child:attachment:disinhibited-social-engagement-disorder

Table of Contents

Disinhibited Social Engagement Disorder (DSED)

Table of Contents

Disinhibited Social Engagement Disorder (DSED)

Table of Contents

Disinhibited Social Engagement Disorder (DSED)

Primer

Epidemiology

Prognosis

Comorbidity

Risk Factors

DSM-5 Diagnostic Criteria

Criterion A

Criterion B

Criterion C

Criterion D

Criterion E

Criterion F

Specifiers

Episode Specifier

Severity Specifier

Specify if:

Signs and Symptoms

Screening and Rating Scales

Pathophysiology

Differential Diagnosis

Reactive Attachment Disorder (RAD)

Reactive Attachment Disorder (RAD) vs. Disinhibited Social Engagement Disorder (DSED)

	Reactive Attachment Disorder	Disinhibited Social Engagement Disorder
Etiology	Social neglect, inconsistent parenting	Social neglect, inconsistent parenting
Internal/External	Internalizing Disorder	Externalizing Disorder
Clinical Presentation	Withdrawn emotions, depressive symptoms, flat affect, unexplained sadness, and irritability.	Overly familiar with strangers, lack of hesitation to approaching and interact with them. Diminished checking back with adult caregiver.
Treatment	Caregiving environment	Caregiving environment
Prognosis	Not well understood	Superficial relationships with peers, more peer-to-peer conflicts

Investigations

Physical Exam

Treatment

Main treatment is psychosocial, to ensure a stable caregiving environment, and limit contact with non-caregiving adults.

Guidelines

Resources

For Patients

For Providers

Articles

Research