PDA and medication refusal
PDA and medication refusal
I have a 10 yo daughter with PDA autism (and ADHD) who decided to refuse her medication in early January. We have noticed a big difference from when she took them so we really want her to get back on them, but nothing we have tried works. Anyone with some experience they want to share? We are grasping for straws at this point. Help
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The “We expect you to get better after taking this” part is interesting, because I was thinking that it was more in terms of "We expect you to take your medication". Taking some pills is something she can control, but "getting better" is not up to her.
The unfortunate part of Strattera is that its a long lasting medicine, so just taking it sporadically is probably not very valuable. So something with more direct effect might be better actually, where she can have them at ready to take when its her choice. But then the ones we have tried had other shitty side effects
Demands for a panda can be everything, way more than what a neurotypical or even non-PDA autistic would intuitively assume.
The name PDA in itself is misleading, a bit. Yes, it's the most visible symptom, but not the cause.
It's- at least in my own personal experience and some other pandas - more about the expectations of people around us and our autonomy.
(that's why it's Also sometimes called "Pervasive Drive for Autonomy")
We kinda need to be in control of ourselves at all time. We don't want people to decide who we are and what we do. Up to a paradoxical level where doing what people want can cause us stress and these people don't even have to be anyone else than ourself.
That'a why I dont like gifts. People expect me to be happy. And even if it's a good gift... I just don't like it how everybody around me expect me to be happy.
Understanding what each panda sees as something to avoid is a tough task, as my girlfriend could tell you. But if one is accepted for differences and compromises are seen as good enough, then everybody can be a bit happier.
Example: I cannot (unless I really force myself) put the garbage in the garbage bin. I always make a few piles sorted by material on the table next to the bin. My gf does not think "This stupid person, never putting the garbage where it belongs", but "Nice, Person has cleaned up the room and put the garbage here for me to throw away". Something that is called a "demand compromise" in literature.
I recommend to watch the following video: https://youtu.be/_abB44rPqEM
(keep in mind that he is one single autistic individual and PDA is a spectrum in a spectrum.)
I can also recommend some videos of "I'm Autist, now what?"
In general I may suggest to seek resources of adult pandas. Medical literature, especially on PDA, is mostly from the outside with nobody ever listening to the actual autistic individuals. And surely much of what they tell from their live is also applicable to children.
Regarding the meds, yeah, I thought something along the lines could be the case; that's why I initially didn't want to recommend too much from my side: I simply don't know all the chemicals and therapies etc; all my knowledge comes from adults.
All my meds were just the "usual" stuff (cough, fever, pain)
Therefore: I guess I cannot help you on your initial question at all, but may this text and these videos will give you a better understanding on what different pandas might see as demands.
I strongly relate to the gift part, christmas was always very messy before we knew and could explain to her relatives and make the adaptations needed to make it as smooth as possible.
Lately that exact video has been passed around in my extended family as well and everyone have reacted the same, "this explains a lot". I will check out “I’m Autist, now what?” as well! Thanks for the tip.
I have never heard the term panda in this context before today, thought it might be something cute I could tell her. But it looks like another rabbit hole of information to take a deep dive into
It's a somewhat-common term (at least in my sub-bubble) for individuals with PDA traits.
I got the term from the PDA societies flyer (here in germany PDA is quite unknown and one of the best ressources in german is the german translation of that flyer. sad...): https://www.pdasociety.org.uk/wp-content/uploads/2021/04/What-is-PDA-booklet-website-v2.1.pdf
I cite:
The giant panda is our ambassador, since they also need a tailored approach in order to thrive, and the letters P A N D A also provide a useful summary of helpful approaches …
PICK BATTLES
- minimise rules
- enable some choice and control
- explain reasons
- accept that some things can’t be done
ANXIETY MANAGEMENT
- use low arousal approach
- reduce uncertainty
- recognise underlying anxiety and social/sensory challenges
- think and plan ahead
- treat meltdowns as panic attacks: support throughout and move on
NEGOTIATION & COLLABORATION
- keep calm
- proactively collaborate and negotiate to solve challenges
- fairness and trust are central
DISGUISE & MANAGE DEMANDS
- word requests indirectly
- constantly monitor tolerance for demands and match demands accordingly
- doing things together helps
ADAPTATION
- try humour, distraction, novelty and role play
- be flexible
- have a Plan B
- allow plenty of time
- try to balance the amount of “give and take”
There is apparently a more medical part of it as well, being short for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections and supposedly connected to autism in some way