Our Mission​​
RAD Advocates is passionate about raising awareness for Reactive Attachment Disorder (RAD).  Our goal is to see a change in the way that communities and professionals support children and families affected by RAD.
About Us
​​DSM-5 Definition of RAD

The DSM-5 gives the following criteria for Reactive Attachment Disorder:
A. A Consistent Pattern of inhibited, emotionally withdrawn behavior toward adult caregivers, manifested by both of the following:
  • The child rarely or minimally seeks comfort when distressed
  • The child rarely or minimally responds to comfort when distressed

B. A persistent social or emotional disturbance characterized by at least two of the following:
  • Minimal social or emotional responsiveness to others
  • Limited positive affect
  • Episodes of unexplained irritability, sadness, of 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:
  • Social neglect or deprivation in the form of persistent lack of having basic emotional needs for comfort, stimulation, and affection met by caring adults
  • Repeated changes of primary caregivers that limit opportunities to form stable attachments (eg: frequent changes in foster care)
  • Rearing in unusual settings that severely limit opportunities to form selective attachments (eg: institutions with high child to caregiver ratios)

D. The care in Criterion C is presumed to be responsible for the disturbed behavior in Criterion A (eg: the disturbances in Criterion A began following the lack of adequate care in Criterion C)
E. The criteria are not met for Autism Spectrum Disorder
F. The disturbance is evident before age 5 years
G. The child has a developmental age of at least 9 months
Specify if Persistent: The disorder has been present for more than 12 months
Specify current severity: Reactive Attachment Disorder is specified as severe when a child exhibits all symptoms of the disorder, with each symptom manifesting at relatively high levels
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