Disinhibited Social Engagement Disorder (DSED) is a childhood psychiatric
condition characterized by a pattern of indiscriminate social behavior, lack of
reticence with unfamiliar adults, and overly familiar or culturally
inappropriate behavior with strangers. Children with DSED often exhibit a
diminished or absent fear of strangers, leading them to approach and interact
with unfamiliar individuals in a manner that exceeds typical social boundaries.
This behavior may include hugging, touching, or speaking to strangers without
hesitation or discernment. DSED is believed to result from early experiences of
neglect, abuse, or insufficient caregiving, leading to disruptions in the
development of healthy attachment and social boundaries. The disorder can
significantly impair a child's ability to form appropriate relationships and
navigate social situations safely. Treatment typically involves therapeutic
interventions aimed at improving attachment, social skills, and emotional
regulation, as well as addressing any underlying trauma or family dynamics
contributing to the disorder. Early intervention is crucial to mitigate the
long-term impact of DSED on a child's social and emotional development.
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