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Sky Maree Steele Clinical Psychologist • ADHD Coach
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Disruptive & Impulse-Control DSM-5 313.81 / ICD-11 6C90

Oppositional Defiant Disorder (ODD) & Demand Avoidance

Pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness. Often re-conceptualized in neurodivergent care as Pathological Demand Avoidance (PDA).

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Diagnostic Code DSM-5 313.81 / ICD-11 6C90
Clinical Category Disruptive & Impulse-Control
Recommended Modalities PDA Neuro-affirming Scaffolding, CPS Framework
Medicare Rebates $141.85 / session with MHTP
Practice Location Albion Park & Telehealth

Diagnostic Formulation

DSM-5 313.81 / ICD-11 6C90

Pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness. Often re-conceptualized in neurodivergent care as Pathological Demand Avoidance (PDA).

Core Clinical Symptoms & Presentations

Defiance against demands
Intense threat response to perceived loss of autonomy
Frequent touchiness and spitefulness

Evidence-Based Psychological Interventions

Collaborative and Proactive Solutions (Ross Greene model)
Low-demand environment design
Autonomy-first communication

Neurodiversity & ADHD Overlap Lenses

Prefrontal Cortex Scaffolding & Dopaminergic Nuances

Pathological Demand Avoidance (PDA) is a neurodivergent profile rooted in nervous system autonomic threat activation.

Initiate Clinical Care

Consult with registered psychologist Sky Maree Steele to develop a tailored formulation and neuro-affirming treatment plan.

Standard Consultation: $260.00
Medicare Rebate (Item 80010): $141.85
Out-of-Pocket Gap: $118.15
Book Consultation Slot Complete Clinical Intake Form

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