ICD-11 classes
06 Mental, behavioural or neurodevelopmental disorders
Disorders specifically associated with stress
6B44 — Reactive attachment disorder

ICD-11 6B44 — Reactive attachment disorder

Reactive attachment disorder is characterised by grossly abnormal attachment behaviours in early childhood, occurring in the context of a history of grossly inadequate child care (e.g., severe neglect, maltreatment, institutional deprivation). Even when an adequate primary caregiver is newly available, the child does not turn to the primary caregiver for comfort, support and nurture, rarely displays security-seeking behaviours towards any adult, and does not respond when comfort is offered. Reactive attachment disorder can only be diagnosed in children, and features of the disorder develop within the first 5 years of life. However, the disorder cannot be diagnosed before the age of 1 year (or a developmental age of less than 9 months), when the capacity for selective attachments may not be fully developed, or in the context of Autism spectrum disorder.

The diagnosis includes nothing.

It excludes 2 items.

  • Asperger syndrome (6A02)
  • disinhibited attachment disorder of childhood (6B45)

It has no clarifying diagnoses.

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