Providing consistent caregivers to encourage a stable attachment for the child.Encouraging the child's development by being nurturing, responsive and caring.Develops positive interactions and strengthens the attachment with parents and caregiversĪ mental health professional can provide both education and coaching in skills that help improve signs and symptoms of reactive attachment disorder.Goals of treatment are to help ensure that the child: There's no standard treatment for reactive attachment disorder, but it should involve both the child and parents or primary caregivers. Early intervention appears to improve outcomes. And even those who've been neglected, lived in a children's home or other institution, or had multiple caregivers can develop healthy relationships. No diagnosis of autism spectrum disorderĬhildren with reactive attachment disorder are believed to have the capacity to form attachments, but this ability has been hindered by their early developmental experiences.Persistent lack of having emotional needs for comfort, stimulation and affection met by caregivers, or repeated changes of primary caregivers that limit opportunities to form stable attachments, or care in a setting that severely limits opportunities to form attachments (such as an institution).Persistent social and emotional problems that include minimal responsiveness to others, no positive response to interactions, or unexplained irritability, sadness or fearfulness during interactions with caregivers.A consistent pattern of emotionally withdrawn behavior toward caregivers, shown by rarely seeking or not responding to comfort when distressed. Signs and symptoms typically appear before the age of 5 years. Diagnosis isn't usually made before 9 months of age. Your child's mental health provider may use the diagnostic criteria for reactive attachment disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association. Your child's mental health provider will also want to rule out other psychiatric disorders and determine if any other mental health conditions coexist, such as:
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