RAD develops when a child does not form a healthy emotional bond with caregivers due to neglect, abuse, or a lack of consistent care during early childhood. *Causes of RAD* Some key causes include: 1. *Severe Neglect:* Persistent lack of emotional support, comfort, and attention from primary caregivers. 2. *Frequent Changes in Caregivers:* Moving between foster homes, orphanages, or caregivers, preventing the child from forming secure attachments. 3. *Institutionalization:* Being raised in an orphanage or similar setting with little one-on-one attention. 4. *Parental Mental Illness or Substance Abuse:* Caregivers with untreated mental health issues or addictions may be unable to provide consistent care. 5. *Prolonged Hospitalization:* Babies or young children who spend extended time in hospitals without stable caregiver interaction may struggle with attachment. 6. *Abuse or Trauma:* Physical, emotional, or sexual abuse in early childhood can disrupt attachment formation. *Risk Factors of RAD* 1. Early Childhood Neglect or Abuse 2. Extreme Poverty or Unstable Living Conditions 3. Adoption or Foster Care Placement 4. Parental Absence