Autism, Reactive Attachment Disorder, & Disinhibited Social Engagement Disorder
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- Опубликовано: 2 ноя 2019
- This video answers the question: What is Reactive Attachment Disorder? What is the difference between Reactive Attachment Disorder and Disinhibited Social Engagement Disorder? How does RAD and DSED compare to Autism Spectrum Disorder?
Mayes, S. D., Calhoun, S. L., Waschbusch, D. A., & Baweja, R. (2017). Autism and reactive attachment/disinhibited social engagement disorders: Co-occurrence and differentiation. Clinical Child Psychology & Psychiatry, 22(4), 620-631.
Sadiq, F., Slator, L., Skuse, D., Law, J., Gillberg, C., & Minnis, H. (2012). Social use of language in children with reactive attachment disorder and autism spectrum disorders. European Child & Adolescent Psychiatry, 21(5), 267-276.
www.ncbi.nlm.nih.gov/pmc/arti...
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I was taken at birth and put in an orphanage in 1967. When I was adopted I was labeled as a "failure to thrive" baby. I was very underweight and would scream when touched. About 25 years ago a therapist said I probably had RAD. Unfortunately my adoptive mother was incredibly abusive. I've been highly anxious and withdrawn my whole life. It's hard to feel so broken and fndamentally different from others.
Hugs
Fight, for good interaktions and friendships. With persons you feel safe with. Lol. 💕
Interesting, I also was in a childrens home. I do suspect some of these in myself when I started to self reflect due to repressed memories making me extremely ill. I am seeking help at the moment after learning that lack of will to live is very deadly, I certainly had an abusive mother too who only fosters kids for money.
Thank you for this!
Interesting as I've always thought I was on the autism spectrum, and that's likely incorrect. RAD and DSED are a new-to-me way to describe myself and the wide range of left over issues created by a traumatizing and isolated childhood. Because I've invested myself in tracking back through, unpacking and correcting the original bad programming, these conditions are improving with a lot of time attention and energy. I am begining to recognize and heal these schisms in myself, as an older adult. Not surprising there's little literature on RED and DSED in adults.
i have it too.
Hi to anyone who reads this🙂
I'm a 34 years young aboriginal Australian woman and i would like to share some of my story.
So my mother walked out of the hospital after giving birth to me and never looked back so there for I was immediately put in the system. I was put through so many Forster homes and what they call group homes for kids under the age of 12 here in Australia and I was also sent to my abusive family members at times if they couldn't find a placement for me and to be honest I think my family did most of the damage as I can remember most of the abuse and neglect. Obviously over time I developed RAD,"reactive attachment disorder and I'm currently being tested for autism as well.
I'm currently doing mindfulness therapy and it does work at times but is still hard for me to function some days but I'm still here and still fighting.
Seeing this clip has taught me a lot about myself and my diagnosis as I never really understood it but I'm starting to understand now how much it really has effected me as an adult and its not my fault it's just the way my brain was wired as I grew into my adulthood. Thank you for your knowledge and insight for these rare diagnoses.✌🏾
God Bless you for staying positive. Jesus loves you
love your story. i'm an american who's been living in australia for 9 months now and i have so much admiration for the aboriginal community and so much respect for what they have been able to endure.
Thank you for sharing your personal painful story. You are worthy, a beautiful human being, and you have huge love to share your story so that you and others may heal. Sending you hugs and positive energy for your continued healing and growth. Life is a gift, I hope you will continue to grow in your love and awareness and have a full, wonderful life. 🤗🤗🤗🤗🤗🫶💖❤️🕊️💐
Just want you to know how deeply sorry I am that you experienced this trauma, and happy that you are understanding more it's impact on your life and you are receiving therapy. Keep sharing your story, as you are helping others acknowledge their own trauma. Grieve your trauma whenever you need to. Continue to seek therapy to help with restoring that which was taken from you, and know without a doubt that Jesus is the master of putting broken pieces together. You are his Precious child. Allow him each day to make you stronger on this journey of restoration and healing.❤😇
All I know is that the effects of childhood emotional neglect can last for 79 years.
Damn well thanks to my parents I’ll be in therapy for the literal rest of my life .🫠
The one thing I'm certain that I've learned while watching the videos on your channel these past several months is that there's much, much more to your profession than I had previously imagined or realized or understood. And so I expect to always regard psychology, counseling, and mental health centers with a renewed perspective. Thanks, again. (I guess I've always looked at
psychology more as literature and philosophy, without being fully aware of the bias in my assumptions.)
So did I, JP! So did I! #literature #philosophy #psychology #reactiveattachmentdisorder #disinhibitedsocialengagementdisorder
I'm concerned with the lack of reference to childhood trauma within a home setting or Foster care. Children who have experienced domestic violence for example can go on to develop RAD not just children in institutions.
Neglect, as well, at home or foster care. I am pretty sure I have RAD due to neglect and abuse from parents and foster carers.
Yes, @Laura Gilliam. I work in CPS and see it frequently. None of my kiddos were institutionalized.
@@Griffindor1955 my friend works in the foster care system. She told me RAD is really common, and one of the reasons kids wind up being "sent back".
