# My child was diagnosed with attachment difficulties — what should I do first?

Canonical: https://pinnacleblooms.org/ask/my-child-was-just-diagnosed-with-attachment-difficulties-what-should-i-do-first
Publisher: Pinnacle Blooms Network / Bharath Healthcare Laboratories Private Limited

After an attachment difficulty diagnosis, take a breath and focus first on understanding what it means for your child, offering warm and predictable everyday care, and building a relationship-based support team. Attachment grows through repeated moments of feeling safe and seen. AbilityScore® is part of Pinnacle’s developmental assessment. Diagnosis, where needed, requires an appropriately qualified healthcare professional.

*A diagnosis can feel overwhelming — but attachment is something that can be gently strengthened, and your steady, loving presence is already the most powerful part of the plan.*

## In short
First, take a breath — an attachment difficulty is about the *relationship and felt sense of safety* between your child and their caregivers, and relationships can heal and grow with the right, consistent support. Your most important first steps are to understand exactly what the diagnosis means for *your* child, gather the team around you, and begin offering warm, predictable, responsive everyday care. With patient, relationship-based support, children can build the secure connections that help them feel safe, settle and thrive.

## What to do first
- **Understand the diagnosis in plain terms.** Ask the clinician who diagnosed your child what they observed, what kind of attachment difficulty it is, and what they recommend. Write down your questions beforehand.
- **Make safety and predictability your anchor.** Children with attachment difficulties feel safest with calm routines, the same trusted caregivers, and gentle, reliable responses. Predictability *is* therapy.
- **Respond warmly and consistently to your child's bids for connection** — comfort when distressed, delight when they reach for you. Repaired, repeated small moments rebuild trust over time.
- **Look after yourself and your own support.** Attachment is a two-way relationship; your calm, regulated presence helps your child regulate. Rest, support and patience are part of the treatment, not extras.
- **Build the team early.** Relationship-based and play-based therapies, parent–child interaction coaching, and your paediatrician working together give your child the best foundation.

Attachment grows through thousands of small, ordinary moments of feeling seen and safe — not through one big intervention. You do not have to get it perfect; you have to be there, again and again.

## When to seek prompt support
Seek a check sooner if your child shows extreme withdrawal, doesn't seek comfort when hurt or frightened, is indiscriminately over-friendly with strangers, shows persistent fear or distress that doesn't settle, or if you are feeling overwhelmed and unsupported as a caregiver. Early, gentle help makes a real difference.

## The Pinnacle way
AbilityScore® is part of Pinnacle’s developmental assessment. Diagnosis, where needed, requires an appropriately qualified healthcare professional — never from an app or online form. From there your child receives a warm, structured [developmental and relational profile](/ask/what-is-the-abilityscore-and-how-is-it-calculated) and a plan built around your family and your child's sense of safety. Explore how [relationship and behaviour-focused therapy](/behavioural-therapy) supports children and parents together, and start by [reaching out to us](/) for guidance.

## Trusted sources
WHO ICD-11 chapter on disorders specifically associated with stress, including reactive attachment disorder; American Academy of Pediatrics (HealthyChildren.org) guidance on responsive caregiving and attachment; WHO Nurturing Care Framework on responsive, secure early relationships.

**Next step —** Want clear, calm guidance on what comes next for your child? [Book a developmental assessment with a Pinnacle clinician](/).

This is general information, not a diagnosis — individual assessment and diagnosis require an appropriately qualified healthcare professional.

## Sources
- WHO ICD-11: disorders associated with stress (reactive attachment disorder): https://icd.who.int
- AAP HealthyChildren.org: responsive caregiving and attachment: https://www.healthychildren.org
- WHO Nurturing Care Framework: secure early relationships: https://nurturing-care.org

## Connected topics and perspectives
- Conditions: https://pinnacleblooms.org/ask/conditions
- Parent: https://pinnacleblooms.org/ask/lens/stakeholder/parent
- Adaptive: https://pinnacleblooms.org/ask/lens/domain/adaptive
- Support: https://pinnacleblooms.org/ask/lens/intent/support
- Plan: https://pinnacleblooms.org/ask/lens/lifecycle/plan
- Special Education: https://pinnacleblooms.org/ask/lens/route/special-education
- Family Empowerment: https://pinnacleblooms.org/ask/lens/empowerment/family_empowerment

