This child’s behavior meets the criteria for RAD:

This child’s behavior meets the criteria for RAD:

Maria first received treatment when she was 5 years old, as a result of severe behavioral problems in school. She was referred for inpatient services at age 8 after a child protective services investigation substantiated allegations of physical abuse. Maria had a complicated history beginning with mother’s problematic pregnancy, during which she miscarried Maria’s twin at 20 weeks. During Maria’s birth, her biological father severely beat two older siblings and was subsequently incarcerated. Consequently, Maria was sent to foster care and spent her first 8 months of life living with a relative. Her mother, suffering from depression, visited sporadically. Maria’s reunion with her mother lasted until she was 4 years old, when she was sent to live with her god-mother while her mother looked for work in another town. This arrangement was abruptly terminated after complaints about Maria’s oppositional behavior. Her mother resumed care for several months before sending Maria to live with Maria’s maternal grandmother. This placement was also short-lived because of Maria’s behavior problems. According to her mother, Maria developed normally until age 2 or 3 years, when she began to exhibit behavior problems. Her mother and her teachers described Maria as aggressive, oppositional, and impulsive. According to school reports, Maria had few friends. She alienated classmates by stealing from them and initiating physical fights but usually denied guilt and showed no remorse for her behaviors. Maria also exhibited erratic and unpredictable mood swings. Her behavior would fluctuate from clinging and hugging to hitting and swearing. During psychiatric assessment, Maria stated concerns about being "bad" and "crazy" and reported occasionally hearing a voice telling her to turn on the television. She also reported transient suicidal ideations and appeared disturbed by her lack of peer relationships. Maria did not evidence any cognitive deficits. Her developmental delays were primarily in the social and behavioral domains. She exhibited poor daily living skills, below-average coping abilities, limited interpersonal skills, and many maladaptive behaviors. Maria continues to live with her mother.
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