They never bond with the new family. It can be really bad with sibling sets because they have their own little family within a family.
It's not that rare.
there's too many disorders with overlapping presentation to say just any child that acts out has RAD. It needs extensive assessment to know what disorder is happening. The cause of RAD is absolutely no one, not one parent, meeting the social and or physical needs of the baby. Usually in domestic situations at least one parent meets the needs, therefor it would not cause RAD. Every disorder is more than just the symptoms, you have to look at the root cause.
At least he admitted he hasn't worked directly with this and only knows of it through institutional supervision work. I do think it can happen to any severely neglected child. Good point
I was stuck in nursery school, daycare, preschools, just always with strangers almost all the time. It took me until I was in my 30s to realize I could pick my own friends. It was an epiphany rather than just something I knew from childhood. My home life was not good so this added to the isolation. Then due to the bad stuff at home I acted out and started being made fun of.
All this sucked the energy out of me and I just ceased to be able to think clearly, or see people clearly. Red flags were ignored, more bad things happened.
I was never diagnosed with Autism but an anxiety/panic disorder that is very severe and ptsd with moderate to severe depression. Essentially I was diagnosed with being abused as a child.
Oh wow, I rock a lot. I was told it was to comfort myself because I never was comforted as a child, at least not properly. Bad memories but only flashes and the emotion so I cannot tell what these memories are of exactly though I know what they are about.
I did have a long time(still working on it) where I felt as if I could not say no to people and I was in many dangerous situations due to this weird compulsion. I would have an instinct not to trust these people but just could not say no or turn them away.
Now I do not trust anyone. I have been betrayed by almost every single person I loved or cared for and to allow myself to trust again is just too difficult
You want to see what having little family, being abused and never having emotional needs met just look at my channel
Thankyou for commenting.
I hope you feel better everyday! It may not feel like it....but you are healing, progressing & moving forward! I’m truly sorry for your pain😥Channels like this one help me a lot. Along with Dr Carman Bryant overcoming narcissist abuse RUclips Channel. The most important person to trust is Yourself❣️
I am so sorry about all this, how excruciating. Sending you sincere warm hugs and higher love that hopes to support your best interests for your needs and life growth path. May you be blessed with truly loving, stable, caring people on your path.
I tried my hardest to explain to my friend she needs to have her daughter see a doctor due to how FRIENDLY she is with everyone. She will hug a stranger and tell them she loves them. She will go to ANYONE for love, attention, something... it is heartbreaking to see children deprived of genuine care and love. Narcissistic parenting is on the rise and it genuinely is sad when you see the truth of it.... The way these parents will speak to their children.. Acting like their every need is annoying.. Makes me mad
Thank you so much for talking about this. I watched the video two times, because I had never heard before of RAD and DSED.
I do work sometimes, in being a Remedial Teacher, with children who have been diagnosed with a combination of Autism Spectrum Disorder, ADHD and the learning disability Dyslexia.
Also a very few times in my career I have teached children, who had been diagnosed having dyslexia together with a Conduct Disorder or ODD, but not often!
So it was very interesting to hear this video and I have learned again some important information from you Dr. Grande. Have a good new week doc 😃🇳🇱
Today is the day I binge watch you ! Love your content . Always compassionate & fair
This is great! I’m an Aboriginal and Torres Strait Islander Health Worker, in Australia. Some of the First Nation children that I deal with, on a cultural and social level, have these disorders. I’m enjoying learning as much as I can. Thanks!
My therapist and I strongly believe I had this and still have RAD but it isn't diagnosed in adults and if I had had the kind of parent who would've taken me to therapy as a child to diagnose, I wouldn't have it. By aunt raised me from 7 on because my mother was a drug addict, neglectful and physically abusive. My aunt stayed emotionally distant from me, thinking it was the right thing to do so that I would bond to my mother. I bonded to neither and no one. I'm 35 and I still feel distant from others and hate being touched. I can say from my experience why I know I'm not autistic; I'm very adept at analyzing human expressions and emotions so I can predict if I'm going to be abused or ignored or loved. I feel strong empathy but can shut down empathy if I need to, and the choice is subconscious.
Thanks for the video, Dr. G. More video on ASD would be awesome.
Perfect timing if I can get people to listen and be logical for others . You are so to the point with your facts , thank you kindly God bless your Sunday .
Best psych channel on RUclips. You just keep coming with interesting content. Thank you!
How can they say a kid can't be autistic and have R.A.D? What if a kid who is born with autism and would've had it no matter what, because of their genetics, happened to be born into a neglect situation? They can't actually have both disorders, or they have them but it's impossible to pick them apart, so psychologist don't attempt to? Would that be considered environmental autism in that case?
We adopted a baby who is on the spectrum and has RAD, That is a fact!
I've read.research the correlates rad with autistic features that naturally would occur in a setting where typical social development was impaired.
do a google search for coventry grid and read the research on it. It is a way of differentiating autism and RAD that was developed in the UK and has quite a lot of research behind it. The UK does have a specialist clinic to assess this stuff in borderline cases, but in reality those that really need it are not sent there. Autism people see autism, attachment people see attachment and nothing else. It is possible to have both and the UK clinic does see it, but it is also quite rare and takes a long time to pull apart. It is not something you are going to pull apart in one or two sessions which is how diagnosis typically takes place and really looking in depth at the environment stuff is hard and complex. The coventry grid a brilliant place to start and not used nearly as much as it should be, even in the UK
@@belindajane5083 Why are British people so much more enlightened about autism than Americans are?
