From parent levels

ChapterVMental and behavioural disordersOpen

Inclusions

  • disorders of psychological development

Exclusions

  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
BlockF90-F98Behavioural and emotional disorders with onset usually occurring in childhood and adolescenceOpen
CategoryF94Disorders of social functioning with onset specific to childhood and adolescenceOpen

A somewhat heterogeneous group of disorders that have in common abnormalities in social functioning which begin during the developmental period, but which (unlike the pervasive developmental disorders) are not primarily characterized by an apparently constitutional social incapacity or deficit that pervades all areas of functioning. In many instances, serious environmental distortions or privations probably play a crucial role in etiology.

Reactive attachment disorder of childhood

Starts in the first five years of life and is characterized by persistent abnormalities in the child's pattern of social relationships that are associated with emotional disturbance and are reactive to changes in environmental circumstances (e.g. fearfulness and hypervigilance, poor social interaction with peers, aggression towards self and others, misery, and growth failure in some cases). The syndrome probably occurs as a direct result of severe parental neglect, abuse, or serious mishandling.

Coding note

Use additional code, if desired, to identify any associated failure to thrive or growth retardation.

Exclusions

  • Asperger syndrome (F84.5)
  • disinhibited attachment disorder of childhood (F94.2)
  • maltreatment syndromes (T74.-)
  • normal variation in pattern of selective attachment
  • sexual or physical abuse in childhood, resulting in psychosocial problems (Z61.4, Z61.5, Z61.6)
Parent: F94 Disorders of social functioning with onset specific to childhood and adolescence