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Writer's pictureHeidi McLain

Unlocking Hope: 6 Effective Therapies for Teens with Reactive Attachment Disorder (RAD)

Updated: Aug 28

As a Personal Development Coach and Trauma Specialist who works with teens, it is important to understand the intricate challenges that they face, particularly those living with Reactive Attachment Disorder (RAD). RAD can significantly impact a teen's emotional and social state and development. Because of this it is vital to explore effective therapies and tools that can provide hope and healing for these adolescents. Here a few proven therapies and techniques I’ve used to assist teens living with RAD.



1. Attachment-Based Therapy


Due to neglect, abuse, or abandonment (being separated from a primary care-giver), it is common for RAD teens to experience detachment often in the form of anxious-avoidant attachments. With that being the case a foundation for wellness for RAD teens is attachment-based therapy. This approach focuses on mending and rebuilding healthy attachment patterns between the teen and their primary caregiver(s). By facilitating secure emotional bonds, teens can learn to trust not only the world around them, but others around them and engage in healthy relationships. Through a combination of talk therapy, play therapy, music therapy, art therapy, and family interventions, attachment-based therapy goals are designed to enhance emotional regulation and social skills.


2. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)


TF-CBT is designed to address the impact of trauma, which is often at the core of RAD. This evidence-based therapy helps teens process traumatic experiences, manage their fears and mindsets that keep them stuck in fear patterns and feeling distressing emotions. TF-CBT helps RAD youth develop coping strategies. By integrating cognitive and behavioral techniques, TF-CBT empowers teens to challenge those fears and negative beliefs, help them to regulate emotions, and when utilized, build resilience in the face of real or perceived challenges.



3. Dialectical Behavior Therapy (DBT)


DBT is another extremely valuable therapeutic approach for teens with RAD, especially those struggling with emotional dysregulation and impulsivity. DBT emphasizes mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. By teaching teens effective coping mechanisms and interpersonal skills, DBT empowers them with the tools needed to navigate complex emotions and maintain stable relationships. It also empowers them and gives them the foundation for conflict resolution, the ability to respect other's viewpoints, and the ability to express their own needs.


4. Equine-Assisted Therapy


Equine-assisted therapy harnesses the healing power of interactions with horses to promote emotional growth and self-awareness. Teens with RAD can benefit significantly from this experiential therapy, as it enables them to develop trust, empathy, and communication skills by working with horses. The nonverbal nature of equine therapy can help teens process emotions and develop a sense of connection and responsibility.



5. Art Therapy


Art therapy offers a creative outlet for teens to express their emotions and experiences in a nonverbal manner. It helps slow down the RAD brain, helps increase focus and awareness on the present, increases awareness of how the teen is experiencing distress emotionally and in their body while de-escalating their pain. This relief can be found through various art modalities, such as drawing, painting, and sculpting, where teens can explore their thoughts and feelings, fostering self-expression and self-discovery. Art therapy is especially beneficial for teens with RAD who find it challenging to verbalize their emotions or past experiences. 6. EFT Tapping Therapy


EFT Tapping therapy combines traditional Chinese medicine with modern psychological acupressure techniques. By tapping on 9 emotional acupressure points of the body, it is both soothing and has a grounding effect, it also provides an emotional attachment to the body. This is excellent for emotion regulation, a valuable tool to reprogram intrusive thoughts, can be used as a catalyst for creativity and conflict resolution, and a way to work through alternative solutions in both a verbal and a nonverbal manner. This therapy combines the benefits of both TF-DBT and Attachment Based Therapy.


Conclusion: Embracing a Path to Healing


In the journey towards healing from and managing RAD, these six effective therapies serve as beacons that illuminate the path towards emotional well-being and relational growth for teens. By engaging in targeted interventions that address attachment issues, trauma, emotional dysregulation, and self-expression, teens can embark on a transformative process of healing and recovery. As professionals dedicated to supporting teens with RAD, let us continue to explore innovative therapies and interventions that nurture hope, resilience, and healing.


Remember, every teen's journey is unique, and the key lies in providing personalized, compassionate care that honors their individual needs and experiences. Together, we can make a meaningful difference in the lives of teens with RAD and empower them to embrace a future filled with promise and possibility.


Let's walk this path of healing together, one step at a time. Schedule your complimentary consultation today.


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