Differential consideration
RAD
F94.2Trauma & Stressor-Related
Why consider it
inhibited withdrawal vs disinhibited approach
Criteria and features to review
- A. Consistent pattern of inhibited, emotionally withdrawn behaviour toward caregivers; ≥2 of: rarely seeks/responds to comfort when distressed; minimal positive affect; unexplained irritability/sadness/fearfulness
- B. Persistent social/emotional disturbance: ≥2 of: minimal social/emotional responsiveness; limited positive affect; episodes of irritability/sadness/fearfulness during non-threatening caregiver interactions
- C. Experienced grossly insufficient care (neglect/deprivation; repeated caregiver changes; rearing in unusual settings)
- D. Care in Criterion C presumed responsible for the behaviour in Criterion A
Questions to clarify
- Which documented criteria and exclusions are met for each possibility?
- What timeline, course, and functional change best distinguishes the alternatives?
- Are substance, medication, medical, developmental, and contextual explanations adequately assessed?