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A social worker makes a routine visit to a 3-year-old boy who has just been returned to his biological mother after spending three months in foster care as a result of severe neglect. The child initially appears very shy and clings fearfully to his mother. Later on, he starts playing in a very destructive and disorganized way. When the mother tries to stop him from throwing blocks at her, he starts kicking and biting. The mother becomes enraged and starts shouting. Which of the following is the most likely diagnosis for this child?
a. Oppositional defiant disorder
c. Reactive attachment disorder
e. Major depression




so wat is the answer mao


the answer is C.

man.. i didnt even know of the dx.. but did it with exclusion. then did a little read up.. the question is a classic presentation. good one.


So what is the correct one?


Reactive attachment disorder — Comprehensive overview covers symptoms, treatments, coping skills for parents and caregivers.
Reactive attachment disorder is a rare but serious condition in which infants and young children don't establish healthy bonds with parents or caregivers.

A child with reactive attachment disorder is typically neglected, abused, or moved multiple times from one caregiver to another. Because the child's basic needs for comfort, affection and nurturing aren't met, he or she never establishes loving and caring attachments with others. This may permanently alter the child's growing brain and hurt their ability to establish future relationships.

Reactive attachment disorder is a lifelong condition, but with treatment children can develop more stable and healthy relationships with caregivers and others. Safe and proven treatments for reactive attachment disorder include psychological counseling and parent or caregiver education.

Reactive attachment disorder begins before age 5. Signs and symptoms of the disorder may begin when the child is still an infant.

Signs and symptoms in babies may include:

Withdrawn, sad and listless appearance
Failure to smile
Lack of the normal tendency to follow others in the room with the eyes
Failure to reach out when picked up
No interest in playing peekaboo or other interactive games
No interest in playing with toys
Engaging in self-soothing behavior, such as rocking or self-stroking
Calm when left alone
Signs and symptoms in toddlers, older children and adolescents may include:

Withdrawing from others
Avoiding or dismissing comforting comments or gestures
Acting aggressively toward peers
Watching others closely but not engaging in social interaction
Failing to ask for support or assistance
Obvious and consistent awkwardness or discomfort
Masking feelings of anger or distress
Alcohol or drug abuse in adolescents
As children with reactive attachment disorder grow older, they may develop either inhibited or disinhibited behavior patterns. While some children have signs and symptoms of just one type of behavior, many exhibit both types.

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