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Reactive Attachment Disorder

WHAT YOU NEED TO KNOW:

Reactive attachment disorder (RAD) means your child has trouble forming bonds with people who take care of him. A child may become frightened and frustrated if no one responds to his needs, or if response is inconsistent. He may not be able to trust that he is safe and will be given what he needs. Your child may not form bonds with his parents or other caregivers he sees regularly. He may instead be openly affectionate or cling to strangers but not respond to known people.

DISCHARGE INSTRUCTIONS:

Seek care immediately if:

  • Your child tries to harm himself or another person, or he threatens harm.

Contact your child's healthcare provider if:

  • You have questions or concerns about your child's condition or care.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Ways to help your child:

  • Respond to your child's needs. Respond the same way each time. Children learn to trust when they receive consistent care and attention. Do not force attention on your child or force him to hug you. Offer attention and be willing to accept if he offers attention to you. You may have to build trust before you can hug him.
  • Do not try to discipline your child if he will not respond. An attempt to force your child to respond may make the behavior worse. Therapists can help you learn when discipline is appropriate and how to be strict without making your child feel unsafe.
  • Be interactive with your child. Give your child eye contact and smile when you speak with him. Give him your full attention when he speaks to you. Talk to your younger child while you are giving him a bath, changing his diaper, or feeding him. Ask your older child about his day at school. Eat meals together, and encourage him to talk with you. Remember that he is learning to understand body language. He may misinterpret if you seem hurried or tense. Be patient as he learns to pick up cues and body language. It might be helpful to tell him why you are stressed. This will help him understand that it is not because of him.
  • Limit the number of people who take care of your child. He will have a more difficult time bonding if several people take care of him regularly. It may be helpful to find someone you trust to care for your child for short periods of time. This will allow you time to rest and come back to your child feeling calm and positive.
  • Talk to your child's teachers and school officials. Your child may have trouble making friends. He may act out in class. His teachers or classmates may not want to include him in activities. It is important for your child to feel accepted and supported at school and at home. Your child's teachers may be able to help him in the classroom. His school may have programs to help him.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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