Behavioural Disorders Flashcards
define reactive attachment disorder (RAD)
markedly disturbed and developmentally inappropriate social relatedness in most contexts that begin before 5 years
what is RAD causatively associated with?
pathological care
examples of pathological care
disregard for child’s emotional needs (affection and stimulation)
disregard for physical needs
repeated changes of primary care-giver
presentation of RAD
difficulty forming relationships malnutrition growth delay NAI evidence vitamin deficiencies infectious diseases
Sub-types of RAD
- inhibited
- disinhibited
define inhibited RAD
child fail to initiate or respond to social interaction in developmentally appropriate way e.g. does not seek comfort during times of threat
define disinhibited RAD
child unable to display appropriate selective attachment e.g. excessive familiarity with strangers
red flags in very young children
persistent and medically unexplained severe colic
poor eye contact
no smile response
delayed gross motor development
difficulty being comforted, resists affection from caregiver
appears stiff
RAD symptoms in older children
impulsiveness lack of social boundaries lack of remorse affectionate with strangers hyperactive aggressive
how is CD different from RAD?
CD forms better relationships
management of RAD
family therapy (help caregiver understand symptoms)
individual therapy
play therapy (social interaction)
medication (comorbid disorders e.g. anxiety, ADHD)
educational services
define conduct disorder
persistent pattern of behaviour where basic rights of other or age-appropriate norms or rules are violated
diagnosis of CD
three or more in the past 12 months and on present in the past 6 months
- aggression to people or animals
- destruction of property
- deceitful or theft
- serious violation of rules
two types of CD
mild-moderate
severe
define mild-moderate CD
restricted to family environment
