What is Pathological Demand Avoidance with Liesel Smal

What is Pathological Demand Avoidance with Liesel Smal

From Wonderfully Wired by Eloise Leher

November 3, 2025 · 49 min

About this episode

This episode explores Pathological Demand Avoidance (PDA) through the insights of Liesel Smal, focusing on its implications for children and parents.

Dive into the critical world of Pathological Demand Avoidance (PDA) in Part 1 of this essential two-part series with Liesel Smal, an Occupational Therapist (OT) and mom of a PDA child Liesel introduces PDA as a specific neurotype that requires "good accommodation" due to the serious "gravity" of the diagnosis. Learn why avoidance is rooted in an inability ("I can't"), not a choice, often manifesting as an "inner straitjacket " or a "contraction" in the nervous system. This episode exposes the confusing reality of masking ; children often appear "compliant and good" or "high achieving" at school, only to experience severe "Coke bottle" meltdowns at home. Liesel offers a compassionate nervous system lens, validating parents who feel blamed or gaslighted. This discussion highlights how PDA is tied to a pervasive drive for autonomy and how understanding this difference is crucial for supporting these "uniquely brilliant" and autodidactic children. #PDA #PathologicalDemandAvoidance #AutismSpectrum #Neurodiversity #NervousSystem #SomaticExperiencing #LowDemandParenting #DemandAvoidance #Masking #WonderfullyWired

People in this episode

Host: Eloise Leher

Guest: Liesel Smal

Topics covered

  • Pathological Demand Avoidance
  • neurodiversity
  • autonomy
  • parenting
  • nervous system
  • masking

Keywords

  • Pathological Demand Avoidance
  • PDA
  • neurotype
  • autonomy
  • masking
  • nervous system
  • parenting
  • autodidactic
  • children

Mentioned in this episode

Organizations: Occupational Therapist

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