Disinhibited Social Engagement Disorder (DSED)

Risk Factors
Criterion A
Criterion B
Criterion C
Criterion D
Criterion E
Criterion F

Episode Specifier

Severity Specifier

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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Clinical Presentation Withdrawn emotions, depressive symptoms, flat affect, unexplained sadness, and irritability.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
  • Main treatment is psychosocial, to ensure a stable caregiving environment, and limit contact with non-caregiving adults.
For Patients
For Providers