ADHD Concepts Guide

Executive Dysfunction vs Pathological Demand Avoidance: The Truth About Being Stuck

You want to get things done. You really do. But sometimes it feels like your brain has a mind of its own. It is like trying to drive a car with no gas or a locked steering wheel. You are not lazy. You are experiencing a real biological glitch.

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What is it?

Executive dysfunction is a struggle with the brain's 'management' system. It makes starting or organizing tasks feel impossible. Pathological Demand Avoidance, or PDA, is a deep need for autonomy. It makes any request or expectation feel like a threat to your safety.

Signs & Symptoms

Knowing exactly what to do but being unable to move your body to do it.
Feeling a sudden surge of anxiety or anger when someone asks you to do a simple task.
Getting overwhelmed by the number of steps in a basic project.
Losing interest in a hobby the moment it feels like an obligation.

Why does this happen?

Executive dysfunction happens in the prefrontal cortex. This area lacks the dopamine needed to 'ignite' a task. PDA is different because it involves the amygdala. This is the brain's alarm system. When a demand is made, the amygdala senses a loss of control. It triggers a fight or flight response. Your brain literally thinks the 'to-do list' is a predator.

The Action Plan

Try breaking down your next task like this to overcome the block:
1

Check the Internal Weather

2m

Notice if you feel 'foggy' or 'threatened' by the task.

2

Lower the Stakes

1m

Tell yourself you are only going to look at the task for one minute.

3

Change the Language

2m

Turn the 'I have to' into 'I wonder if I can' to reduce the PDA alarm.

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The HealUp Solution

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