Differential consideration
DSED
F94.1Trauma & Stressor-Related
Why consider it
opposite behavioural pattern; same causal history
Criteria and features to review
- A. Pattern of culturally inappropriate, overly familiar behaviour with relatively unfamiliar adults; ≥2 of: reduced/absent reticence; overly familiar verbal/physical behaviour; diminished checking back with caregiver; willingness to go with unfamiliar adult
- B. Behaviours not limited to impulsivity; include socially disinhibited behaviour
- C. Grossly insufficient care (as per RAD Criterion C)
- D. Child has developmental age ≥9 months
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?