How Is Reactive Attachment Disorder Treated?

How Is Reactive Attachment Disorder Treated?

Treatment of RAD has two important goals. The first is to ensure that the child is in a safe environment. This is especially important in cases where the child has been abused or neglected. The second goal is to help the child develop a healthy relationship with an appropriate caregiver.

Treatment for RAD often focuses on the caregiver. Counseling may be used to address the issues that are affecting the caregiver’s relationship with and behavior toward the child. Teaching parenting skills also can help improve the relationship with the child and help develop attachment. Treatment may also include play therapy. This technique allows the child and the caregiver to express their thoughts, fears, and needs in the safe context of play.

There is no medication to treat RAD itself. However, the doctor may sometimes use a medication as an adjunct to treatment to help manage severe behavioral symptoms, such as explosive anger or problems sleeping.

Excderpt from https://www.webmd.com/mental-health/mental-health-reactive-attachment-disorder#2>

How is Reactive Attachment Disorder Treated?

How is reactive attachment disorder treated?
Therapy Outside The Comfort Zone

This philosophy is also true in my practice.  The goal for the child is difficult when the behaviors are out of control.  “Loving them enough” is not going to solve the issues.  I believe that it calls for a black or white approach, which provides the structure needed.  Otherwise, the child can be very manipulative and parenting becomes increasingly difficult. *

This is when individuals who are not familiar with the dynamics in a home with children with extreme attachment disorder behaviors show how judgmental they can be.  Other adults  believe there are only certain ways to work with children. Therapists who don’t understand attachment disorder often judge my style of therapy also.  Traditional therapy does not work.

Children often hate me in the beginning of therapy because my allegiance is to their parents and the goal is that the child bond with their parents, not me.  I also do not align with manipulative behaviors. Children need to know that they can trust me to be strong, consistent, and unable to be played.  Again and again, this is with children who fit a certain criteria due to their early attachment trauma.  Children who lack any attachment and/or refuse to allow attachment with their current family. I do not use the same techniques in traditional therapy.

We will continue with more information re: ACE’s – Adverse Childhood Experiences

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