Managing co-morbid issues

I thought I would starts a discussion in this new sub about managing "purely pda' challenges vs. related sensory, autistic, adhd, anxiety, executive function challenges

I hear about pda parents finding that giving their kid max autonomy helps the most and then they can regulate themselves. Now my kid is still young but there would definitely be unmet needs left if we did this in isolation. I wonder sometimes if she has pda for pda's sake or a need for control to accommodate her other challenges. I think it is both.

When burnt out we lower demands. We generally keep pressure low, collaborate, prioritise what is important whilst still having positive expectations.

There are times a behaviour seems purely pda driven and maybe it is. But sometimes if I look deeper I find a sensory or anxiety challenge we can help her with. Is her aversion to a bath today because of issues with transitions, currently being anti-water, anxiety about hair washing experience or is it demand avoidance. The only way forward is to drop the demand and let her come to the bath if and when she is ready but if we want to reduce the avoidance in the future it requires more than this. Acknowledging what might be underlying issues and providing new buy in, solutions to anxiety can fix the problem for a few months

I am curious how much what appears to be pure pda might have underlying motivations vs. being about the demand itself. Or do they even get mixed up i.e. the pda anxiety triggers the other issues. If the underlying issues are not resolved then cumulative effects leads to severe burn out where low demands is the only way out. The more the underlying demands have been triggered the more the desire for autonomy becomes anxiety driven.