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Last updated: Apr 18, 2025

Understanding Disinhibited Attachment Disorder in Children

Disinhibited Attachment Disorder (DAD) is a condition that affects children, usually as a result of neglect or abuse in their early years. This disorder falls under the umbrella of attachment disorders, which means it affects how a child forms emotional bonds with caregivers. Let’s break down the key aspects of DAD in a simple and approachable way.

What is Disinhibited Attachment Disorder?

DAD is characterized by a child’s tendency to engage with unfamiliar adults in an overly friendly or familiar manner. Unlike typical attachment behaviors, children with DAD may not show caution or wariness around strangers.

Symptoms of DAD

  • Lack of Fear: Children may approach strangers without hesitation.
  • Excessive Familiarity: They might hug or kiss people they just met.
  • Difficulty Forming Close Bonds: They struggle to bond with primary caregivers.
  • Inconsistent Relationships: They may have trouble maintaining friendships.

Causes of Disinhibited Attachment Disorder

DAD often arises from experiences in early childhood, such as:

  • Neglect: Lack of physical and emotional care.
  • Frequent Changes in Caregivers: Moving between foster homes or institutions.
  • Abuse: Physical or emotional trauma from caregivers.

Types of Attachment Disorders

Disinhibited Attachment Disorder is one of two main types of attachment disorders. The other is Reactive Attachment Disorder (RAD), which is characterized by a child’s inability to form emotional attachments with caregivers. Here’s a quick comparison:

FeatureDisinhibited Attachment DisorderReactive Attachment Disorder
Interaction with strangersOverly friendly and engagingAvoidant and withdrawn
Attachment styleInconsistent and superficialInhibited and fearful
Response to caregiversLacks attachmentHighly avoidant

Real-Life Examples

To illustrate how DAD manifests, consider these examples:

  1. At the Playground: A child with DAD runs up to a group of unfamiliar adults playing with their kids and starts chatting as if they’ve known them forever.
  2. School Environment: During a school event, a child with DAD may seek out adult attention from teachers or parents of classmates without any hesitation.

Treatment Options

Addressing DAD involves therapeutic interventions. Here are some common approaches:

  • Therapy: Play therapy or attachment-based therapy helps children learn to form healthier relationships.
  • Parent Training: Educating caregivers on how to respond to their children's needs can foster better attachments.
  • Consistency: Providing stable and predictable care can help children feel safe and secure.

In summary, Disinhibited Attachment Disorder is a complex condition that can affect a child’s ability to form healthy relationships. Understanding its symptoms, causes, and the difference from other attachment disorders can help in supporting affected children on their path to recovery.

Dr. Neeshu Rathore

Dr. Neeshu Rathore

Clinical Psychologist, Associate Professor, and PhD Guide. Mental Health Advocate and Founder of PsyWellPath.