CAMSH Flashcards
(40 cards)
what does RAD stand for?
Reactive Attachment Disorder
reactive attachment disorder is a condition found in children who have received grossly ________ care and do ___ form a healthy emotional __________ with their _______ caregivers before the age of _
reactive attachment disorder is a condition found in children who have received grossly NEGLIGENT care and do NOT form a healthy emotional ATTACHMENT with their PRIMARY caregivers before the age of 5
what can be seen in the parents behaviours of a child with RAD?
disregard for Childs emotional needs for comfort, stimulation and affection
neglect
repeated changes of primary caregivers
individuals with RAD have difficulty forming lasting, loving and intimate _____________
individuals with RAD have difficulty forming lasting, loving and intimate RELATIONSHIPS
RAD is seen in _% of all children under there age of _ with about 20% in ___
RAD is seen in 1% of all children under there age of _ with about 20% in LAC
children ________ at a young age have an increased likelihood of RAD
children ORPHANED at a young age have an increased likelihood of RAD
how many subtypes of RAD are there?
2
name the 2 subtypes of RAD
inhibited
disinhibited
refers to children who continually fail to initiate and respond to social interactions in a developmentally appropriate way
inhibited or disinhibited?
inhibited
refers to a child who has an inability to display appropriate selective attachments
inhibited or disinhibited?
disinhibited
more enduring over time
inhibited or disinhibited?
disinhibited
A child who displays excessive familiarity with strangers. indiscriminate sociability or lack of selectivity in their choices of attachment figure
inhibited or disinhibited?
disinhibited
A child or infant that does not seek comfort from a parent or caregiver during times of threat, alarm or distress
inhibited or disinhibited?
inhibited
Interactions are often met with a variety of approaches, avoidance and resisting to comforting, often hypervigilant or highly ambivalent
inhibited or disinhibited?
inhibited
list some potential causes of RAD
frequent change in primary caregiver
extended separation
frequent moved in foster care/institutions
traumatic experiences
young/inexperienced mother with poor parenting skills
neglect
abuse
list the alarming symptoms in very young children that should raise urgent safeguarding concerns
severe colic poor eye contact, difficulty tracking no reciprocal smile response delayed gross motor skill development difficulty being comforted resists affection and cuddling from parent stiff with tactile defensiveness poor sucking when eating
list some common symptoms in older children and young parents
lack of self control - impulsive speech/language delays lack of conscience/shows no remorse lack an understanding of social boundaries affectionate with strangers inhibition or hesitancy in social interactions avoids physical contact hyperactive aggressive destructive food issues - hordes, gorges, refuses, hides on guard/anxious/wary prefers to play alone
neurobiology of RAD:
Life experiences can dramatically _____ the number of neurons, increase or decrease the number of _________ branches and the number of ________
Life experiences can dramatically ALTER the number of neurons, increase or decrease the number of DENDRITIC branches and the number of SYNAPSES
name the 4 differential diagnoses seen in someone with RAD
CD - conduct disorder
depression
ASD
ADHD
children with CD are able to form ____ satisfying relationships with peers and adults
children with CD are able to form SOME satisfying relationships with peers and adults
depression is a common differential diagnosis in someone with _________ type RAD as they are often _________. The difference is that depressed children are often able to form appropriate social relations with those who _____ ___ to them
depression is a common differential diagnosis in someone with INHIBITED type RAD as they are often WITHDRAWN. The difference is that depressed children are often able to form appropriate social relations with those who REACH OUT to them
children with ASD present historical and _________ difficulties, while children with RAD are more able to _____ based on what they get out of _______ relationships
children with ASD present historical and PERVASIVE difficulties, while children with RAD are more able to ADAPT based on what they get out of CERTAIN relationships
the difficulties of ADHD are __________ and across different settings, and are more able to initiate and _______ relationships
the difficulties of ADHD are PERSISTENT and across different settings, and are more able to initiate and MAINTAIN relationships
name 5 effective treatments of RAD
family therapy individual therapy play therapy medication special education interventions
