Before diagnosing reactive attachment disorder, doctors usually attempt to rule out other causes for the child's behavior, including autism spectrum disorder. Autism is a developmental condition that can affect communication and behavior. Children with autism may exhibit similar behaviors to those with RAD, which is why attempting to rule out autism helps the doctor make a correct diagnosis. After ruling out other causes, the doctor will assess the child's behavior by asking questions about patterns in behavior and any history of abuse or neglect.

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