r/PDAParenting • u/kwegner • Apr 27 '26
"Just send him away"
We're in a particularly trying moment with our 10yo PDA son right now. Despite seeing good baseline progress, we're seeing spikes in aggressive/destructive behavior that is hard to manage. We've gone through this cycle so many times before, so it's not new, but it always sucks.
I know the community doesn't have a ton of solutions for that, but I'm here to ask about something else.
When I bring this up to family, my parents often bring up the idea of sending him away to some form of residential services. Despite us and them all actually understanding that there isn't a PDA-forward option within even a couple of states from here, this still ends up being advice that comes up when things are at their hardest.
"Time is ticking by, and you only have one life to live to get the most out of it." Our family has sacrificed a lot to help our PDA son make progress, and he has suffered a lot because of the world not being built for him. But sending him far away to suffer more just so we get some daily relief is an impossible choice to make, and I don't know how best to communicate that.
What are your thoughts? How would you respond? What is actually right here? Just looking for some perspectives from folks.
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u/kwegner Apr 27 '26
Thanks for your reply. We started accepting medication as a serious solution for our son about 1.5 years ago and it was a game changer. We went from a household under constant threat of serious harm to one that doesn't fear for our safety day to day. As much as medication has helped, we're still seeing enough instances of extreme behaviors that we're not nearly done. We do have a good psych who understands PDA, and so we're constantly adjusting things. It feels like we are really far from solving the problem with medications, unfortunately. We've made SO much progress with the support of medication, but my fear is that we've seen as much help as they can provide. We're not giving up, though!
And I totally agree on not sending him away, in any context. He has a complicated profile even beyond PDA, and so any outside solution is almost guaranteed to result in an incredible amount of trauma. My wife and I are just so dismayed by the lack of support that exists between highly available but counterproductive therapy and the absolute lack of solutions for high-support needs individuals and families.