Who Form 5495 Attach 2017-2025

Hey everybody, today I am going to talk about reactive attachment disorder. What is it and what are our treatment options? Reactive attachment disorder falls under trauma and stress-related disorders. I have my handy-dandy DSM with me, which helps us categorize things that we may be feeling and experiencing and also helps us get covered by insurance. Reactive attachment disorder is something that happens to children who have witnessed or have been in a very traumatic experience or upbringing. Now, let's go over some of the diagnostic criteria for reactive attachment disorder. The first criteria is a consistent pattern of inhibited emotionally withdrawn behavior towards adult caregivers. This is manifested by the child rarely seeking comfort when distressed or rarely responding to comfort when distressed. For example, if a child falls and bumps their knee, they may withdraw and not want any comfort, which is not the normal experience. The second criteria is a persistent social and emotional disturbance, characterized by at least two of the following: minimal social and emotional responses to others, limited positive effect, and episodes of unexplained irritability, sadness, or fearfulness that are evident even during non-threatening interactions with adult caregivers. This can be seen as a hyper-vigilant feeling. The third criteria is rearing in unusual settings that severely limit opportunities to form selective attachments. This can happen in institutions with a high child to caregiver ratio, where children may not receive much attention or care. It is important to note that the diagnostic criteria cannot be met for an autism spectrum disorder. The disturbance must be evident before the age of five, and the child must have a developmental age of at least nine months. The disorder must have been present for more than 12 months, and there is some uncertainty about whether reactive attachment disorder occurs in older children...