Autism & PDA Evaluations
The evaluation process for Autism Spectrum Disorder with the Pathological Demand Avoidance (PDA) profile typically involves the following steps:
Developmental/Clinical History: You will complete developmental history, medical history, and describe any previous assessments or diagnoses in the Intake form.
Observational Assessment: The evaluation includes video submission (for children under the age of 6) of your child's behaviors in certain situations so that the evaluator can assess behavior, interactional style, and response to demands or requests. There is also a live observation and interaction (if possible) that takes place during the Parent Interview.
Parent Interview: An interview with one or both parents allows the evaluator to further explore anything of note in the assessment thus far. This also allows for parents to provide more information that was not asked about in the formal evaluation portion and ask questions.
Standardized Assessment: This is the paperwork portion. We basically load you up with lots of questions about your kid from a variety of standardized assessments available only to licensed professionals through publishers such as Pearson Assessments, Western Psychological Services, and PRO-ED.
Adaptive functioning assessment: An evaluation of the individual's adaptive functioning, including their ability to carry out everyday tasks independently, may be conducted. This assessment can provide a holistic understanding of the individual's overall functioning.
Collaboration with professionals: The evaluator may review documentation from other professionals involved in the individual's care, such as psychologists, speech therapists, or occupational therapists, to gain a comprehensive understanding of the individual's strengths and weaknesses.
Diagnostic formulation: Based on the gathered information and assessment results, the evaluator will assess whether the individual meets the criteria for ASD with the PDA profile. This may involve considering other possible explanations for the observed behaviors and ruling out any other conditions or disorders.
Feedback and recommendations: The evaluator will provide feedback to the individual or their caregivers regarding the findings of the evaluation. This may include recommendations for interventions, strategies, and support services to address the specific needs and challenges associated with ASD with PDA.
It is important to note that the specific steps and procedures involved in any evaluation may vary depending on the individual's age.
"Despite continued debate surrounding PDA, there is increasing consensus that description of a PDA or EDA profile . . .can be helpful in alerting caregivers and educational professionals to these particular challenges. . .the presence of PDA characteristics has implications for management. Unless avoidance of everyday demands, emotional reactivity, and their impact on day-to-day functioning are assessed, it is impossible to monitor the degree to which interventions are effective in managing them" (O'Nions & Eaton, 2020, p. 412).
