What is Reactive Attachment Disorder?
Inappropriate social relatedness that generally begins before the AGE OF FIVE and is associated with gross pathological care.
What are the two types of Reactive Attachment Disorder?
Inhibited
Disinhibited
What is inhibited RAD?
Children who continually fail to initiate and respond to social interactions
What is disinhibited RAD?
Child who displays inappropriate attachments
What are some symptoms of attachment disorders in young children?
Persistent colic (crying) Poor eye contact No reciprocal smile response Delayed gross motor skills Difficulty being confronted Resists affection
Life experiences can change what in the brain?
Number of neurons, dendritic branches and number of synapses
Name some differential diagnosis similar to RAD?
Conduct Disorder
Depression - often withdrawn
Autism Spectrum Disorders - can’t adapt as well to situations
ADHD - difficulty maintaining relationships
Co-morbidity of attachment disorders with other behavioural/ emotional disorders is …
Common,
if child has one then will likely have other. A lot of cross over
Name some effective treatments for RAD?
Family therapy
Individual therapy
Play therapy
Medication
What is a conduct disorder?
Repetitive and persistent pattern of behaviour in which the basic rights of others or rules are violated
Name some typical presentations of CD?
Aggression to people or animals
Destruction of property
Deceitfulness or theft
Serious violation of rules
Name some co-morbidities of CD
RAD ADHD - common Reading and learning difficulties Depression Substance misuse Deviant sexual behaviour
ADHD Triad
Inattention
Hyperactivity
Impulsivity
ADHD tends to _____ in families
aggregate
Are ADHD and CD the same thing?
No
Name three causes of CD?
Genetic
Brain Injury
Environmental
Why do these kids often get angry?
Can protect from painful feelings
Name some treatment for CD?
Parent Fostering training
Child focused programmes
Medication (not main line)
Name a medication for CD
Risperidone - anti-physchotic
