Reactive attachment disorder (RAD) is a rare disorder that occurs in children. It is characterized by a failure to form normal attachment to parents and caregivers during early childhood as well as developmentally inappropriate social interactions. RAD typically arises after the child has experienced significant neglect or abuse from the parents or caregivers. Children with reactive attachment disorder may show more familiarity and bonding with strangers than they do with their caregivers. RAD often coexists with other psychiatric and intellectual disorders. Treatment is focused on improving the caregivers parenting skills and interactions with the child, and is most successful when started early.