Attachment Disorders

Local Providers for Attachment

What Attachment disorders are

Attachment disorders affect how children form emotional bonds with parents or caregivers.
They usually develop when a child’s early emotional needs for comfort, affection and safety are not met consistently.

Children with attachment difficulties may struggle to trust others, regulate emotions, or build healthy relationships.

Related guidance

  • Trauma and PTSD
  • Anxiety Disorders
  • Autism Spectrum Disorder (ASD)
  • Social Communication Difficulties
  • SEN Wellbeing

    Signs and behaviours

    Attachment difficulties can appear in many ways. A child may:

    • find it hard to form close relationships

    • avoid or resist comfort

    • show sudden anger, fear or withdrawal

    • be overly clingy with strangers

    • show low self-esteem or shame

    • find change or separation very distressing

    Check signs of attachment difficulties
     Learn how to recognise early emotional and social signs in children and young people.

    Types of attachment difficulties

    Reactive Attachment Disorder (RAD)

    Children rarely seek comfort when distressed and may appear withdrawn or detached.

    Disinhibited Social Engagement Disorder (DSED)

    Children may show excessive friendliness or trust toward strangers and struggle with boundaries.

    Insecure or Disorganised Attachment

    Broader emotional or behavioural patterns where trust, safety and consistency are uncertain.

    Explore different types of attachment disorders
    Understand how attachment patterns form and affect behaviour.

    Causes and risk factors

    Attachment difficulties are often linked to:

    • neglect or inconsistent caregiving

       

    • frequent changes in caregivers or placements

       

    • exposure to trauma, abuse or domestic conflict

       

    • long hospital stays or separation from family

       

    • parental mental health or substance misuse

    Early intervention and stable, nurturing relationships can help repair attachment.

    Getting assessed

    A professional assessment may involve:

    • a developmental and family history

    • observation of parent–child interaction

    • questionnaires and interviews

    • emotional and behavioural screening

    Assessments are usually carried out by clinical psychologists, psychiatrists or social workers.

    Support in education

    Schools can help by:

    • building consistent, trusting relationships with key adults

    • using trauma-informed approaches

    • allowing predictable routines and transitions

    • offering emotional regulation tools and safe spaces

    • working closely with families and external professionals

    Where needed, a child may receive SEN support or an EHCP.

    Support for families and carers

    Support options include:

    • parenting and attachment-based therapies

       

    • family therapy

       

    • specialist social care or mental health services

       

    • carer support groups

       

    Helpful resources:

    • NHS: Attachment and bonding

       

    • Place2Be: Supporting children’s emotional development

       

    • YoungMinds: Attachment issues

    Search for local professionals trained in trauma-informed care and emotional development support.