If you have a child diagnosed with this. Or need more info on this disorder please feel free to email me or reply to this post. This is a diagnosis where there is definetley they need to have other moms to speak to.
By Mayo Clinic staff
Reactive attachment disorder begins before age 5. Signs and symptoms of the disorder may begin when the child is still an infant.
Signs and symptoms in babies may include:
- Withdrawn, sad and listless appearance
- Failure to smile
- Lack of the normal tendency to follow others in the room with the eyes
- Failure to reach out when picked up
- No interest in playing peekaboo or other interactive games
- No interest in playing with toys
- Engaging in self-soothing behavior, such as rocking or self-stroking
- Calm when left alone
- Signs and symptoms in toddlers, older children and adolescents may include:
- Withdrawing from others
- Avoiding or dismissing comforting comments or gestures
- Acting aggressively toward peers
- Watching others closely but not engaging in social interaction
- Failing to ask for support or assistance
- Obvious and consistent awkwardness or discomfort
- Masking feelings of anger or distress
- Alcohol or drug abuse in adolescents
As children with reactive attachment disorder grow older, they may develop either inhibited or disinhibited behavior patterns. While some children have signs and symptoms of just one type of behavior, many exhibit both types.
- Inhibited behavior. Children with inhibited behavior shun relationships and attachments to virtually everyone. This may happen when a baby never has the chance to develop an attachment to any caregiver.
- Disinhibited behavior. Children with disinhibited behavior seek attention from virtually everyone, including strangers. This may happen when a baby has multiple caregivers or frequent changes in caregivers. Children with this type of reactive attachment disorder may frequently ask for help doing tasks, have inappropriately childish behavior or appear anxious.
There's little research on signs and symptoms of reactive attachment disorder beyond early childhood. It may lead to controlling, aggressive or delinquent behaviors, trouble relating to peers, and other problems. While treatment can help children and adults cope with reactive attachment disorder, the changes that occur during early childhood are permanent and the disorder is a lifelong challenge.
- Reactive attachment disorder of infancy or early childhood. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed June 23, 2009.
- Reactive attachment disorder. In: Moore DP, et al.: Handbook of Medical Psychiatry. 2nd ed. Philadelphia, Pa.: Mosby; 2004. http://www.mdconsult.com/das/book/body/145545363-3/0/1243/32.html?tocnode=52436085&fromURL=32.html#4-u1.0-B0-323-02911-6..50032-4_311. Accessed June 23, 2009.
- Newman L, et al. Recent advances in the theories of and interventions with attachment disorders. Current Opinion in Psychiatry. 2007;20:343.
- Haugaard JJ, et al. Recognizing and treating uncommon emotional disorders in children and adolescents who have been severely maltreated: Reactive attachment disorder. Child Maltreatment. 2004;9:154.
- Cornell T, et al. Clinical interventions for children with attachment problems. Journal of Child and Adolescent Psychiatric Nursing. 2008;21:35.
- Hanson RF, et al. Reactive attachment disorder: What we know about the disorder and implications for treatment. Child Maltreatment. 2000;5:137.
- Report of the American Professional Society on the Abuse of Children Task Force on Attachment Therapy, RAD and Attachment Problems. American Psychiatric Association. http://www.apa.org/divisions/div37/RADTaskForceManuscript.pdf. Accessed July 1, 2009.
- Coercive interventions for reactive attachment disorder. Association for Treatment and Training in the Attachment of Children. http://www.attach.org/apsac.htm. Accessed July 1, 2009.
- Child Abuse and Neglect Committee. American Academy of Child & Adolescent Psychiatry. http://www.aacap.org/cs/root/policy_statements/coercive_interventions_for_reactive_attachment_disorder. Accessed June 29, 2009.
July 16, 2009
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