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Other Disorders of Infancy, Childhood, or Adolescence
Separation Anxiety Disorder, Selective Mutism, Reactive Attachment Disorder, and Stereotypic Movement Disorder
28
Social Work
Graduate
01/30/2012

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Term
Separation Anxiety Disorder A.
Definition
Developmentally inappropriate and excessive anxiety concerning separation from home or from those to whom the individual is attached, as evidenced by three (or more) of the following:
Term
Separation Anxiety Disorder A1
Definition
recurrent excessive distress when separation from home or major attachment figures occurs or is anticipated
Term
Separation Anxiety Disorder A2
Definition
persistent and excessive worry about losing, or about possible harm befalling, major attachment figures
Term
Separation Anxiety Disorder A3
Definition
persistent and excessive worry that an untoward event will lead to separation from a major attachment figure (e.g., getting lost or being kidnapped)
Term
Separation Anxiety Disorder A4
Definition
persistent reluctance or refusal to go to school or elsewhere because of fear of separation
Term
Separation Anxiety Disorder A5
Definition
persistently and excessively fearful or reluctant to be alone or without major attachment figures at home or without significant adults in other settings
Term
Separation Anxiety Disorder A6
Definition
persistent reluctance or refusal to go to sleep without being near a major attachment figure or to sleep away from home
Term
Separation Anxiety Disorder A7
Definition
repeated nightmares involving the theme of separation
Term
Separation Anxiety Disorder A8
Definition
repeated complaints of physical symptoms (such as headaches, stomachaches, nausea, or vomiting) when separation from major attachment figures occurs or is anticipated
Term
Separation Anxiety Disorder BCDE
Definition
The duration of the disturbance is at least 4 weeks.
The onset is before age 18 years.
Impairment in social, academic (occupational), or other important areas of functioning.
The disturbance does not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder and, in adolescents and adults, is not better accounted for by Panic Disorder With Agoraphobia.
Specify if Early Onset: if onset occurs before age 6 years
Term
Selective Mutism A
Definition
Consistent failure to speak in specific social situations (in which there is an expectation for speaking, e.g., at school) despite speaking in other situations.
Term
Selective Mutism BC
Definition
The disturbance interferes with educational or occupational achievement or with social communication.
The duration of the disturbance is at least 1 month (not limited to the first month of school).
Term
Selective Mutism DE
Definition
The failure to speak is not due to a lack of knowledge of, or comfort with, the spoken language required in the social situation.
The disturbance is not better accounted for by a Communication Disorder (e.g., Stuttering) and does not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder.
Term
Reactive Attachment Disorder of Infancy or Early Childhood A
Definition
A. Markedly disturbed and developmentally inappropriate social relatedness in most contexts, beginning before age 5 years, as evidenced by either (1) or (2):
Term
Reactive Attachment Disorder of Infancy or Early Childhood A1
Definition
persistent failure to initiate or respond in a developmentally appropriate fashion to most social interactions, as manifest by excessively inhibited, hypervigilant, or highly ambivalent and contradictory responses (e.g., the child may respond to caregivers with a mixture of approach, avoidance, and resistance to comforting, or may exhibit frozen watchfulness)
Term
Reactive Attachment Disorder of Infancy or Early Childhood A2
Definition
diffuse attachments as manifest by indiscriminate sociability with marked inability to exhibit appropriate selective attachments (e.g., excessive familiarity with relative strangers or lack of selectivity in choice of attachment figures)
Term
Reactive Attachment Disorder of Infancy or Early Childhood B
Definition
The disturbance in Criterion A is not accounted for solely by developmental delay (as in Mental Retardation) and does not meet criteria for a Pervasive Developmental Disorder.
Term
Reactive Attachment Disorder of Infancy or Early Childhood C1
Definition
Pathogenic care as evidenced by at least one of the following:

persistent disregard of the child's basic emotional needs for comfort, stimulation, and affection
Term
Reactive Attachment Disorder of Infancy or Early Childhood C2
Definition
persistent disregard of the child's basic physical needs
Term
Reactive Attachment Disorder of Infancy or Early Childhood C3
Definition
repeated changes of primary caregiver that prevent formation of stable attachments (e.g., frequent changes in foster care)
Term
Reactive Attachment Disorder of Infancy or Early Childhood D
Definition
There is a presumption that the care in Criterion C is responsible for the disturbed behavior in Criterion A (e.g., the disturbances in Criterion A began following the pathogenic care in Criterion C).
Term
Reactive Attachment Disorder of Infancy or Early Childhood Types
Definition
Inhibited Type: if Criterion A1 predominates in the clinical presentation

Disinhibited Type: if Criterion A2 predominates in the clinical presentation
Term
Stereotypic Movement Disorder A
Definition
Repetitive, seemingly driven, and nonfunctional motor behavior (e.g., hand shaking or waving, body rocking, head banging, mouthing of objects, self-biting, hitting own body).
Term
Stereotypic Movement Disorder B
Definition
The behavior markedly interferes with normal activities or results in self-inflicted bodily injury that requires medical treatment (or would result in an injury if preventive measures were not used).
Term
Stereotypic Movement Disorder C
Definition
If Mental Retardation is present, the stereotypic or self-injurious behavior is of sufficient severity to become a focus of treatment.
Term
Stereotypic Movement Disorder D
Definition
The behavior is not better accounted for by a compulsion (as in Obsessive-Compulsive Disorder), a tic (as in Tic Disorder), a stereotypy that is part of a Pervasive Developmental Disorder, or hair pulling (as in Trichotillomania).
Term
Stereotypic Movement Disorder EF
Definition
The behavior is not due to the direct physiological effects of a substance or a general medical condition.
The behavior persists for 4 weeks or longer.
With Self-Injurious Behavior: if the behavior results in bodily damage that requires specific treatment (or that would result in bodily damage if protective measures were not used)
Term
Separation Anxiety Disorder Class
Definition
Considered normal for the infant or toddler (usually peaks between 13 – 18 mos)

It is not the same thing as stranger anxiety.
. Occurs often when something traumatic happens. Doesn’t want to be away from a parent. Has fears and concerns about what is going on. Afraid that someone is going to die when they are gone. Fears associated with it.
Can begin as early as four months of age. But you have to have some clear evidence of it.
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