Why is the term "Pathological Demand Avoidance" so heavily contested, and what does PDA actually look like in adulthood?
In this episode, Amber is joined by Dr Jay Watts , a neurodivergent Consultant Clinical Psychologist, Psychotherapist and disability activist for an eye-opening conversation about PDA from an adult and neurodivergent perspective. Together, they break down the history of the label, the shift toward reclaiming PDA as a Persistent or Pervasive Drive for Autonomy, and how demand avoidance intersects with Damian Milton’s Double Empathy Problem.
Whether you’re late-diagnosed, questioning if you experience PDA, or wanting to understand how environmental demands impact nervous systems, this conversation offers validation, history, and deep insight.
In this episode, we cover:
The history of PDA and why the "pathological" label is problematic.
Reclaiming PDA as a Persistent/Pervasive Drive for Autonomy.
The transition of PDA from childhood into adult life, work, and relationships.
How Damian Milton's Double Empathy Problem explains the clash between neurotypes.
Overcoming shame cycles around executive dysfunction, inertia, and demands.
Guest Info:
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Content Warning & Disclaimer:Content Warning: This episode contains brief discussions of mental distress, suicidal ideation, burnout, and trauma.
Disclaimer: This podcast is for educational, informational, and entertainment purposes only and is based on personal experiences and guest expertise. It is not a substitute for professional medical advice, diagnosis, or clinical support.
