Hey, everyone, Mr. Nurse, I'm going to do one of my favorite things of all time, which is to read

your emails on the air and answer them.

I find your questions to be excellent and intelligent and thought-provoking, so let's get to it.

This is the Psychology and Seattle podcast.

I'm your host, Dr. Kirk Honda, I'm a therapist,

and I'm also a professor.

This first email is from anonymous patron, they write,

I would love to hear you speak more about

reactive attachment disorder recently my therapist proposed to me the idea that I

may have struggled with reactive attachment disorder as a child and because it was left untreated,

it is still affecting me as an adult.

I was curious to see if you would be able to talk about how reactive attachment disorder comes to be in children, how it manifests

in adults, how it may be linked to other disorders like substance abuse personality etc and how to treat

overcome it if possible end of email yeah great great question so reactive

attachment disorder now for those of you who are lay people listening

you'll hear me often talk about attachment style or just attachment in general.

You know you hear me hear you'll hear me talk about secure attachment,

earn secure attachment, avoidant attachment,

preoccupied, disorganized, fearful.

Well, those are all not things that are in the DSM.

The DSM is the manual in which we will diagnose from primarily.

When we are diagnosing for insurance purposes and often for research purposes, we

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