@@Melissa0774 I'm not british I'm Australian!! Having said that I see some good things about Autism come from many different countries, if only the world could find a place to put all the good together. I only found out about the conventary grid a few years ago and was shocked at how long it has been around, the level of research on it and the lack of knowledge of it and use anywhere else in the world.
I looked this up because my little sister was diagnosed with RAD when she was little. We did grow up in an abusive home. Our mom's older sister took me in as a teenager, but I honestly think we should have all been removed years earlier. I'm surprised that neglect is in the criteria, yet nothing was done to help us.
She's an adult with children now. As an adult she has CPTSD and has struggled with addiction.
Canadian psychiatry resident studying for my Royal College exams. Very helpful, thank you!!
I've never heard of RAD and DSED until now. Thank you for making this video.
Very complex material effectively laid out and explained with solid structure and precise articulation.
Keep 'em coming, Doctor. And, ... Thank You.
I’m autistic and also have RAD. I was severely abused by my mother. Physical abuse, sexual abuse, neglect, emotional abuse and witnessing abuse of my siblings. It was difficult obtaining a diagnosis because there was so much overlap. It’s been extremely challenging for me to cope but I’m glad to have the correct diagnosis.
hi same ive not seen another person being diagnoses with both hi
So everyone is aware, Autism presents itself very differently in women/girls. What Dr. Grande was describing as Autism is the typically male presentation.
Listen to that statement: "You cannot have co-morbid RAD and autism." So, basically, they are claiming that either autistic children never get neglected, or that if they do, they will not develop a reactive attachment disorder, because, I mean, they're just immune, I guess. That sounds ridiculous to me. Later he concedes that they CAN be comorbid, but claims that autistic children rarely have a history of neglect. WTF! So autistic kids are just so freakin' adorable that no one would ever neglect them? Or autistic children are never born to uneducated, poverty-stricken, or drug-addicted parents? Or because they wind up institutionalized after the first year with the neglectful parents, that first year is not an issue?
Are you sure this is what he is actually saying, or were you only half-listening?
I agree with you @fancynancy
Autistic children are more likely to be neglected and abused. More likely to be rejected and not have peer support. There certainly have been autistic children who have gone through foster care. So how can they not develop RAD? Or any attachment disorder for that matter?
My child, adopted, was severely neglected from, 0 to 22 month, meets all 5 criteria of RAD, but only shows minimal signs of Autism. Food textures, running but no arm movement or staring at fan or rapid movement.
That's rubbish as both my kids have it and they've had a stable good upbringing
Ur wrong as he states kids who have autism are NOT USUALLY NEGLECTED
@@lexi777delux4 "more likely to be neglected and abused"
Thank you Dr. Grande for explaining such a complicated topic. I could read books on this subject and still be completely lost. Hearing your understanding is like the difference between reading on book on how to drive a stick shift, and actually doing it. Thanks again.
Thank you Dr. Grande for your analysis of these three disorders, in the way that they differ, overlap, and exclude each other. Apart from your interest and expertise in personality disorders, you have great ability to teach (and supervise) psychopathology. Cheers.
Thanks, Dr. Grande. you've a gift for making tricky topics easier to understand.
Dr. Grande you sure are good at teaching.
Best opening ever! Good job!
The students under your tutelage are lucky! Good job!
Fascinating video! Very well explained. Thank you
Could you also talk about Rejection Sensitive Dysphoria ? and how (also why?) common it is for people with ADHD ?
Thank you for the video, never heard of these disorders before, really learned something tonight!
I must read up and that.I have not shaken that from my youth and still carry a lot of exccess baggage in that area .
I had never heard of that
What’s crazy is I am suffering from all three and I just don’t know what to do with this information or how to covert it into a plan with my therapist
Another very interesting topic Dr.Grande !
Learned a lot from this vid
1. If twins have a high likelyhood of disorder occurance there is a high chancs of genetic causes
2. To be considered a distinct disorder behavioral/emotional patterns must be stable of time and distinguishable from seemingly similar disorders
Thank you I always very much the enjoy the lawyer style precision of your videos. It cuts things clear
Wow, this video was insightful. I'm pretty sure I have RAD along with DSED although I thought I might just have ADHD. I grew up through so much trauma that I feel my coping mechanisms have made my life extremely confusing and scary, even after the trauma phase had more or less ended. I'm either in my shell or saying too much, I'm always overthinking about what I'm saying because I don't realize I'm acting weird although I can tell others think I am or I'm just talking without thinking which gets me to the same result, I regret things I've done based on an over-reaction because those moments have gotten me into scary situations and I've had trouble keeping long term friends since I see things in such a different way that I sometimes forget they care about me so I should remember them when I'm living my own life. It's so hard to understand things when you're constantly avoiding humans, because you don't trust anyone yet you also quickly trust others who seem trustworthy, even if you know you don't know what that means so you just end up trusting the wrong people. 🤦🏻♀️ I've grown through so many years acting like I'm fine or I'll be okay, but I'm finally open to facing the music. I'm 35 and I've gotten to a point where I wasn't sure if I'm just struggling with ADHD, CPTSD or any level of ASD so I'm now working with a therapist. She mentioned RAD to me in our first session so I'm really hoping to find balance as time passes.
