Which of the following is a diagnostic criterion for Pathological Demand Avoidance (PDA) as outlined in the diagnostic frameworks?
A) Persistent difficulty in maintaining social relationships and communicating effectively.
B) A high level of avoidance of everyday demands and expectations to an extreme degree, which impacts functioning.
C) Severe impairment in cognitive and academic skills with a consistent pattern of underachievement.
D) Significant repetitive behaviors and restricted interests that align with the criteria for Autism Spectrum Disorder (ASD).