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Disinhibited Social Engagement Disorder DSM-5 Criteria

Learn about Disinhibited Social Engagement Disorder (DSED): symptoms, treatment, and impact on children's social development in healthcare settings.

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By Bernard Ramirez on Aug 2, 2025.

Fact Checked by Ericka Pingol.

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Disinhibited Social Engagement Disorder DSM-5 Criteria Template

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Commonly asked questions

DSED is primarily caused by a history of severe social neglect or disruptions in early caregiving experiences. Factors such as frequent changes in caregivers or institutional rearing can contribute to the development of this disorder.

DSED and RAD both stem from early social neglect, but they manifest differently. RAD is characterized by inhibited, withdrawn behavior towards caregivers, while DSED involves indiscriminate, overly friendly behavior towards strangers.

According to the DSM-5, the criteria for DSED include a pattern of approaching and interacting with unfamiliar adults, exhibiting at least two of: reduced reticence, overly familiar behavior, lack of checking back with caregivers, and willingness to go off with strangers.

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