I was diagnosed with ASD when I was 40. Prior to that, I'd always blamed my lack social skill (or emotional quotient, however you want to call it) on the fact that my parent was career military, and we ended up moving to a new town every few years. I just chalked it up to "Kids are monstrous people, and are very Lord of the Flies to new people." and since I was a new person so many times, and I knew that getting to know people at the new location would just lead to heartbreak in a few years. That explanation never really felt right. Or at least, it never felt complete. When I learned what ASD really was, I put aside the above explanation.
In your RAD criteria group C subsection 3: could moving to a new town every few years meet the requirement?
Also, RAD criteria D requires that the criteria C situation had to precede the behavioral changes. Given that neither I nor my parents have clear memories of the specifics of my behavior that far back, how could one properly evaluate the timing? I'd be curious to know the answer just as a general thing, but I admit that I have a personal interest in the answer. Can we
I'm so grateful for this. I'm still confused but need to really delve I to this. My child was diagnosed at age 3 for ASD but I am not certain. We were honest about an abusive caregiver and about emotional neglect but the psychologist said that didn't matter. Lol Maybe a miscommunication...but I was wondering if it was not ASD or perhaps a coexisting issue. Which makes no sense to me because I had already learned about Attachment Disorders but she was dismissive about it and uncomfortable. She said they would be treated the same. We heard that also when we asked about signs of ADHD later on. I feel it's so hard to get solid answers anymore.
I don't feel this is that rare. I think it's just not noticed much. The sad fact is many victims of abuse and neglect in childhood have less chance of survival and also are many times unaware of their problems. It's not like most cases will involve parents reaching out to get help if they are already insufficient. Most people I know have been raised in an abusive or negligent environment.
Dr. Grande, or interested viewers, there was a very interesting case of RAD in a National Public Radio ( or local affiliate) story. I think the broadcast was early this year or possibly last year. The child, I believe, is a Romanian orphan adopted by an American family, and it was an in depth interview going over the whole arc of his life with his adopted mother. I found it compelling and really educational. Heartbreaking...yet hopeful. Maybe this broadcast is archived, or published in transcript form.
You are kind to comment. Thak you😊
I checked, it is *This American Life* #317. Originally broadcast 12/12/2013... from Chicago WBEZ. I must have heard a rebroadcast years later.
You are like always best in explaining! Thank you so much
Rare instance wise or just rarely diagnosed? Neglected kids don't get evaluated often, I would think.
Reactive attachment disorder is highly controversial. It has overlaps with c-ptsd, depression and avoidant attachment. It is actually rare and it is good that not a lot of people diagnose it.
The problem with this diagnosis is that if you get along well everywhere, but your home this is not seen as a sign that you are abused in your home, it's seen as you being manipulative. I had a narcissist as a foster mother who sa me from when I was 7. I had connections outside of my family and I can bond to others. I just didn't bond to her, because she s... abused me. My reaction was normal to what she was doing.
She was convinced I had RAD, because I didn't connect with her. I just had ptsd from the abuse, was scared of her and hid in my room as much as possible.
Btw my real parents didn't abuse me, they just died.
This diagnosis is used a lot by abusive and narcissistic parents to cover up their abuse. They can claim something is inherintly wrong with the child, so that people don't realize it's the childs normal reaction to the abuse they suffer. A lot of the times the children were just neurodivergent, depressed or had ptsd or were trying to hide from their abusers like I did.
How does DSED manifest in adult children who had it?
Great treat on a Sunday night to get a notification!!
Could you do something on Pathological Demand Avoidance (PDA)?
Yes this.
What is it?
... I have to listen to THIS again, just to appreciate how it gets interpreted...
I often listen more than once!
Really interesting. Sounds like the younger me to some extent. I have ADD
Thank you for this video. It's a really interesting topic. I'm familiar with autism and somewhat familiar with RAD, but not with DSED. It's really unfortunate there's not a lot of research on adults with RAD and DSED--yet another way sufferers have been neglected. I'm surprised that RAD currently can't officially be comorbid with autism, although evidently, there can be all kinds of changes to the conceptualization of a diagnosis across time. RAD is associated with institutionalized settings, and there is a history of autistic children and adults being institutionalized. It seems like there would be opportunity for comorbidity to occur.
I did want to note that for autistic people, stereotypies absolutely do serve a purpose. They're best known for being self-soothing, but can serve other purposes as well.
thanks for this ive been diagnosed with autism and rad this was quite helpful for me thanks
This is striking home for me.
Just recently learned of RAD.
I was primarily raised from around 18 months to almost 8, by a narcissistic, OCD, and generally vial stepmother.
My mother was rarely around, a weekend ever few months, maybe 3-4 times a year, she was emotionally distant as well.
Exceptional dissemination Dr G.
Glad you mentioned the possible overlap.
