Reactive Attatchment Disorder and Disinhibited Social Engagement Disorder Flashcards
Serious neglect is a requirement for a Reactive attachment disorder (RAD), a pattern of insufficient care is defined by at least one of the following.
Lack of basic emotional needs met
Frequent changes in primary caregiver
Inability to form selective attachment due to being raised in unusual environment.
A child who is to be diagnosed with RAD must rarely seek or respond to comfort when distressed and must exhibit 2 of the following emotional and social symptoms…
Minimial responsiveness to others
limited positive affect
unexplained episodes of irritability, sadness, or fear
When do symptoms of RAD become apparent?
9 months - 5 years
What type of symptoms appear with someone diagnosed with RAD?
cognitive or language delays, malnutrition, and depressive symptoms.
What is the characteristic feature of Disinhibited Social Engagement Disorder (DSED)?
Indiscriminate sociability with unfamiliar adults.
When do symptoms of DSED become apparent?
9 months-5 years
DSED requires the presence of indiscriminate sociability by the presence of at least 2 of the following..
Overfamiliarity with strangers
Lack of concern about or checking back with an adult caregiver
Reduced hesitancy to approach and interact with unfamiliar adults
Willingness to go off with unfamiliar adults without any hesitation.
WIth RAD, the child must display withdrawn behavior toward the adult caregiver, manifested by both..
rarely seeks comfort when distressed
rarely responds to comfort when distressed
What are the preferred characteristics for therapists who work with children with RAD and DSED?
understand attachment process
build relationship with between child and primary caregiver
supportive and empathy while establishing boundaries and modeling appropriate behavior
be a part of a collaborative team
What evidence based practices for RAD or DSED/
none
Prognosis with RAD and DSED?
Early and effective intervention is needed though no studies are done.
