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Diagnosis information
Core diagnostic criteria, specifiers, differential considerations, and documentation support in one open, scan-friendly view.
All criteria are shown. No expand controls or hidden sections.
Core criterion 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Consistent pattern of inhibited, emotionally withdrawn behaviour toward caregivers; ≥2 of: rarely seeks/responds to comfort when distressed; minimal positive affect; unexplained irritability/sadness/fearfulness
Core criterion B
Persistent social/emotional disturbance: ≥2 of: minimal social/emotional responsiveness; limited positive affect; episodes of irritability/sadness/fearfulness during non-threatening caregiver interactions
Core criterion C
Experienced grossly insufficient care (neglect/deprivation; repeated caregiver changes; rearing in unusual settings)
Core criterion D
Care in Criterion C presumed responsible for the behaviour in Criterion A
Core criterion E
Does not meet criteria for autism spectrum disorder
Core criterion F
Onset before age 5; child must have developmental age ≥9 months
Consistent with [Reactive Attachment Disorder] [specifier(s)]. Since early childhood, there have been consistent patterns of emotionally withdrawn behaviour toward caregivers; limited seeking of comfort; limited response to comfort; minimal social and emotional responsiveness; limited positive affect; episodes of unexplained irritability; sadness; fearfulness during non-threatening interactions, forming a pattern meeting the threshold for a traumatised, attachment-related disturbance arising from severely impaired caregiving environments. The presentation is further characterised by a history of extreme insufficient care, including social neglect; lack of basic emotional needs; repeated changes of primary caregivers; rearing in atypical or deprived settings. These symptoms have resulted in clinically significant impairment in social, emotional, and relational functioning, with onset before age five and a developmental age of at least nine months, and the disturbance not better explained by autism spectrum disorder, intellectual disability, global developmental delay, or another psychiatric or medical condition.
Adapt this supplied template to the assessment. It is not a substitute for diagnostic reasoning or local documentation requirements.