reactive attachment disorder of infancy, early childhood…

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reactive attachment disorder, disturbance of social interaction, neglect of a child's basic physical, emotional needs, infancy, babies placed in orphanages at birth, raised by multiple caretakers, primary parent-figures, develop this disorder, physical care was adequate, reactive attachment disorder, neglect of an infant's needs, physical safety, food, touching, emotional bonds, a primary, secondary caretaker, risk of neglect, infant, child is increased, parental isolation, lack of parenting skills, teen parents, a caregiver who is mentally retarded, a frequent change in caregivers, occuring in orphanages, foster care, another cause of reactive attachment disorder, children adopted from foreign orphanages, commonly affected, they were removed from birth parents, first weeks of life, child, resistant to social interaction, seeks isolation, difficult to comfort, avoids physical contact, avoids caregiver, indiscriminate sociability, strangers, caregiver, disregard, child's basic emotional needs, comfort, stimulation, affection, disregard, child's basic physical needs, food, toileting, play, a complete history, physical examination, psychiatric evaluation, diagnose this disorder, treatment is twofold, first priority, make sure the child is currently, safe environment where emotional, physical needs, met, once, established, next step, the relationship between the caregiver, child, caregiver has caused the problem, parenting skills classes, skills give the caregiver an ability to meet the child's needs, help them bond, child, caregiver should also undergo counseling to work on any current problems, drug abuse, family violence, social services should follow the family to make sure the child remains, safe, stable environment, parents who adopt babies, young children from foreign orphanages, aware that this condition, sensitive, needs, the child, consistency, physical affection, love, children frightened of people, find physical affection overwhelming at, parents should try not, rejection, a normal response in someone who has been maltreated to avoid contact, hugs, offered frequently, not forced, appropriate intervention, improved, , not treated, permanently affect the child's social interactions, connected, post-traumatic stress disorder, depression, anxiety, psychological problems, this disorder, a parent, prospective parent, at high risk, neglect, an adoptive parent has difficulty coping, a newly adopted child, adopted a child, a foreign orphanage, another situation where neglect, have occurred, child exhibits these symptoms, early recognition is very important, the child, once a parent is identified, at high risk, neglect, parenting skills, followed by either a social worker, doctor to make sure the child's needs, met.