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Understanding Reactive Attachment Disorder (RAD) in adopted children

The journey of adoption often comes with unique emotional dynamics, especially when a child has experienced early trauma or instability. One condition that may arise in such circumstances is Reactive Attachment Disorder (RAD). But what exactly is RAD, and why is it particularly relevant for adoptive families?

What is Reactive Attachment Disorder (RAD) in children?


Reactive Attachment Disorder is a condition where a child struggles to form healthy emotional bonds with their caregivers. It typically stems from early experiences of neglect, abuse, or a lack of consistent caregiving. For instance, a child who spent their early months or years in an orphanage with frequent changes in carers or who endured prolonged periods of neglect might find it difficult to trust and rely on adults for their emotional needs.


Children with RAD often feel unsafe or mistrustful in relationships, even when placed in loving environments later in life. This is not about adoptive parents doing something “wrong.” Instead, it reflects how the child’s brain has adapted to survive in a world that, at one point, did not meet their basic emotional or physical needs.

sad child

Is RAD more common in adopted children?


Not all adopted children will develop RAD, but they can be at a higher risk. This is often due to early-life disruptions or trauma experienced before joining their adoptive families. Factors such as frequent changes in caregivers, extended periods in institutional care, or exposure to neglect or abuse can contribute to attachment difficulties.

Even in cases where adoption is done with love and care, the experience often involves loss. The separation from a birth family, even in infancy, can leave profound emotional effects that shape how a child interacts with their new world and caregivers.


What does RAD look like in children?

Children with RAD may exhibit a range of behaviours, including:

  • Avoiding closeness or affection: They might resist hugs, struggle to make eye contact, or push people away emotionally.

  • Difficulty trusting adults: A child with RAD may appear overly independent or resist relying on caregivers, even for basic needs.

  • Control-seeking behaviours: They might try to take charge of situations to avoid feeling vulnerable, which can manifest as defiance, tantrums, or manipulation.

  • Emotional withdrawal: They may seem emotionally “flat,” showing little excitement or sadness.


It’s important to recognise that these behaviours are not intentional acts of defiance or hurtfulness. They are protective mechanisms that have developed in response to early trauma.


Supporting an adopted child with RAD


Parenting a child with RAD may feel challenging, but it also offers opportunities for healing and growth. The key lies in understanding, patience, and accessing the right support.

  • Build trust through consistency: Predictability and reliability in daily life help children feel secure. Small, consistent actions over time can create a foundation of trust.

  • Celebrate progress: Growth might be slow, but every step toward connection is a milestone worth acknowledging.

  • Seek professional help: Therapies tailored to attachment disorders can offer invaluable support for both the child and the family.

  • Support for parents: Parenting a child with RAD can be emotionally taxing. Joining peer support groups, seeking counselling, or simply connecting with a trusted friend who understands can provide vital relief.


The hopeful side of RAD


While RAD presents significant challenges, it also comes with hope. With the right interventions and a loving environment, many children learn to trust, connect, and thrive. They may not form attachments in the same way as children who had secure early life experiences, but they can build meaningful, loving relationships.

For adoptive families, navigating RAD can foster resilience and deepen bonds. With patience, empathy, and professional support, it’s possible to create a safe and nurturing home where healing and growth can flourish.

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