Trauma And Stressor Related Disorders

Question 1

What are the eight disorders in this section?

Answer 1

Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
Posttraumatic Stress Disorder
Acute Stress Disorder
Adjustment Disorders
Prolonged Grief Disorder
Other Specified Trauma and stressor Related Disorder
Unspecified Trauma and Stressor Related Disorder

Question 2

Describe the essential features of Reactive Attachment Disorder.

Answer 2

Characterized by a pattern of markedly disturbed and developmentally inappropriate attachment behaviors, in which a child rarely or minimally turns preferentially to an attachment figure for comfort, support, protection, and nurturing. An absent or grossly underdeveloped attachment between the child and putative caregiving adults. When distressed, the child shows no consistent effort to obtain nurturing or protection from caregivers and minimal response to attempted comforting behaviors.

Question 3

List the criteria of Reactive Attachment Disorder.

Answer 3

A. a consistent pattern of inhibited, emotionally withdrawn behavior toward adult caregivers manifested by both of the following
1) the child rarely or minimally seeks comfort when distressed
2)the child rarely or minimally responds to comfort when distressed
B. a persistent social and emotional disturbance characterized by at least two of the following:
1) minimal social and emotional responsiveness to others.
2) limited positive affect
3)episodes of unexplained irritability, sadness, or fearfulness that are evident even during nonthreatening interactions with adult caregivers.
C. The child has experienced a pattern of extremes of insufficient care as evidenced by at least one of the following:
1) social neglect or deprivation in the form of persistent lack of having basic emotional needs for comfort, stimulation, and affection
2) repeated changes of primary caregivers that limit ability to form attachment
3) rearing in unusual settings that severly limit opportunities to form selective attachment
D. criterion c is presumed to be responsible for the disturbed behavior from criterion A
E. the criteria is not met for autism spectrum disorder
F. the disturbance is evident before age 5
G. the child has development age of at least 9mo

Question 4

What specifiers are there for Reactive Attachment Disorder?

Answer 4

Specify if:
Persistent (the disorder has been present for more than 12 months)

Specify current severity:
severe if all symptoms are met at relatively high levels.

Question 5

What are the essential features of Disinhibited Social Engagement Disorder?

Answer 5

A pattern of behavior that involves culturally inappropriate, overly familiar behavior with relative strangers. This behavior violates social boundaries within the culture.