Resulting from similar circumstances as RAD, DSED presents differently. Instead of being withdrawn, a child with DSED may be overly familiar with strangers, actively approaching and interacting with unfamiliar adults without the normal caution a child would show. This also requires specialized, attachment-focused care which our providers can support.

Common Symptoms or Things to Look Out For:

• A pattern of behavior in which a child actively approaches and interacts with unfamiliar adults.
• Reduced or absent reticence in approaching and interacting with unfamiliar adults.
• Overly familiar verbal or physical behavior (that is not consistent with culturally sanctioned and age-appropriate social boundaries).
• Diminished or absent checking back with adult caregiver after venturing away, even in unfamiliar settings.
• Willingness to go off with an unfamiliar adult with minimal or no hesitation.
• A history of experiencing a pattern of extremes of insufficient care.