It's a good idea to be well-prepared for your appointment. Here's some information to help you get ready and know what to expect from your doctor.
What you can do
Before your appointment make a list of:
- Any behavior problems or emotional issues you've noticed, and include any signs or symptoms that may seem unrelated to the reason for your child's appointment
- Key personal information, including any major stresses or life changes that you or your child have been through
- All medications, vitamins or other supplements your child is taking, including the dosages
- Questions to ask your child's doctor
For signs and symptoms that could be caused by attachment problems, some basic questions to ask your doctor include:
- What is likely causing my child's behavior problems or emotional issues?
- Are there other possible causes?
- What kinds of tests does my child need?
- What's the best treatment?
- What are the alternatives to the primary approach that you're suggesting?
- My child has these other mental or physical health conditions. How can I best manage them together?
- Are there any restrictions that my child needs to follow?
- Should I take my child to see other specialists? Will my insurance cover that?
- Is there a generic alternative to the medicine you're prescribing for my child?
- Are there any brochures or other printed material that I can have? What websites do you recommend?
What to expect from your doctor
Your child's doctor or mental health provider is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Some questions the doctor may ask include:
July 10, 2014
- When did you first notice problems with your child's behavior or emotional responses?
- Have your child's behavioral or emotional issues been continuous or occasional?
- How are your child's behavioral or emotional issues interfering with his or her ability to function or interact with others?
- Can you describe your child's and the family's home and living situation since birth?
- Can you describe interactions with your child?
- Reactive attachment disorder of infancy or early childhood. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed April 9, 2014.
- Highlights of changes from DSM-IV-TR to DSM-5. American Psychiatric Association. http://www.dsm5.org/Pages/Default.aspx. Accessed April 9, 2014.
- Reactive attachment disorder. American Academy of Child and Adolescent Psychiatry. http://www.aacap.org/aacap/Families_and_Youth/Facts_for_Families/Facts_for_Families_Pages/Reactive_Attachment_Disorder_85.aspx. Accessed April 9, 2014.
- Coercive interventions for reactive attachment disorder. American Academy of Child & Adolescent Psychiatry. http://www.aacap.org/cs/root/policy_statements/coercive_interventions_for_reactive_attachment_disorder. Accessed April 9, 2014.
- Boris NW, et al. Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder of infancy and early childhood. Journal of the American Academy of Child and Adolescent Psychiatry. 2005;44:1206.
- Hales RE, et al. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Washington, D.C.: American Psychiatric Publishing; 2008. http://www.psychiatryonline.org/resourceToc.aspx?resourceID=5. Accessed April 9, 2014.
- Chaffin M, et al. Report of the APSAC task force on attachment therapy, reactive attachment disorder, and attachment problems. Child Maltreatment. 2006;11:76.
- Position statement on reactive attachment disorder. American Psychiatric Association. http://www.psych.org/advocacy--newsroom/position-statements. Accessed April 9, 2014.
- Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. April 22, 2014.
- Tervo RC (expert opinion). Mayo Clinic, Rochester, Minn. May 20, 2014.
- Mikic N, et al. Mentalization and attachment representations: A theoretical contribution to the understanding of reactive attachment disorder. Bulletin of the Menninger Clinic. 2014;78:34.
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