Explain residual DSED risk and refuse coercive attachment therapy — CASC communication station

Open. Name time; ask main worries (blame, lifelong label, holding therapy, safety, mood). Validate stress of parenting after early adversity. [1]

Explain DSED vs RAD. "Reactive attachment disorder is a withdrawn pattern — the child does not seek or accept comfort. Your son's picture fits disinhibited social engagement disorder: too little caution with strangers after very limited early care. They share a cause — extreme insufficient care — but look different and can have different courses." [1][4]

Residual course. "With stable sensitive care, withdrawn features often improve. Indiscriminate friendliness can last longer even when parenting is good — that does not mean you caused it now." [1][4]

Refuse coercion. "We do not recommend holding, rebirthing, or forced-regression therapies. Expert child-maltreatment guidance found them unproven and potentially dangerous. We use relationship-based, non-coercive support." [2]

Safety and mood. Practical supervision for outings and transport; teach stranger-boundary skills; assess depression and treat with psychological care first-line where appropriate; if an antidepressant is needed later it is for depression with standard monitoring — not to 'cure attachment'. [1]

Adult residual. "Some young people after early severe deprivation have ongoing emotional or developmental challenges into adulthood. We treat what is present now and plan transition support — we do not stamp a lifelong 'adult RAD' label as a destiny." [3]

Close. Summarise, teach-back, written safety plan, follow-up, multiagency contacts. [1]