Treatments and drugs
By Mayo Clinic staf
Treatment of reactive attachment disorder often involves a mix of psychological
counseling, medications and education about the disorder. It may involve a team of
medical and mental health providers with expertise in attachment disorders.
Treatment usually includes both the baby or child and the parents or caregivers.
Goals of treatment are to help ensure that the baby or child has a safe and stable
living situation and that he or she develops positive interactions with parents and
caregivers. Treatment can also boost self-esteem and improve peer relationships.
There's no standard treatment for reactive attachment disorder. However, it often
includes:
Individual psychological counseling
Education of parents and caregivers about the condition
Parenting skills classes
Family therapy
Medication for other conditions that may be present, such as depression,
anxiety or hyperactivity in a child or a parent
Special education services
Residential or inpatient treatment for children with more-serious problems or
who put themselves or others at risk of harm
Other treatments for reactive attachment disorder that may be helpful include:
Development of attachment between the child and the child's therapist
Close, comforting physical contact
Managing reactive attachment disorder is a long-term challenge and can be quite
demanding for parents and caregivers. You may want to consider seeking psychological
counseling yourself or taking other steps to learn how to cope with the stress of having
a child with reactive attachment disorder.
Controversial and coercive techniques
The American Academy of Child and Adolescent Psychiatry, the American Psychiatric
Association, and the American Professional Society on the Abuse of Children have all
criticized dangerous and unproven treatment techniques for reactive attachment
disorder. Controversial practices can be psychologically and physically damaging and
have led to accidental deaths.
Some unproven treatments for reactive attachment disorder include:
Re-parenting, rebirthing
Tightly wrapping, binding or holding children
Withholding food or water
Forcing a child to eat or drink
Yelling, tickling or pulling limbs, triggering anger that finally leads to
submission
Beware of mental health providers who promote these methods. Some ofer research
as evidence to support their techniques, but none has been published in reputable
medical or mental health journals.
If you're considering any kind of unconventional treatment, talk to your child's
psychiatrist first to make sure it's legitimate and not harmful.