intermediatereactive attachment disorderRADneglectfoster careASD differentialattachmentpediatricDSM-5 criteria
A 7-year-old boy in foster care was removed from a severely neglectful home at age 3. His foster mother reports he is withdrawn, does not seek comfort when upset, rarely shows positive emotions, and does not respond to affection. He avoids eye contact and appears emotionally flat. He has no restricted/repetitive behaviors and his developmental milestones were delayed but are improving. What is the MOST likely diagnosis?