From subjective experience and observance in general, this is a sufficient discussion.
The effort of your work resonates towards health for everyone in some way or another; myself also. Excellent!
I wonder if Cataphasia fits in here somewhere__
Anyways, thanks Dr. Grande.
@3:35 = Speech Pathology for Children, can give helpful WORK EXPERIENCE in terms of why they're afraid to speak for themselves. (( for instance... I could never pronounce VOWELS and 'H' correctly to English Language Aestetics.)) ... It's a Nightmare for these kids to express themselves, because you may have an angry adult that wants to OVER CORRECT to the point - that one must be PUNISHED into silence.
If you want to study a grown adult with rad or whatever it would be now in an almost 30 year old, I volunteer to be a guinea pig lol my childhood as a ward of the state is a psychologists wet dream lol I was diagnosed with rad while I was in care, now I'm treated for PTSD and adhd but nothing really fits. since you're saying it's unknown and all.. I came here researching autism for my toddler but instead I'm having flashbacks with seeing way deeper in my past than I wanted to, so thanks for that 😂😭
Sorry to hear about your childhood. A detached person can’t teach attachment. This is what’s seen in MOST autistic children - DETACHMENT. 🙏🏽🙏🏽🙏🏽
Does RAD eventually turns into a personality disorder in adulthood if untreated? especially SPD, BPD, and NPD?
Of course there is a connection... as you could hear, there are certain comorbidities and I would not be surprised to see RAD shifting to Antisocial PD, especially if the child remains in a hard social situation. The trauma interacts with children’s potentials and risk factors, and an introverted child may develop an Avoidant PD or Schizoid PD...
But when you start researching or working you see how complex the reality is. You almost never see just one disorder. I found a case study of RAD, and this poor kid was diagnosed with like 5 different disorders when 2 yo, plus put on a lot of meds.
there's no studies for beyond early childhood to tell
Usually cluster B personality disorders
@Rynnie Which personality disoder did you develop?
@Rynnie BPD is one of tve most misdiagnosed personality disorders, I tend to second-guess anyone who says they have it (and manh admit later they found out their problem was elsewhere, like you did).
Not to contradict you, but I have found that you cannot have SPD and cluster b or c disorders, at the same time. You can have autism, though.
Did you check to see if you were gifted?
I really love your videos and greatly appreciate how clear and objective all of your analysis' and thought process' are. Your content is as refreshing as it is informative :-)
You have talked about weaponizing diagnosis' when talking about ethics before in some of your videos but I was wondering if you would consider doing a video at some point about if a clients family is the one weaponizing a diagnosis, or using the treatment itself, to stigmatize and abuse a patient? I personally have considered looking into finding a therapist in the past but decided against it because of this exact issue (I have been happier, healthier, and more functional ever since I stopped getting therapy and taking medication because I stopped accepting abuse and started taking better care of myself instead, though that was a long time ago).
While I don't have any urgent need to seek out a consoler right now I have thought about it at length and feel that it could be a good thing for me to at least have someone to talk to and get help from if its needed so that I can remain functional (or even better be even more functional than I am now). I am, however, honestly rather scared of getting counseling of any kind because I am afraid that I will set myself up to be stigmatized and abused by family members again by doing so (and even more afraid that could end up jeopardizing all the progress I have made lifting myself out of that over the years and building myself up beyond that). The idea of trying fills me with dread that my family might fanatically try finding ways to contact my therapist, or constantly ring his/her office's phone off the hook trying to get a foot in the door hoping to get my therapists ear to convince them I'm a monster and they are a victim. When I think about it rationally I know that a lot of this probably is just intense anxiety and fear of giving therapy a chance again on my part (it has been almost a decade now) but when I weigh the risk versus the gains in contrast to my current need to even go there hasn't been enough reason to convince me to try it again.
I simply am just afraid of family stigmatizing me and weaponizing the fact of me seeing some kind of therapist as an excuse to be verbally and emotionally abusive towards me over some petty power struggle or just because they are in a bad mood and need someone to beat up on. I don't really have anyone to talk to that is knowledgeable enough to actually offer me meaningful advice or constructive guidance when I am overwhelmed and don't know what to do. In my family you don't discuss your vulnerabilities or fears to anyone unless you want to want to be picked apart but bottling up isn't healthy either though so I basically don't really have any options... which is why I wrote all of this haha. :-)
Is there any advice you could have for me? Maybe even a video on these issues altogether would be something amazing but anything is appreciated. :-) Thanks.
I think a friend of mine in college had this. He spent the first four years of his life in an Indian orphanage. He was a very troubled individual, had been diagnosed with autism (in the early 90's) but didn't seem anything like autistic people I have known since.
Thank you sir.
rad / dsed are also common in children who bounce between divorced parents at an early age, kids in foster care, and kids with emotionally and / or physically neglectful or abusive parents; even if they’re around physically in the child’s life, they are not meeting their needs
Tysm for this
My daughter has ASD and SPD and my son has PTSD dyspraxia and dyslexia
What’s truly sad is he is very loving and is aware of the dysfunction and confusion around him 🕊
I work with young adults with ASD + challenging behaviours. I'd like to hear you talk about ASD + ODD + PDA x
I was thinking the same thing. I want to know the DSM5 code.
