custom_padding=&#8221;0px||24px||false|false&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_heading title=&#8221;Introduction to pathological demand avoidance (PDA)&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; title_level=&#8221;h2&#8243; title_text_align=&#8221;left&#8221; custom_margin=&#8221;0px|0px|0px|0px|false|false&#8221; custom_padding=&#8221;0px|0px|16px|0px|false|false&#8221; title_text_align_tablet=&#8221;left&#8221; title_text_align_phone=&#8221;left&#8221; title_text_align_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_heading][et_pb_heading title=&#8221;Definition and characteristics of PDA&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; title_level=&#8221;h3&#8243; title_text_align=&#8221;left&#8221; custom_margin=&#8221;0px|0px|0px|0px|false|false&#8221; custom_padding=&#8221;0px|0px|16px|0px|false|false&#8221; title_text_align_tablet=&#8221;left&#8221; title_text_align_phone=&#8221;left&#8221; title_text_align_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_heading][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px|0px|0px|0px|false|false&#8221; custom_padding=&#8221;0px|0px|16px|0px|false|false&#8221; custom_padding_tablet=&#8221;32px|0px||0px|false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;left&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>Pathological demand avoidance (PDA) is widely regarded as a profile on the autism spectrum, characterised by:<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;0px||24px||false|false&#8221; column_structure=&#8221;3_5,2_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px|0px|0px|0px|false|false&#8221; custom_padding=&#8221;0px|0px|16px|0px|false|false&#8221; custom_padding_tablet=&#8221;32px|0px||0px|false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;left&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; custom_css_free_form=&#8221;selector ul li strong {|| font-weight: 900;||}||selector ul li {|| font-weight: 400 !important;|| position: relative;|| padding-left: 37px;|| margin-bottom: 15px;||}||||selector ul {|| list-style-type: none;|| padding: 0 !important;||}||selector ul li::before{|| content: %22%22;|| position: absolute;|| width: 24px;|| height: 24px;|| background-image: url(%22data:image\/svg+xml;base64,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%22);|| background-size: contain;|| background-repeat: no-repeat;|| top: 4px;|| left: 0;||}||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<ul>\n<li>An overwhelming need to avoid everyday demands, often due to heightened anxiety.<\/li>\n<li>Use of social strategies to elude demands, including distraction, negotiation, procrastination, or flattery.<\/li>\n<li>Surface sociability, masking deeper social understanding challenges and heightened anxiety.<\/li>\n<li>Rapid mood changes and impulsivity, with swings from compliance to intense avoidance and extreme distressed behaviours.<\/li>\n<li>Ease in role-play and pretending, as a means of control or escape.<\/li>\n<li>Obsessive behaviours, frequently focused on people or relationships.<\/li>\n<li>Need for control as a way of reducing anxiety<\/li>\n<li>Intolerance of uncertainty, to a greater extent than the general Autistic community<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_image src=&#8221;https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-content\/uploads\/2025\/05\/16-19-25-30.png&#8221; title_text=&#8221;16, 19, 25, 30&#8243; align=&#8221;center&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; border_radii=&#8221;on|24px|24px|24px|24px&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;0px||24px||false|false&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px|0px|0px|0px|false|false&#8221; custom_padding=&#8221;0px|0px|16px|0px|false|false&#8221; custom_padding_tablet=&#8221;32px|0px||0px|false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; text_orientation_tablet=&#8221;&#8221; text_orientation_phone=&#8221;left&#8221; text_orientation_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>You can find detailed information about the profile and its characteristics here.<\/p>\n<p>PDA is not recognized in major diagnostic manuals like the DSM-5 or ICD-11. However, it is increasingly accepted in UK clinical and academic settings. The National Institute for Health and Care Excellence (NICE) does not provide separate guidelines for PDA. This means identification is dependent on expert clinicians and local pathways (Christie et al., 2022). As a result, many PDAers may have had multiple prior diagnoses or be in the process of reassessment.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; background_color=&#8221;gcid-d4d84b5e-d061-48e7-894c-a52b4e3d47de&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-d4d84b5e-d061-48e7-894c-a52b4e3d47de%22:%91%22background_color%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row custom_padding=&#8221;40px|40px|40px|40px|false|false&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;_initial&#8221; background_color=&#8221;gcid-9868c831-dc08-4be7-96b8-e0cb537cb9dc&#8221; custom_padding_phone=&#8221;15px|15px|15px|15px|false|false&#8221; border_radii=&#8221;on|24px|24px|24px|24px&#8221; global_colors_info=&#8221;{%22gcid-9868c831-dc08-4be7-96b8-e0cb537cb9dc%22:%91%22background_color%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_heading title=&#8221;Interested in learning more?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; title_level=&#8221;h2&#8243; title_text_align=&#8221;center&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_heading][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p style=\"text-align: center;\"><span>If you want to develop your practice in supporting PDAers we can help. Our training for professionals shares practical tools and the theory behind them &#8211; presented by people who know what they are talking about. Many of our courses are CPD accredited too. You can find them here.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_button custom_css_free_form=&#8221;selector {||\tline-height: 110% !important;||}&#8221; button_bg_enable_color=&#8221;on&#8221; button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjEyNzMyIn19@&#8221; button_text=&#8221;Find out more&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.27.4&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;_initial&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-6923f909-25e5-4c77-be27-cbebb4bb1b7c%22:%91%22button_bg_color%22,%22button_border_color%22%93}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This guide is designed for: Primary are clinicians (GPs, practice nurses) in the UK. Secondary care clinicians in non-autism-focused fields. Allied health professionals (e.g. therapists, dietitians, physiotherapists) who may encounter individuals with PDA characteristics. Social workers and support staff who assist with medical appointments and care coordination. Whether working in primary, secondary, or tertiary care in both NHS or private practice, understanding PDA helps professionals tailor their communication, the clinical environment, and treatment plans to reduce stress and achieve better outcomes for both parties.This content is best read through in the order above, and navigated in order using arrows at the bottom of pages \u2013 but if you want to jump to a particular section you can do so using the buttons above. You can also access a short downloadable resource here which summarises how PDA can present in both children and adults and offers some helpful approaches.Pathological demand avoidance (PDA) is widely regarded as a profile on the autism spectrum, characterised by: An overwhelming need to avoid everyday demands, often due to heightened anxiety. Use of social strategies to elude demands, including distraction, negotiation, procrastination, or flattery. Surface sociability, masking deeper social understanding challenges and heightened anxiety. Rapid mood [&hellip;]<\/p>\n","protected":false},"author":19,"featured_media":0,"parent":11495,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"course_tag":[],"class_list":["post-11126","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-json\/wp\/v2\/pages\/11126","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-json\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-json\/wp\/v2\/comments?post=11126"}],"version-history":[{"count":0,"href":"https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-json\/wp\/v2\/pages\/11126\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-json\/wp\/v2\/pages\/11495"}],"wp:attachment":[{"href":"https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-json\/wp\/v2\/media?parent=11126"}],"wp:term":[{"taxonomy":"course_tag","embeddable":true,"href":"https:\/\/www.pdasociety.org.uk\/pda2025staging\/wp-json\/wp\/v2\/course_tag?post=11126"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}