ICD-11 Criteria for Disinhibited Social Engagement Disorder (6B45)
Disinhibited social engagement
disorder is characterised by grossly abnormal social behaviour, occurring in
the context of a history of grossly inadequate child care (e.g., severe
neglect, institutional deprivation). The child approaches adults
indiscriminately, lacks reticence to approach, will go away with unfamiliar
adults, and exhibits overly familiar behaviour towards strangers. Disinhibited
social engagement disorder can only be diagnosed in children, and features of
the disorder develop within the first 5 years of life. However, the disorder
cannot be diagnosed before the age of 1 year (or a developmental age of less
than 9 months), when the capacity for selective attachments may not be fully
developed, or in the context of Autism spectrum disorder.
Exclusions:
- Asperger syndrome (6A02)
- Adjustment disorder (6B43)
- Attention deficit hyperactivity disorder (6A05)
- Reactive attachment disorder of childhood (6B44)
6B4Y Other specified disorders specifically associated with stress
6B4Z Disorders specifically associated with stress, unspecified
REFERENCE:
International Classification of Diseases Eleventh Revision (ICD-11). Geneva: World Health Organization; 2022. License: CC BY-ND 3.0 IGO.
https://creativecommons.org/licenses/by-nc-nd/3.0/igo/
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