Lol good luck as PDA isn't a thing in the DSM5 even though it is a thing unfortunately.
Dr Grande-can you do a video on NVLD and Selective Mutism? I suffered from this my entire childhood, teen years and early adulthood.
I also enjoy your analysis of famous people and criminal cases. A couple of books you might enjoy (maybe you’ve read them): “And I Don’t Want to Live this Life” by Deborah Spungen and “The Eden Express” by Mark Vonnegut
Thank you and be well! Jo
Can't wait to listen...I have a RAD child myself.
You must have failed your child then.
@@mikey3666 ???
@@mikey3666I adopted my daughter
@@lusalmon955 It lends to confusion when you say "I have a child", since that is usually said of biological children.
I hope you two were able to build a bond, or are going in this direction.
A police officer arrested a man for a petty crime and was booking him into the jail when the man touched the officer. He had a big smile when he did it, but the officer warned him to keep his hands off him. A few moments later the man did it again. The officer picked the man up and smashed his head in to the wall. The man went into a coma due to brain trauma and died a few days later. He likely had RAD or DSED or both.
I’m not sure if it’s RAD he had, but there’s probably a history of abuse there. Autistic /ASD children don’t like to be touched either… not all tho
Dear Dr. Grande, many thanks for this video. I meet the criteria for RAD, which also has been confirmed by the psychotherapist. I was diagnosed back then with ASD(Aspie) and I never heard of RAD, but considering my extreme childhood it's obvious. I believe, that working on my fears is the way to make most out of my life. Can you suggest methods/treatments that I can follow/undergo so I can rule out that I don't have aspergers but only RAD?
Hope you figured out they’re the same thing by now so as to not waste more time being confused about why a dozen years after the sequencing of the genome they’re still looking for the cause. Emotional neglect is behavioral, so autism’s not “genetic”. It’s past time to call bullshit on that
The best therapy for fears and threats is a combination of ERP, DBT skills, and ACT. Any OCD clinic (you don't have to have OCD) will have this therapy available.
My adopted son is proof of autism and RAD being co-morbid. Must change criteria!
What do you think about the comorbidity of RAD/DSED with PTSD? I have saw a lot of clinicians do this, or PTSD exclusively due to an overwhelming amount of knowledge on treatment options. Many clinicians that have worked with children (with whom I previously worked exclusively) saw the etiology of RAD being a product of trauma, thusly justifying their diagnosis. Would just like to hear your thoughts.
Maybe the reason the DSM doesn't want you to diagnose both RAD and autism is that part about the symptoms of RAD starting after the neglect. If you're studying children in foster homes, maybe not enough is known about how they actually were before the abuse and it seems like you could also have autism and then have new symptoms of RAD that starts after the neglect. Anyway, they should also do a long-term study on a cohort of children with these disorders to see what happens when they become adults. That would probably be insightful because I'm sure there are people who managed these problems and made it into adulthood without getting any treatment.
The study is incomplete. That’s why. Not every autistic kids STIMS. Most don’t now which is weird. Before they all did.
Please, could you discuss how is autism can be successfully treated, if at all, and also, can an adult be treated for autism when he/she has been undiagnosed their entire life ? Thank you.
Dr. Grande would you talk about irritability and
Anxiety vs fight and flight, and how to fix them.
I can't remember where I saw it, but I watched a RUclips about how some children separated from their parents at the border may be exibiting these disorders. It disgusts me and should never happened to innocent babies. 👎
Questions:
We are talking about early childhood neglect here, so early trauma.
Some of us are born in the kind of violent families where there really is no "before the trauma happened" to compare to. I am sure many in that situation end up wardens of the state, just like I did.
We really wouldn't know what caused or didn't cause certain traits because it developed at such a young age though..
Diagnosing someone with Autism can become difficult with someone who experienced very early childhood trauma as well as there might be multiple reasons why someone might display certain unusual behaviors.
It could easily be considered trauma related without anyone actually reasonably knowing what parts are due to trauma or not..
When children are diagnosed with these attachment disorders, and then grow up, if they are still having the same issues, are they now classified as being on the Autism Spectrum?
Does being an adult whose issues didn't disappear with their 18th birthday mean they were misdiagnosed?
Should someone who was once diagnosed with something like this, who has kids who are on the Autism Spectrum get tested for Autism Spectrum Disorder themselves, even if the DSM says they can't be co-morbidly Autistic?
Are attachment disorders inheritable?
Are these disorders and Autism related?
Do people with attachment disorders have same sensory issues that most Autistic people have?
Are attachment disorders curable/treatable?
Detachment is environmental and can be passed along because it’s learned. First it’s learned, then it’s passed down, like abuse…
Your questions are very insightful, and my experience with ex-partner who is now considered autistic as an adult, is they can act out violently when their social and language faculties are impaired. But his parents used violent corporeal punishment in angry reactive manner, so that is abuse. I now see concretely the social, cognitive, and emotional impairment in his parents and their highly co-dependent and somewhat abusive relationship. The father has typical autistic awkwardness, physical incoordination, but also more severe intolerances and avoidance of most social settings and events. He has hyperfocus in one specific subject (American history) and literally no functional interest in self care or participation in home responsibility like housework and parenting. The mother is very ADHD hyper and socially aggressive, in your face, and demanding. She lacks self-awareness and has much entitlement in her attitudes. She has some cognitive challenges and no intrinsic intellectual curiosity. Comes off as lazy and complacent in life goals but will work her tail off at a job.
