Help for Emotional Dysregulation in Kids | Dr. Roseann Capanna-Hodge

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184: Pathological Demand Avoidance vs Oppositional Defiant Disorder

Navigating the complexities of Pathological Demand Avoidance (PDA) and Oppositional Defiant Disorder (ODD) can be challenging. This episode offers clarity and guidance for parents to develop effective parenting strategies.

If every request turns into a battle and you’re exhausted from tiptoeing around blowups, you’re not alone. It’s not bad parenting—it’s a dysregulated brain. 

In this episode, I’ll unpack pathological demand avoidance vs. oppositional defiant disorder. You’ll learn how to tell the difference, what’s driving your child’s resistance, and how to support a calmer, more connected home.

How is PDA different from ODD when both look “oppositional”?

ODD is typically reactive defiance toward authority—anger, non-compliance, and arguing. PDA looks different: it’s avoidance rooted in anxiety and a need for control. Both can make daily life exhausting, but their “why” matters.

Key distinctions:

  • ODD = anger or control battles, often linked to ADHD, trauma, or chronic stress.
  • PDA = anxiety-driven avoidance; demands feel like threats to autonomy.
  • ODD kids may argue or explode, while PDA kids shut down, distract, or negotiate.

When you see defiance, ask: Is this control… or fear?

Why do demands trigger meltdowns—and what calms them fastest?

Demands can overwhelm a dysregulated nervous system. For ODD kids, demands spark fight-or-flight. For PDA kids, demands trigger panic and avoidance.

Try this:

  • Regulate → Connect → Correct.™ Calm your body first. Connection opens the door to cooperation.
  • Give small, low-pressure choices (“Do you want to brush teeth before or after storytime?”).
  • Use visual cues—timers or short lists—to reduce perceived pressure.
  • Keep your voice soft and instructions simple.

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Which parenting style helps: firm structure or flexibility?

Both ODD and PDA respond best to autonomy-supportive parenting—firm boundaries wrapped in empathy. Harsh control backfires; calm leadership restores safety.

What works:

  • Provide structure that feels safe, not rigid.
  • Offer choices within limits to build autonomy.
  • Practice co-regulation—your nervous system models regulation.
  • Celebrate micro-successes instead of focusing on compliance.

What professional support actually moves the needle?

Healing begins with regulation. Look for providers who understand dysregulation at the brain level—not just surface behaviors.

Effective supports:

  • Brain-based interventions like neurofeedback, QEEG brain mapping, and CALM PEMF®.
  • Parent coaching rooted in Regulation First Parenting™.

And remember: Your calm is the medicine. The more regulated you are, the safer your child’s brain feels.

What does this look like in real life?

You ask your child to shut the tablet. They scream “No!”

  • Regulate: Take a deep breath.
  • Connect: “Ending is hard. Want a 2- or 5-minute timer?”
  • Correct: “Great choice. When the timer’s done, we’ll plug it in together.”

Connection calms the chaos. Once the nervous system settles, learning and cooperation can happen again.

🗣️ “Both benefit from approaches that support nervous system regulation.”
— Dr. Roseann

The Takeaway: Calm the Brain First, Connection Follows

PDA and ODD can look similar, but the root is different. When we calm the brain first, connection follows—and correction finally sticks. 

You’re not failing; your child’s nervous system just needs help to feel safe. It’s just a dysregulated kid, you’ve got this.

Parent FAQs: Real Answers About PDA and ODD

Is PDA part of autism?

 It can be, but it’s not exclusive to autism. PDA is defined by anxiety-driven demand avoidance.

Can a child have both PDA and ODD?

Yes. Focus on regulation and emotional safety, not labels.

Why do consequences make things worse?

 Because punishment escalates stress. Calm connection lowers defenses.


When your child is struggling, time matters.

Don’t wait and wonder—use the Solution Matcher to get clear next steps based on what’s actually going on with your child’s brain and behavior.

Take the quiz now at www.drroseann.com/help

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Dr. Roseann Capanna-Hodge: Helping Families of Dysregulated Kids Thrive Through Regulation First Parenting™

 
Dr. Roseann believes every family deserves to move from chaos to connection—and that transformation begins with addressing emotional dysregulation in children at its true source: the nervous system.

As the creator of Regulation First Parenting™, she’s helping families of dysregulated kids discover a compassionate, brain-based path forward. Through The Dysregulated Kids™ Podcast (top 2% globally), she offers practical strategies that help parents understand their child’s brain and support lasting change.

Through The Global Institute of Children’s Mental Health and Dr. Roseann, LLC, she’s created resources like the BrainBehaviorReset® program, Neurotastic™ Brain Formulas, and the Regulation First Parenting™ framework—meeting families where they are and supporting them through challenges like ADHD, anxiety, OCD, PANS/PANDAS, and behavioral struggles.

Recognized by Forbes as “a thought leader in children’s mental health,” Dr. Roseann is changing how we understand emotional dysregulation in children—one family at a time.

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