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Reply to "Need expert in Autism/Pathological Demand Avoidance for 20 yr. old (psychotherapist and psychiatrist"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I don't have a kid with this profile, but the Tilt Parenting podcast has done two episodes on PDA which you might find helpful. It seems to be a more commonly accepted diagnosis in other countries (the UK particularly) so you may find better parenting resources from international sites. (Also, this is a great example of how "It's not in the DSM" isn't really helpful or answering the OPs question. There definitely are resources out there and as can be seen here, this profile rings true for a lot of people. But not everyone. I have an ASD kid and it doesn't fit at all.) Hope some of this helps, OP. https://tiltparenting.com/2019/09/03/episode-173-a-conversation-with-dr-melissa-neff-about-pda-pathological-demand-avoidance/ https://tiltparenting.com/2020/01/14/episode-191-a-conversation-with-author-and-pda-emmisary-harry-thompson/[/quote] "It's not in the DSM" provides information about whether professionals here in the US (and sometimes insurance companies) coalesce to provide useful evaluation and treatment. Although the DSM itself is of course a line-drawing exercise, where those lines are drawn in fact does have some meaning. What I think is a far more useful approach is focusing on the problem behaviors and evidence-based therapies. Generally researchers won't study something that's not in the DSM, especially if it fits within another DSM diagnosis, so focusing on a non-existent diagnosis isn't really going to help much. [/quote] (forgot to add: since OP's question is specifically about where to find an expert, it's definitely relevant to explain that evidence-based US therapists probably won't have a speciality in "Pathological Demand Avoidance," but finding someone who specializes in behavioral therapy/ODD would be more likely to help.)[/quote]
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