I do much reading and research in neuroscience, which shows that human brains are not fully developed until ages 26-28 years old. Persons with ADHD/ADD have slower growth in prefrontal cortex and regional integration, so age 40 is when these individuals reach near equivalence in executive function, or at least their executive function attainment levels off by then.
Every human is complex and has unique needs. Even the "best, highest functioning, most successful" have their own dysfunction and personal struggles.
study elementary school students that went through foster care (from parental neglect) and then adopted....RAD when early evaluated such as entering school...
Any studies about the correlation between RAD and Narcisistic Personality disorder? what are the txts?
What's your take on Echolalia?
Power Matrix - How To Master The Dark Arts what do you mean
Could you tell ANY stories at all about cases where people with these disorders recovered? As a mother/step-daughter and ex-wife of people with Autism, narcissism, OCD and Borderline Personality I need to start hearing more about hope. Or am I doomed to have a child who is incapable of acting right in any of his relationships? BTW, I have a heavy case of ADHD which has been my saving grace since I often forget how these people have treated me and I always revert to being friendly and helpful.
How often is r.a.d. misdiagnosed for a.d.d.? Would a child/adult who considers attachments or bonding to a caregiver/parentsto be weird or uncomfortable have something to do with this? Would r.a.d. also qualify? What about embarrassment to be associated with carrgiver?
What are the sort of therapies and parenting approaches used for those with ASD? What would someone with ASD need to do to improve eye contact?
Would lack of interpersonal and social distance apply to social engagement of those with ASD although this feature may not apply to all with ASD. Thank you for the video - learned a lot.
No you don't have to force someone with Autism to make eye contact. To me eye contact feels almost painful. I look at the spot between people's eyebrows and people think I am making eye contact.
Dr. Grande, Many children experience onset of disruption of development beginning after age 5. Before that development was relatively normal and nurturant. After age 5 some variety of social abandonment and abuse occurs. What adult disorders does this cause? Is there any clear research literature? Can this result in milder forms of RAD and DSED?
Oh, but when those diagnostic units were defined, the proposed etiology for autism was not so different ("refrigerator mother"). The exclusion of comorbidity seems to be a carryover from that era.
What is it with the neurotypical obsession with comfort anyway?
Hi dr grande . Am from india ..its been 2 months my loving one had been suffering from prosecuted delusion.& he has very strong belief that someone in his office or the whole office staff is against him and some conspiracy is going on there in his office and something bad is going to happen that had never seen before by the family and no one can do anything to save and tackle the situation. And its very hard to see him in this situation in that pain and fear.
I need 3 answers pls reply
1. How to convince him to go to a psychiatrist and stay on medication throughout the treatment.
2. Are there side effacts of medicine. How to deal if such things happen.
3. How to be in conversation with him on topic like ..lets go for a walk , lets do some meditation or yoga,going market and doing stuff that divert his mind.
Thnk you dr i am eagerly waiting for your life saving reply.
Could PSD be a half way mark between ASD & RAD?
Is it true that RAD is evident in an MRI scan of the brain? Can autism also be seen this way?
I would love to know the answer. I know autistic children w/ no history of autism sometimes get a neuroPsychological. Not sure of the name.
is there a way to volunteer for studies?
Can an adult have RAD? Or is it one of those pediatric things?
I've read of a higher rate of attachment disorders in preterm infants or infants exposed to nicotine and alcool during pregnancy. Is it true and...why?
How can "inhibited" and "disinhibited" occur comorbidly?
Maybe they alternate between them?
I believe that I have disinhibited social engagement disorder if anybody has any information on that, I would appreciate it. I'm just trying to find links to heal myself. Thanks
@4:30 = Did you describe the plot for 'The Sixth Sense... ?' (( Bruce Willis plays 'you' as an Actor... and some character will end up playing Haley Joel Osmant, and soon learn that everybody has a BACKSTORY that folks want to sweep under the Carpet.))
Disinhibited Social Engagement Disorder presents in adults as myself.
Can RAD potentiate a personality disorder?
Can RAD lead to DID?
I need some advice tbh... Ive felt completely alone since I was approximately 13. My mom's schizo. My dad's dead. And all of my family has lived states away my whole life. I literally grew up in fostercare from 5-18. Its like... This constant headache where I'm between irritation, sadness, and just general nervousness around people. Sometimes to the point where I'll start getting aggressive just to get away from everyone. This has screwed up so many of my relationships and I'm scared I'm gunna die alone bc I keep repelling everyone just trying not to get attached to people and get hurt anymore... And I'll have mental breakdowns where I'm about to cry but I really just... cant let it all out. Like it feels like there's alot more tears pent up. But a few of them come out then my brain just stops and I start to zone out, thus making it alot harder for me to really just let everything out... What do I even do? I tried pursuing my passions. Just... They started to feel hollow and empty.
