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In my new blog post, I explore the world of pathological demand avoidance (PDA) in children on the autism spectrum, ADHD, PANS and PANDAS. PDA affects many of the children that we work with, and has profound negative consequences for health and wellbeing.
In my article, I explore some of the complex interacting factors and metabolic imbalances that may contribute to the development of PDA, and I share with you a range of practical and natural strategies and solutions for managing and alleviating PDA-associated behaviours and physical symptoms.
Read on for a a summary of the key points, or check out the blog post for the full story.
What is PDA?
PDA is an intense and pervasive need to resist or avoid demands that is associated with high anxiety and poor emotional and physical wellbeing for those affected, and has significant impacts on quality of life for parents and other family members too.
Children (and adults) with PDA may exhibit symptoms and behaviours that can be perplexing and distressing for both themselves and those around them, including an intense aversion to being questioned or given instructions, sensory overload, emotional dysregulation, meltdowns and even violent outbursts.
Bodies out of balance
A holistic and multi-factorial approach to managing PDA is essential. While behavioural strategies can be helpful, exploring and understanding the biochemical imbalances that can contribute to the manifestation of PDA is also vital.
Serotonin is key
Serotonin is a neurotransmitter - a chemical messenger that plays a role in mood regulation. There seems to be a correlation between dysregulated serotonin metabolism and PDA, leading to distressing symptoms, including heightened levels of anxiety, panic attacks, and obsessive behaviours. Because serotonin levels naturally decline throughout the day, you may notice an exacerbation of your child’s PDA presentation in the afternoon and evening.
The gut-brain connection
An incredible 98% of serotonin is synthesized in the gut, so poor gut health and an imbalanced gut microbiome are significant risk factors for the development of serotonin depletion and potentially PDA.
Micronutrient imbalances
Poor iron metabolism, and low vitamin D are also common among children with PDA, and seem to play a role in its development. It is important to seek professional guidance in correcting iron imbalance as it is complex and only in rare cases is it appropriate to simply supplement with additional iron.
Practical solutions: a natural approach
Addressing behaviours and symptoms associated with PDA requires a holistic approach, integrating behavioural and biochemical interventions.
Rule out medical causes
Potential underlying medical issues that impact gut health, including Coeliac disease, allergies and intolerances should be thoroughly investigated to rule out or appropriately treat or support.
Optimise the diet
- Transition to a diet based on nutrient-dense, anti-inflammatory whole foods foods to support your child's well-being and manage symptoms effectively.
- Reduce processed sugars, additives, and colourings in your child's diet.
- Consider elimination of possible trigger foods such as gluten or dairy
- Source carbohydrates from root vegetables, fruits, and gluten-free grains (e.g. buckwheat, quinoa) to provide sustained energy release.
- A breakfast rich in protein and healthy fats helps to establish steady blood sugar levels and regulate mood throughout the day.
Lifestyle changes and activities for children with PDA
Establish a nurturing environment for children with PDA by creating spaces and activities that prioritise their comfort and autonomy. You will find lots of ideas about how to do this in my blog post.
Nutritional supplements to support PDA
Targeted supplements can be extremely beneficial in redressing biochemical imbalances, boosting serotonin production, and regulating the stress response. Key supplements to consider include:
- Vitamin D
- Magnesium glycinate
- Ashwagandha
- Tryptophan or 5HTP
- Phosphotidylserine
Through tailored supplementation and symptom observation, we aim to optimise mood, behaviour, and overall well-being for children with PDA. By empowering families with knowledge and support, we strive to help children lead fulfilling lives despite the challenges they face.
Check out my blog post for many more insights and top tips to support your family.
Always consult a qualified practitioner before introducing new supplements. Book your free discovery call today to discuss how we can help your child achieve optimal health.
Please note that we do not diagnose or treat illnesses
at Brainstorm Health, but we can help you advocate for the right medical
diagnosis from qualified doctors if necessary.
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