Attachment Disorders in the DSM 5 TR | Symptoms and Diagnosis
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The content segments discuss Reactive Attachment Disorder (RAD) and Disinhibited Social Engagement Disorder (DSED), two attachment disorders that can occur in children who have experienced inadequate care or neglect. RAD is characterized by inhibited and withdrawn behavior towards caregivers, while DSED involves overly familiar behavior with unfamiliar adults. The segments emphasize the importance of understanding individual differences and considering the child's specific needs when diagnosing RAD. They also highlight the challenges in accurately estimating the prevalence of RAD, as studies have primarily been conducted in residential treatment centers and there may be underreporting due to limited documentation and unreliable histories. The segments discuss the differential diagnosis of RAD and other disorders such as autism spectrum disorders, depression, social anxiety disorder, and personality disorders. Treatment strategies for attachment issues include creating a sense of safety and security, addressing trauma, developing interpersonal skills, and recognizing behavior as communication. The segments also touch on the association between attachment-related issues and other mental health concerns. It is important to differentiate RAD and DSED from Fetal Alcohol Spectrum Disorders (FASDs) and consider the cognitive and neuroatypical qualities of individuals with FASDs in treatment. The segments emphasize the need for family therapy and parent-child interaction therapy in treating attachment issues and highlight the importance of addressing parental frustration and burnout. Overall, the content provides insights into the diagnosis, prevalence, differential diagnosis, and treatment of attachment disorders.
The content segments discuss Reactive Attachment Disorder (RAD) and Disinhibited Social Engagement D