## Related question paths

### Understand the subject
- How does Attachment Difficulties affect a child's daily life?: https://pinnacleblooms.org/ask/how-does-attachment-difficulties-affect-a-child-s-daily-life
- Is Attachment Difficulties considered a disability?: https://pinnacleblooms.org/ask/is-attachment-difficulties-considered-a-disability
- Is Attachment Difficulties genetic or hereditary?: https://pinnacleblooms.org/ask/is-attachment-difficulties-genetic-or-hereditary
- Common Myths About Attachment Difficulties: https://pinnacleblooms.org/ask/what-are-common-myths-about-attachment-difficulties
- What are the types or levels of Attachment Difficulties?: https://pinnacleblooms.org/ask/what-are-the-types-or-levels-of-attachment-difficulties
- What Causes Attachment Difficulties in Children?: https://pinnacleblooms.org/ask/what-causes-attachment-difficulties-in-children
- What is Attachment Difficulties?: https://pinnacleblooms.org/ask/what-is-attachment-difficulties
- What Are Attachment Difficulties in Early Childhood?: https://pinnacleblooms.org/ask/what-is-attachment-difficulties-and-what-does-it-look-like-in-early-childhood
- What Often Occurs Alongside Attachment Difficulties: https://pinnacleblooms.org/ask/what-other-conditions-often-occur-alongside-attachment-difficulties
- Early intervention outcomes for Attachment Difficulties under 7: https://pinnacleblooms.org/ask/what-does-current-research-show-about-early-intervention-outcomes-for-attachment-difficulties-in-children-under-7
- Attachment Difficulties: ICD-11 Features in Early Childhood: https://pinnacleblooms.org/ask/what-is-attachment-difficulties-and-what-are-its-icd-11-features-in-early-childhood
- ICD-11 Classification for Attachment Difficulties (6B44): https://pinnacleblooms.org/ask/what-is-the-icd-11-classification-for-attachment-difficulties

### Recognise signs & concerns
- Can Attachment Difficulties be cured?: https://pinnacleblooms.org/ask/can-attachment-difficulties-be-cured
- Can Attachment Difficulties Be Prevented?: https://pinnacleblooms.org/ask/can-attachment-difficulties-be-prevented
- Do boys show attachment difficulties differently?: https://pinnacleblooms.org/ask/do-boys-show-attachment-difficulties-differently
- Do girls show Attachment Difficulties differently?: https://pinnacleblooms.org/ask/do-girls-show-attachment-difficulties-differently
- Should I Be Worried About Attachment Difficulties?: https://pinnacleblooms.org/ask/should-i-be-worried-my-child-might-have-attachment-difficulties
- What are the early signs of Attachment Difficulties?: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-attachment-difficulties
- Early Signs of Attachment Difficulties in a 1-Year-Old Boy: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-attachment-difficulties-in-a-1-year-old-boy
- Early Signs of Attachment Difficulties in a 1-Year-Old Girl: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-attachment-difficulties-in-a-1-year-old-girl
- Early Signs of Attachment Difficulties (12–18 Months): https://pinnacleblooms.org/ask/what-are-the-early-signs-of-attachment-difficulties-in-a-12-to-18-month-old
- Early Signs of Attachment Difficulties in an 18–24-Month-Old: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-attachment-difficulties-in-a-18-to-24-month-old
- Early Signs of Attachment Difficulties in a 2-Year-Old: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-attachment-difficulties-in-a-2-year-old
- Early signs of attachment difficulties in a 2-year-old boy: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-attachment-difficulties-in-a-2-year-old-boy

### Explore causes & influences
- Are boys more likely to have attachment difficulties?: https://pinnacleblooms.org/ask/are-boys-more-likely-to-have-attachment-difficulties
- Are girls more likely to have attachment difficulties?: https://pinnacleblooms.org/ask/are-girls-more-likely-to-have-attachment-difficulties
- What causes Attachment Difficulties in young children?: https://pinnacleblooms.org/ask/what-causes-attachment-difficulties-in-young-children
- Early Intervention for Attachment Difficulties & UN Child Rights: https://pinnacleblooms.org/ask/how-does-early-intervention-for-attachment-difficulties-advance-un-child-rights-uncrpd-and-the-sdgs
- Contributing Factors for Attachment Difficulties: https://pinnacleblooms.org/ask/what-are-the-known-contributing-factors-for-attachment-difficulties-in-early-childhood
- Cost-effectiveness of early therapy for attachment difficulties: https://pinnacleblooms.org/ask/what-is-the-cost-effectiveness-of-early-therapy-for-attachment-difficulties-in-young-children
- Attachment Difficulties in India: prevalence and public-health burden: https://pinnacleblooms.org/ask/what-is-the-prevalence-and-public-health-burden-of-attachment-difficulties-among-young-children-in-india

