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What Is R.A.D

 

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What Is R.A.D?

 

 

 

 

 

The exposure to stress with some children has been so significant that they stand outside of any category of severity. These children give trauma a new definition. Most are or have been in foster care, have had repeated life or death experiences, have had several changes in caregivers, all have suffered from some form of emotional, sexual, or physical abuse, and generally they have never been successfully treated. The most popular term for these children is Attachment Disorder, however, most have received every diagnosis available for severe emotional and behavioral disturbances ranging from attention-deficit hyperactivity to bi-polar and depression.  Children with reactive attachment disorder see the world differently than we do.  For these children, life is a constant threat. Such threats can be interpreted through all manner of sensory stimulation. In other words, a sight, sound, smell, taste, or elevation in body temperature can trigger such children into an overwhelming fear state. Because they were unable to develop the necessary ability to calm this fear early in life, they may become violently reactive in this state.

It is of little consequence that a new home may provide love, security, and nurturance when such children become frightened. This frightening event is often times not observed by the parent because the brains of such children are hypersensitive and highly reactive. It can and generally does occur within a millisecond and may build up throughout the course of a day, week, or month, presenting as a violent and long-lasting outburst, or period of complete disconnection and dissociation. Even children who have been adopted into a home at a very young age may have already experienced significant enough trauma to impact development and stress response. Biological children who suffer a separation from their primary caregiver due to illness, etc. can be equally impacted if the event is traumatic or overly stressful.

Signs and Symptoms of R.A.D

  The following should not be used as a diagnosis but as a tool. If your child has half or more of these symptoms and they have a history of any of the potential causes as seen on the next page, you should seek out a qualified Attachment Disorder Specialist for Evaluation.

Lack of ability to give and receive affection
Chronic, nonsensical lying – lying about the obvious
Lack of eye contact
Lack of cause and effect thinking  
Poor peer relationships
Self-injurious behavior
Food issues – hordes, gorges, refuses to eat, eats strange things, hides food
Vandalism and destructiveness
Cruelty to animals and/or children
Indiscriminate affection towards strangers
Superficially engaging & charming
Theft
Fire setting
Learning disorders
Toileting issues
Poor impulse controls (frequently acts hyperactive)

  Potential Causes Of 
Reactive Attachment Disorder

Neglect
Abuse
Separation from the primary caregiver
Changes in the primary caregiver
Frequent moves and/or placements
Traumatic experiences
Maternal depression
Maternal addiction – drugs or alcohol
Undiagnosed, painful illness such as colic, ear infections, etc.
Lack of attunement between mother and child
Young or inexperienced mother with poor parenting skills
Text Box: Remember, it is not the parent's job to "fix" the child; it is your job to create an environment conducive to healing and loving.
 

 

 

Some Basic Strategies Follow:

  1. The number one rule of therapeutic parenting is Take good care of you!
  2. Be proactive rather than reactive.
  3. Avoid triangulation. Do not allow your child to play one parent against the other.
  4. Create an emotionally as well as physically safe environment: Avoid sarcasm and anger.
  5. Use natural consequences to teach life lessons.
  6. Use empathy in the face of these consequences.
  7. Communicate in a loving manner; set a positive tone.
  8. Use thinking rather than fighting words.
  9. Save the pizzazz for the positive behavior, use neutrality with the negative.
  10. Allow your child to express his/her feelings verbally.
  11. Minimize use of the television.
  12. Only give choices you can live with.
  13. Be consistent.
  14. Avoid power struggles.
  15. Determine whose problem it is and if it is not yours, stay out of it.
  16. Assess what the child can handle and only allow freedoms and responsibilities that will result in opportunities for success.
  17. Keep a sense of humor.

 

 

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Last modified: July 25, 2003
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