Disinhibited Social Engagement Disorder
About Disinhibited Social Engagement Disorder
Disinhibited social engagement disorder is a condition in which a child who has experienced insufficient early care actively approaches and interacts with unfamiliar adults in an overly familiar way. Children may show reduced reticence with strangers, a willingness to go off with an unfamiliar adult with little hesitation, and a reduced tendency to check back with their caregiver in unfamiliar settings. Like reactive attachment disorder it is linked to severe social neglect or frequent changes of caregiver, and DSM-5 recognized the two as separate disorders in 2013. Unlike reactive attachment disorder, this pattern can persist even after children are placed in stable, loving homes, and it can continue into adolescence. The behavior raises safety concerns and can affect peer relationships. Interventions focus on consistent caregiving, support and education for caregivers, and helping the child develop appropriate social boundaries, alongside assessment for co occurring developmental or emotional difficulties.
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