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Reactive Attachment Disorder

Reactive Attachment Disorder (RAD) is a complex psychiatric illness that can affect  young children. It is characterized by serious problems in emotional attachments to others. 

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It is characterized by markedly disturbed and developmentally inappropriate ways of relating socially in most contexts.

 

RAD usually presents by age 5, but a parent, caregiver or physician may notice that a child has problems with emotional attachment by their first birthday.

 

While the symptoms of RAD are very characteristic and distinctive, the spectrum is like a rainbow in the sense that we can find all the different tones, hues and intensities. No RAD child is just like another, however there are mainly two subtypes RAD can manifest… inhibited or disinhibited.

Inhibited

The inhibited subtype identifies children who have no preferred caregiver, rarely seek comfort in times of stress, show a minimum of positive affection, and/or experience difficulties in the regulation of their emotions. Inhibited symptoms are reported in children that lack selective attachment and symptoms tend to represent disturbances in attachment.

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Disinhibited

The Disinhibited type talks about children who lack appropriate boundaries with relatively strange adults.

They overly engage and do not discriminate between caregivers and unfamiliar adults. 

These children can go from one caregiver to a new one without signs of disturbance, which shows severe lack of attachment. 

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