The disturbance is evident before age 5 years. The criteria are not met for autism spectrum disorder.į.
The care in Criterion C is presumed to be responsible for the disturbed behavior in Criterion A (e.g., the disturbances in Criterion A began following the lack of adequate care in Criterion C).Į.
Rearing in unusual settings that severely limit opportunities to form selective attachments (e.g., institutions with high child to caregiver ratios)ĭ. Repeated changes of primary caregivers that limit opportunities to form stable attachments (e.g., frequent changes in foster care). Social neglect or deprivation in the form of persistent lack of having basic emotional needs for comfort, stimulation, and affection met by caring adults. The child has experienced a pattern of extremes of insufficient care as evidenced by at least one of the following: Episodes of unexplained irritability, sadness, or fearfulness that are evident even during nonthreatening interactions with adult caregivers.Ĭ. Minimal social and emotional responsiveness to others. A persistent social or emotional disturbance characterized by at least two of the following: The child rarely or minimally responds to comfort when distressed.ī. The child rarely or minimally seeks comfort when distressed. A consistent pattern of inhibited, emotionally withdrawn behavior toward adult caregivers, manifested by both of the following: The DSM-5 gives the following criteria for Reactive Attachment Disorder:Ī. 
Home Programs Topic Areas DSM-5 Criteria for Reactive Attachment Disorder (RAD)
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