Pathological Demand Avoidance
Anxiety-driven need to avoid demands and maintain control. Recognised in UK/Australia, contested in US. Community prefers 'Pervasive Drive for Autonomy.'
AutismEmotional RegulationIdentity
Layer 2: Validated
Clinical Recognition
Coined by Elizabeth Newson. Widely recognised in UK/Australia clinical practice. Not in DSM-5. US clinicians skeptical or unaware.
Community Validation
High recognition in PDA communities. Strong pushback against 'Pathological' label. 'Pervasive Drive for Autonomy' alternative gaining traction.
Published
17 December 2025 by Team Heumans
Pathological Demand Avoidance (or Pervasive Drive for Autonomy) describes an autism profile where everyday demands trigger extreme anxiety and resistance. Not defiance. Not laziness. A nervous system response where "Can you empty the dishwasher?" or "Time for bed" creates a fight-flight-freeze reaction.
The need for control and autonomy is so intense that even self-imposed demands ("I WANT to shower") can become impossible if they feel like pressure. It's the brain perceiving demands as threats to survival.