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Suggest Ways To Deal With Attachment Disorder In Family Member

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Posted on Tue, 31 Mar 2015
Question: I have a 8 yr old with attachment disorder I used to watch. (During that time became a father figure; single mom never had dad/ adopted) I stopped watching her (but still saw her and did stuff!) then watched her for a couple weeks(emergency basis) then stopped again about 3 months ago. Soon after she started avoiding me/not talking to me shutting down any time I got close to her... I have tried asking whats going on, going on dates (movies, icecream, walks etc etc) giving hugs and I love yous. Nothing works! Mom has asked and she shuts down from mom as well. We are both frustrated and have no idea how to procede???
doctor
Answered by Dr. Seikhoo Bishnoi (31 minutes later)
Brief Answer:
Provide her loving care and don't talk rude to her

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern. The symptoms the baby is showing are probably due to some disorder. Her behaviour can occur due to poor impulse control. She should be dealt with proper attention. She should be given good care and target should be fixed. Talk to her and provide her loving care. She should be told about positive and desired behaviour. When even she shows good behaviour she should be rewarded or should be given a positive token. At the end these tokens should be used to fulfil her one wish. Such "token economy" process has been found to be very useful to see desired behaviour in children. With time her symptoms would show improvement.

Don't show her bad mood or tantrums as this would further deteriorate the condition. Best is to provide her good care . Such symptoms can be seen normally also considering her age but there is no need to worry. She would show improvement with time and proper psychological methods.

Thanks, hope this helps you. Please ask again for more doubts.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (5 minutes later)
it is because of a disorder... (she has been diagnosed with attachment disorder) a token economy is not what is needed! Did you even read my question? I have tried giving attention and she rejects it/runs away and shuts down. I get about 2 seconds with her (on a good day!) before she shuts down and runs away.
doctor
Answered by Dr. Seikhoo Bishnoi (48 minutes later)
Brief Answer:
Parents should never loose hope and cool in dealing with AD child

Detailed Answer:
Hello again

Token economy would be useful in this case because when even she show good behaviour like talk to you are don't run away she should be provided a token. This modality would work in her behaviour.

There are various reasons for such abnormal psychological responses in children and treating a child with attachment disorder is really difficult. A child with AD (more specifically reactive attachment disorder) need to be dealt with a balanced care. A parental figure should act in a manner that the child shouldn't take it as dominating act. Even if she rejects or run away still you have to keep patience and should never reveal disappointment in front of her.

Child with AD have fragile emotional mood and they always have fear that some one might take over them. They may act in a strong rigid manner or may show complete apathetic behaviour. When ever they feel any obvious behaviour that can affect their personal space they start showing abnormal behaviour. So any attempts to contact them or to talk to them should be in balanced situation. This should be learned by parents themselves. So only you can find out that particular boundary which should not be crossed. Talking to her or giving her attention should be in limits of that boundary only.

Even if a parent praises a child the child may consider this as wrong behaviour. Praise should be done only in events of real desired achievement that can be academic or in playing. Immediate praise at the time of achievement results in best effects. For example if she get good grades in class or in doing something like in painting etc she should be praised immediately. Praising later can result in negative impact.

You should show her that you appreciate her good behaviour. In her unconscious mind she should know that she is at same level as you. She should not feel that you or someone else can control her. Excess praise can be taken as blow to personal identity in such children. So should be avoided unless strongly indicated as I have mentioned in last paragraph.

You should always show her a empathetic attitude rather than a sympathetic attitude. She should start believing in your empathy. A sympathetic attitude can be taken as entry of ones personal space.

Even a child with AD can taken attempts to touch them as wrong. So this should be done under proper control only. Any chance to touch child should be taken as opportunity and this can be utilised to built successful attachment. Touching a child during calmer moments or during the times she is happy and relaxed would instead give positive impact.

In dealing with her keep one thing in mind that you should not become anxious more than she is. Don't care about her problems more than she does. It would become difficult when you will start taking her anxiety in your mood. I know this is very difficult but you have to start ignoring her anxiety to some extent.

Most difficult thing in dealing with a child with AD is mood of parents. You should never loose your hope and cool. Try to remain calm as much as you can. The treatment would run a long course and you have to accept this. Some children respond to a particular psychological treatment while others may not respond. There is no specific treatment guideline for AD because psychotherapy is also difficult in children.


I hope this helps you to some extent. Try to gain as much of knowledge about AD and this would help you to understand that disorder. This would increase your confidence in dealing with her.

Still have more unresolved doubts please ask again.

One thing I would like to know if she has been diagnosed with AD by a psychologist or a psychiatrist?

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (1 hour later)
Yes she has been officually diagnosed with ad... Should I avoid going up and giving hugs?
doctor
Answered by Dr. Seikhoo Bishnoi (3 hours later)
Brief Answer:
Hugs should be given in balanced situations when she is calm

Detailed Answer:
Hello again

Like I have mentioned earlier also, hugs or physical touch should be under special circumstances only. This should be properly balanced, like a child should not feel that his XXXXXXX is altered. Don't loose any chance when ever she is relaxed or calm. Like while playing or watching TV or some thing like that when she is very happy don't loose that chance to hug her.

Any child with AD should be dealt with proper balanced care. You should be aware of her likes. Try to find out those things which she likes or in which she enjoy.

Try to respond to her emotional age. AD children are usually younger in emotional age as compared to their actual age. Try to accept this thing and react accordingly as if she is a child.

Listen what she is saying and talk to her frequently. If find any chance then play with her. Playing with her will built confidence in her and she will feel better.

Respond to her needs in balanced manner.

Thanks, I hope this helps you. If still have more doubts please ask again.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Seikhoo Bishnoi (18 hours later)
Thank you this has been very helpful
doctor
Answered by Dr. Seikhoo Bishnoi (6 hours later)
Brief Answer:
Thanks for you appreciation

Detailed Answer:
I hope this helps you.

Thanks and take care.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

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Suggest Ways To Deal With Attachment Disorder In Family Member

Brief Answer: Provide her loving care and don't talk rude to her Detailed Answer: Hello thanks for asking from HCM for your health related queries I can understand your concern. The symptoms the baby is showing are probably due to some disorder. Her behaviour can occur due to poor impulse control. She should be dealt with proper attention. She should be given good care and target should be fixed. Talk to her and provide her loving care. She should be told about positive and desired behaviour. When even she shows good behaviour she should be rewarded or should be given a positive token. At the end these tokens should be used to fulfil her one wish. Such "token economy" process has been found to be very useful to see desired behaviour in children. With time her symptoms would show improvement. Don't show her bad mood or tantrums as this would further deteriorate the condition. Best is to provide her good care . Such symptoms can be seen normally also considering her age but there is no need to worry. She would show improvement with time and proper psychological methods. Thanks, hope this helps you. Please ask again for more doubts.