### Understand assessment
- How AbilityScore Tracks Progress in Attachment Difficulties: https://pinnacleblooms.org/ask/how-does-abilityscore-track-progress-in-a-child-with-attachment-difficulties
- How Attachment Difficulties Is Assessed in a Young Child: https://pinnacleblooms.org/ask/how-is-attachment-difficulties-assessed-in-a-young-child
- How is Attachment Difficulties assessed in children under 7?: https://pinnacleblooms.org/ask/how-is-attachment-difficulties-assessed-in-children-under-7
- What an AbilityScore of 0–100 Means for Attachment Difficulties: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-0-100-mean-for-a-child-with-attachment-difficulties
- What an AbilityScore of 100–200 Means for Attachment Difficulties: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-100-200-mean-for-a-child-with-attachment-difficulties
- What does an AbilityScore of 200–300 mean for a child with Attachment Difficulties?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-200-300-mean-for-a-child-with-attachment-difficulties
- AbilityScore 300–400 for Attachment Difficulties: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-300-400-mean-for-a-child-with-attachment-difficulties
- AbilityScore 400–500 in Attachment Difficulties: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-400-500-mean-for-a-child-with-attachment-difficulties
- What an AbilityScore of 500–600 Means for Attachment Difficulties: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-500-600-mean-for-a-child-with-attachment-difficulties
- AbilityScore® 600–700 and Attachment Difficulties: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-600-700-mean-for-a-child-with-attachment-difficulties
- What an AbilityScore of 700–800 Means in Attachment Difficulties: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-700-800-mean-for-a-child-with-attachment-difficulties
- What does an AbilityScore of 800–900 mean for a child with Attachment Difficulties?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-800-900-mean-for-a-child-with-attachment-difficulties

### Explore therapy & support
- Where should I start to get help for a child with Attachment Difficulties?: https://pinnacleblooms.org/ask/where-should-i-start-to-get-help-for-a-child-with-attachment-difficulties
- How is Attachment Difficulties diagnosed in a child?: https://pinnacleblooms.org/ask/how-is-attachment-difficulties-diagnosed-in-a-child
- How Attachment Difficulties Are Supported Through Therapy: https://pinnacleblooms.org/ask/how-is-attachment-difficulties-supported-through-therapy
- What is the best way to parent and guide a child with Attachment Difficulties?: https://pinnacleblooms.org/ask/what-is-the-best-way-to-parent-and-guide-a-child-with-attachment-difficulties
- What can I expect as my child with attachment difficulties grows up?: https://pinnacleblooms.org/ask/what-can-i-expect-as-my-child-with-attachment-difficulties-grows-up
- Are there successful adults who grew up with Attachment Difficulties?: https://pinnacleblooms.org/ask/are-there-successful-adults-who-grew-up-with-attachment-difficulties
- Does Attachment Difficulty get better or worse as a child grows?: https://pinnacleblooms.org/ask/does-attachment-difficulties-get-better-or-worse-as-a-child-grows
- How can we support adaptive development in a child with Attachment Difficulties?: https://pinnacleblooms.org/ask/how-can-we-support-adaptive-development-in-a-child-with-attachment-difficulties
- How common is Attachment Difficulties in children?: https://pinnacleblooms.org/ask/how-common-is-attachment-difficulties-in-children
- How do I choose the right therapy for a child with attachment difficulties?: https://pinnacleblooms.org/ask/how-do-i-choose-the-right-therapy-for-a-child-with-attachment-difficulties
- How do I explain Attachment Difficulties to my child?: https://pinnacleblooms.org/ask/how-do-i-explain-attachment-difficulties-to-my-child
- How do I support the siblings of a child with Attachment Difficulties?: https://pinnacleblooms.org/ask/how-do-i-support-the-siblings-of-a-child-with-attachment-difficulties

### At home & in everyday life
- How can I support my child with Attachment Difficulties at home?: https://pinnacleblooms.org/ask/how-can-i-support-my-child-with-attachment-difficulties-at-home