People with the profile of PDA can often come across as angry when in fact they are vulnerable, and experiencing high anxiety.
Their tone of voice and general demeanour does not communicate this, so they are misunderstood, and treated with annoyance and impatience.
They are perceived as possessing anger problems, being purposely defiant, or being aggressive. From my reading and interactions with people who fit the PDA profile, it is my opinion that these behaviours are not innate: so nurture rather than nature.
ASD strategies do not tend to work for people who fall under the profile of PDA.
It is crucial, therefore, that this is identified correctly, so adequate interventions and approaches can be adopted, with a view to reducing anxiety and helping the individual to feel safe, secure and understood.
People with PDA can experience mental health issues as a result of their treatment, and grow up with low self-esteem and a feeling of unworthiness.
It takes a lot of patience and support to help these individuals, particularly once the damage is done.