Disinhibited social engagement disorder

A disorder in young children characterized by a pattern of disinhibited, socially indiscriminate behavior in which the child shows a lack of normal wariness around unfamiliar adults and is willing to go off with strangers. It arises in the context of a history of inadequate caregiving.

Symptoms

• Excessive familiarity with strangers – without typical caution (also: excessive familiarity with strangers, overly open towards strangers, excessive closeness with strangers, lack of social distance, overly quick trust)
• Lack of typical inhibition in contacts with unfamiliar persons (also: lack of inhibition in social contacts, lack of social inhibition, impulsive behaviors in relationships, lack of social distance, overly direct behaviors)
• Willingness to go off with strangers without hesitation (also: desire to go with strangers, willingness to go with strangers, lack of caution towards strangers, trust in strangers, following strangers)
• Inappropriate social behaviors with unfamiliar persons (also: inappropriate social behaviors, inappropriate social behaviors, atypical social behaviors, problematic social behaviors, disturbed social behaviors)
• Lack of preference for known caregivers over strangers (also: lack of preference towards caregivers, lack of attachment to caregiver, lack of bond with caregiver, lack of differentiation of caregivers, indifference to caregiver)

ICD-11 diagnostic criteria

• poważne nieprawidłowości w opiece nad dzieckiem
• nadmierna poufałość wobec obcych
• brak typowej ostrożności społecznej
• objawy pojawiają się w dzieciństwie

How to recognise

In the ICD-11 framework, the core symptoms taken into account when recognising Disinhibited social engagement disorder are:

• nadmierna poufałość wobec nieznajomych

Differential diagnosis

When diagnosing Disinhibited social engagement disorder, the following ICD-11 disorders should be considered in the differential diagnosis:

• Reaktywne zaburzenie przywiązania (6B44)
• Zespół nadpobudliwości psychoruchowej z deficytem uwagi (ADHD) (6A05)
• Zaburzenie ze spektrum autyzmu (6A02)

Synonyms and related terms

excessive familiarity with strangers, overly open towards strangers, excessive closeness with strangers, lack of social distance, overly quick trust, excessive trust, lack of social caution, trusts strangers, is familiar with strangers, befriends too quickly, treats strangers like acquaintances, does not keep distance, lack of inhibition in social contacts, lack of social inhibition, impulsive behaviors in relationships, overly direct behaviors, lack of social control, social impulsivity, no inhibition around people, behaves overly openly, does not control social behavior, overly direct towards others, no barriers in relationships, behaves freely with everyone, desire to go with strangers, willingness to go with strangers, lack of caution towards strangers, trust in strangers, following strangers, absence of fear of strangers

Frequently asked questions

What are the symptoms of Disinhibited social engagement disorder?

Symptoms associated with Disinhibited social engagement disorder (ICD-11 6B45) include: Excessive familiarity with strangers – without typical caution, Lack of typical inhibition in contacts with unfamiliar persons, Willingness to go off with strangers without hesitation, Inappropriate social behaviors with unfamiliar persons, Lack of preference for known caregivers over strangers.

How is Disinhibited social engagement disorder diagnosed according to ICD-11?

According to ICD-11, the diagnostic criteria for Disinhibited social engagement disorder (6B45) include: poważne nieprawidłowości w opiece nad dzieckiem; nadmierna poufałość wobec obcych; brak typowej ostrożności społecznej; objawy pojawiają się w dzieciństwie.

What disorders are in the differential diagnosis of Disinhibited social engagement disorder?

The differential diagnosis of Disinhibited social engagement disorder (6B45) includes: Reaktywne zaburzenie przywiązania (6B44), Zespół nadpobudliwości psychoruchowej z deficytem uwagi (ADHD) (6A05), Zaburzenie ze spektrum autyzmu (6A02).

WHO ICD-11 source

View this entry in the official WHO ICD-11 browser: 6B45 – WHO ICD-11