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Most behavior analysts are trained to assess observable behavior—but what if the behavior we see is rooted in anxiety, overwhelm, or a desperate need for control? In this episode, we explore Pathological Demand Avoidance (PDA) and how a shift toward autonomy, voice, and compassion can transform the way we support clients. Learn how to recognize the hidden drivers behind refusal, rethink control, and build trust without sacrificing safety.

In this episode you'll learn:

✔ What Pathological Demand Avoidance (PDA) is—and why many advocates prefer the term “Persistent Drive for Autonomy”
✔ How anxiety and nervous system dysregulation can drive refusal and escape behaviors
✔ Why traditional compliance-based strategies may backfire for individuals with PDA
✔ Practical ways to offer voice, choice, and control without compromising safety
✔ How trauma history and misdiagnoses (like ODD) can shape our perceptions and interventions
✔ Steps to shift from behavior management to compassionate, autonomy-supportive care