Attachment Disorders

Question 1

What are the 4 types of attachment disorders?

What one is normal/abnormal?

Answer 1

• Secure
• Insecure avoidant
• Insecure ambivalent/resistance
• Disorganised (abnormal ~4%)

Question 2

What is the test that is done to test a child’s attachment at 1-2yrs old?

Answer 2

The strange situation

Question 3

At what age do babies develop separation/stranger anxiety and a strong bond with their primary caregiver?

Answer 3

7 months

Question 4

What is RAD?

What are the 2 types?

Answer 4

Reactive attachment disorder

Disinhibited - will show everyone an excessive amount of familiarity
Inhibited - doesn’t seek comfort in caregiver when threatened/alarmed

Question 5

What are the common symptoms of RAD?

Answer 5

• Neglect
• Lack of smile/responsiveness
• Avoidance of stress
• Excessively friendly to healthcare workers
• Inconsolable
• Inability to form satisfying relationships with peers and adults - BIG ONE (helps to differentiate from other conditions)

Extremes of behaviour

Question 6

What are the causes of RAD?

Answer 6

Neglect
ACEs

(higher prevalence in LAC (looked after children/care)

Question 7

Conduct disorder is the 2nd most common mental health condition in kids.

To be diagnosed you need to have 3/4 of the diagnostic criteria in the last 12 months or 1 present in the last 6 months. What are the diagnostic criteria?

Answer 7

• Aggression to people/animals
• Destruction of property
• Deceitfulness or theft
• Serious violation of rules

Question 8

How can you differentiate RAD from conduct disorder?

Answer 8

Those with conduct disorder are able to form some satisfying relationships with peers and adults

Question 9

What is the triad of ADHD?

Answer 9

• Inattention
• Hyperactivity
• Impulsivity

Question 10

What is the drug used in ADHD after CBT and group therapy?

Answer 10

Methylphenidate