Disinhibited Social Engagement Disorder (DSED)

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Clinical Presentation Withdrawn emotions, depressive symptoms, flat affect, unexplained sadness, and irritability.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