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Clinical Presentation Withdrawn emotions, depressive symptoms, flat affect, unexplained sadness, and irritability.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