Seek help. Talk it out to a professional. 🙏🏽 for you.
Thank you for that. Actually doing much better now but it never hurts tbh
Hey Todd, I just found this channel after watching Kati Morton, and being extremely frustrated with the videos I watched, in both their content and delivery.
Kati has a tendency to talk about topics she seem to know very little about and taking very poorly studied subjects and throwing it out there as a "real" thing ahead of time. In her video about sensory processing disorder, she states that she, and others in the field think it should be in the DSM as its own thing, and not just as a part of autism, where it's properly linked, and now included in the DSM.
I watched her video on autism, with the title "High Functioning Autism", which in itself is fucking obnoxious to read, especially considering that most autistic people, and most people who are up to date with information about autism (especially considering that the findings surrounding autism have been progressing quite a lot in just the last few years) think functioning labels are harmful. I know that I heard you mention it in a video of yours too, but you at least described it more as "autism without intellectual disability".
I can't stand how Kati delivers her information however, and I would really like someone like yourself to dig into this a bit, because I quite honestly think what she's doing is harmful, and spreads a lot of misinformation. She never states her credentials on the subjects, and she often says that she "read up on it" as if she was just some random youtube who read up a bit on a subject and talked about it, and not someone who presents herself as a therapist.
She has a tendency to talk about her subjects in an "us with", "we with", etc. Which, for what I hope is obvious reasons, is quite obnoxious.
I'm just a minute into this video and you've already stated what you have, and don't have extensive experience with, so that people can take certain parts of the information you deliver with a grain of salt, or without drawing rigid conclusions.
I'm autistic, and after watching a few of your videos after almost getting a panic attack from Kati, I've calmed down a bit, so thanks for that I guess.
In any case, I wish you could do responses directed a bit towards her, but I would understand if you wouldn't want to stir things around.
Tbf after watching a lot of this guys videos, he isn't great on autism either. He is very stuck on the male presentation of autism that he was likely taught in university and that he would have seen most often early in his clinical career, and he gives credence to outdated theories of autism, like the extreme male brain theory. There's not really much excuse for that in 2020. The reality is it's very hard for clinicians to stay up to date with the rapidly changing world of psychology, and so any one person claiming to have expertise over such a broad range of disorders is going to end up missing the mark fairly often.
@@TheDundeeBiscuitLuvU While I generally agree with this, his way of presenting himself and his arguments doesn't make it feel like he's reading some blog post. That's pretty much what Kati does with most of her videos, and that's on pretty much every subject.
So if a kid has dsed, what then? Whats the course of action?
Would love to know. It's a hard road to walk. No real answers for our household. Our child Has dsed, but I also strongly suspect FAS.
I have aspergers and for some reason I have found myself mentally distancing from my girlfriend. Is this an attachment problem?
Fearful-avoidant attachment style
Hi Doctor Grande. What is your take on gender dysphoria? I believe it is dangerous to suggest health professionals to go more with their experience than then recommendations in the DSM manuals because in our specific case, there is a lot of misinformation and flat out lies about transgender people and gender dysphoria that any therapist (especially religious ones) would be inclined to use this bigoted misinformation to mistreat and mislead a transgender person away from transition which is ultimately detrimental to our health as it has been proven in recent studies.
Thank you!
Official numbers of psychiatric diagnoses (1840-2014) *
Year diagnoses (number of) made in/by Country/institution name of class. system
1840 2 USA, population census
1880 7 USA ditto
1917 22 USA, AMPA
1934 22 USA, AMPA
1948 26 WHO ICD 6
1952 26 USA, APA DSM
1968 229 USA, APA DSM II
1968 26 WHO ICD 8
1978 26 WHO ICD 9
1980 311 USA, APA DSM III
1992 ? (sic) WHO ICD 10
1994 395 USA, APA DSM IV
2013 374 (?) (sic) USA, APA DSM 5
* taken from: Finzen, A. (2019) Normalität. Psychiatrie Verlag, Köln.
If your mom never made you feel better when you got hurt then you probably have RAD.
I disagree that someone who has autism hasn't faced social neglect, kids with autism who grow up in state care are often socially neglected and even abused well into adupthood by others for things they don't understand. As someone who grew up in the foster care system, who has more than one family member who has been diagnosed with autism, I feel the way RAD is thrown around then thrown out when you are an adult is a bad cover state care uses tp not want to treat you for austim especially in assigned female at birth folks. Also, autism isn't a disorder in of its self but a different nurotype.
Spot on Dr. Grande. You could not have picked a better topic. Also I would like to know your pick on so called "incels", if that is something?
He has done at least one video on the "incel" topic already. You can search his channel to find it.
@@watcherwlc53 Oh really. Then I'm sorry. I missed it. Thank you :)
@@ZombieMiezz coincidentally he seems to have just put out another incel vid🤣
@@watcherwlc53 :)
Dr Grande trust me there’s a connection and yes there’s a comorbidity. Never heard of RAD but I picked up immediately that there’s a lot of connection. DM me. You would love to hear what I know…
If you wanna know what it looks like in an adult I’d literally let you use me as a case study cause 😅 unfortunately I’m in this category.