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Pathological Demand Avoidance: Origin of the Term and State of Research Homestudy

CE Hours 1

About this course

This introductory webinar provided an overview of Persistent Demand Avoidance (PDA), including its key clinical features and how it may present in parent–child interactions and other clinical contexts. Dr. Pine highlighted the strengths and limitations of using PDA as a diagnostic entity.
The webinar also examined how new conditions are evaluated for inclusion in nosology. Diversity considerations were addressed with discussion of how cultural, demographic, and contextual factors may influence clinical presentation, interpretation of behaviors, and access to care.

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Free for ADAA members: ARC Health is pleased to provide ADAA members access to continuing education opportunities at no cost. There will be confirmation of memberships for each registration.

Learning Objectives

  • Learners will be able to describe the key clinical features of Persistent Demand Avoidance.
  • Learners will be able to evaluate the advantages and disadvantages of using Persistent Demand Avoidance as a diagnostic entity.
  • Learners will be able to analyze the types of data that would be needed to classify Persistent Demand Avoidance as a diagnostic entity.

Learning Levels

  • Beginner

Target Audience

Mental health professionals

Course Instructor(s)

  • Daniel Pine, MD

    Practice Philosophy: Daniel S. Pine, MD, is a psychiatrist specializing in the treatment of anxiety and mood disorders in children and adolescents. He is widely acknowledged as one of the world’s top anxiety researchers, and applies his extensive knowledge through diagnosis and treatment of young patients at The Ross Center. Families value the clinical expertise he provides through psychiatric assessment of mood, anxiety, and behavioral disorders, and his medical acumen in prescribing medications that take into consideration a child’s age, diagnosis, symptom duration and severity. He is often sought out by parents and families for clinical consultations in more complex cases, and can provide second opinions diagnostically for those who have struggled for answers. When appropriate, he collaborates with a child’s therapist and other providers to help insure consistent delivery of care. Families appreciate his sensitivity and compassion, and benefit from his vast understanding of the biology behind the mind of an anxious child.

    Areas of Expertise: Dr. Pine is a renowned expert in the field of pediatric mental health. His background in research has led to greater understanding of the biological roots of psychiatric disorders. He is a leader in the development of diagnostic tools and treatments for childhood psychiatric disorders. As a clinician, he uses this wealth of experience to successfully treat anxiety, mood, and behavioral disorders in children and adolescents.

    Experience and Training: Dr. Pine also serves at the National Institute of Mental Health (NIMH) as the Chief Psychiatrist, Section on Development and Affective Neuroscience, in the Intramural Research Program. He received his medical degree from the University of Chicago, and spent 10 years at Columbia University’s College of Physicians and Surgeons in training and research on child psychiatry. His research has focused on the epidemiology, biology, and treatment of pediatric mental illnesses, and is featured in over 500 published scientific papers. Additionally, Dr. Pine has chaired the Food and Drug Administration’s Psychopharmacology Drug Advisory Board. His many honors include the Blanche Ittelson Award from the American Psychiatric Association for outstanding research contributions to the field of child psychiatry.

Disclosure

THERE ARE NO FINANCIAL RELATIONSHIPS WITH COMMERCIAL INTERESTS TO DISCLOSE.

References

  • Deng, Z.-D., Luber, B., Balderston, N. L., Velez Afanador, M., Noh, M. M., Thomas, J., Altekruse, W. C., Exley, S. L., Awasthi, S., & Lisanby, S. H. (2020). Device-based modulation of Neurocircuits as a therapeutic for psychiatric disorders. Annual Review of Pharmacology and Toxicology, 60(1), 591–614. https://doi.org/10.1146/annurev-pharmtox-010919-023253
  • Hyde, J., Carr, H., Kelley, N., Seneviratne, R., Reed, C., Parlatini, V., Garner, M., Solmi, M., Rosson, S., Cortese, S., & Brandt, V. (2022). Efficacy of neurostimulation across mental disorders: Systematic review and meta-analysis of 208 randomized controlled trials. Molecular Psychiatry, 27(6), 2709–2719. https://doi.org/10.1038/s41380-022-01524-8
  • Kan, R. L., Padberg, F., Giron, C. G., Lin, T. T., Zhang, B. B., Brunoni, A. R., & Kranz, G. S. (2023). Effects of repetitive transcranial magnetic stimulation of the left dorsolateral prefrontal cortex on symptom domains in neuropsychiatric disorders: A systematic review and cross-diagnostic meta-analysis. The Lancet Psychiatry, 10(4), 252–259. https://doi.org/10.1016/s2215-0366(23)00026-3
  • Papakostas, G. I., Trivedi, M. H., Shelton, R. C., Iosifescu, D. V., Thase, M. E., Jha, M. K., Mathew, S. J., DeBattista, C., Dokucu, M. E., Brawman-Mintzer, O., Currier, G. W., McCall, W. V., Modirrousta, M., Macaluso, M., Bystritsky, A., Rodriguez, F. V., Nelson, E. B., Yeung, A. S., Feeney, A., … Fava, M. (2024). Comparative effectiveness research trial for antidepressant incomplete and non-responders with treatment resistant depression (ascertain-TRD) a randomized clinical trial. Molecular Psychiatry, 29(8), 2287–2295. https://doi.org/10.1038/s41380-024-02468-x
  • Sabé, M., Hyde, J., Cramer, C., Eberhard, A., Crippa, A., Brunoni, A. R., Aleman, A., Kaiser, S., Baldwin, D. S., Garner, M., Sentissi, O., Fiedorowicz, J. G., Brandt, V., Cortese, S., & Solmi, M. (2024). Transcranial magnetic stimulation and transcranial direct current stimulation across mental disorders. JAMA Network Open, 7(5). https://doi.org/10.1001/jamanetworkopen.2024.12616

CE Process Info

Content

  • Materials
    2 parts
    • Recording
    • Powerpoint
  • American Psychological Association

    American Psychological Association (APA)

    ARC Health is approved by the American Psychological Association to sponsor continuing education for psychologist. ARC Health maintains responsibility for this program and its content.

  • NYS Board for Social Work (NYS Social Work)

    ARC Health OPCO, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0899.

  • NYS Board for Psychology - Sponsored by The Ross Center (NYS Psychology)

    The Ross Center for Anxiety and Related Disorders, LLC, is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0105.

FAQs

  • State Board Jurisdictions Approval
    Many licensing boards accept CE from APA approved sponsors as well as for trainings approved by boards in other jurisdictions. You may check with your board directly to confirm if your state approves CE for this training.
  • Grievance
    If a grievance arises pertaining to continuing education activities or processes, please contact Stacy Coyle scoyle@rosscenter.com as soon as possible, so that the nature of the concern may be addressed in a timely fashion.
  • Course Completion
    To complete the course, review the course objectives, then watch the video power point presentations following along with the corresponding pdf, and lastly complete an evaluation. Your certificate will be available to download immediately when you complete the evaluation. Note that you can not continue in the course until you complete the previous section.
Pathological Demand Avoidance: Origin of the Term and State of Research Homestudy
You Have Completed This course
$25
You are enrolled
  • CE Hours
    1
  • Type
    Self-Paced
  • Publication Date
    May 27th, 2026
  • Expires on
    May 30th, 2031

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