Signs of Hope

A Journey through Reactive Attachment
Disorder is usually difficult and has far more ups and downs than
any roller coaster. Several families who have children with RAD
have agreed to share some of the large and small Signs of Hope
that have encouraged them in the hard work they've had to do.
We hope these provide some signs for other families to look for
and celebrate.

My daughter was adopted at 9 months, and by age 2 she was eating
a wide variety of foods. But by age 3, when her RAD was at it's
worst, she was only eating about 4 things, Ramen noodles, rice,
milk and fruit. Her lack of trust was reflected in her ability
to take nourishment from mom.
Recently, after about a year and a half of therapy, we were
at our favorite restaurant, which has a huge salad bar with many
delicious items, and my daughter was refusing to eat anything.
But I told her that she had to try one bite of what I offered
her (bread pudding). She refused. I said ""You have
to try one bite," so she did. She was AMAZED that I was giving
her a delicious treat! From then on, she has been willing to try
just everything I ask her to, and eats a wide variety of foods
that she never ate before.
She brings me a tissue every time I sneeze. She is able to
talk about her feelings now to explain why she was in a rage/panic.
For instance "I thought you were in the bathroom and then
I saw grandma's slippers outside the bathroom door and I thought
that she was inside and I didn't know where you were".
My daughter has just turned 5, and I realized that until about
a week ago, for the past 2 or 3 years whenever I've asked her
to do anything, I've gotten "no" for an answer, either
directly or indirectly by passive aggressive means: fooling around,
doing something else or just standing there. Our old theme song
was the Beatles' "Hello, Goodbye": "I say yes,
you say no, I say stop and you say go, go, go" instead of
being totally oppositional, she says "Yes Mommy" or
"I can help you do that". Now, after 2 years of therapy,
she volunteers for chores and washes her hands, face and teeth
without complaint.

Our signs of hope developed gradually over a 2-1/2 yr period.
My child had anxious attachment and deep grief issues.
- resolution after 20 min. (or less) Holding Time
- started to play with me
- smiles and makes eye contact when I walk in the room
- wanted to sleep with me
- gripping with legs while carried (after I taught and requested
it)
- teasing me playfully
- sought me for comfort--DH had to call me from grandma's one
day so I could talk and sooth her over the phone
- accepted bottle feeding
- prefers me to all others
- wants to please me, complies with my requests
- separation anxiety is much less; I can leave the room for
brief periods

Over a 3 mo. period, tantrums changed to just sitting on the
floor and protecting her own head a few times a day, instead of
laying down-head-banging tantrums several times a day. Two years
later, at age 4, tantrums are no longer a daily occurrence. Here
were our signs of progress:
- Our daughter could relax in my arms, instead of being rigid
or tense, and could rest her head on my shoulder...this took
many months.
- Our daughter could sleep through the night peacefully.
- Our daughter began to hold on when we held her.
- Our daughter began responding to voices, and to her name.
- Our daughter began to react appropriately when I left her
at church...she was sad to see me go but easily distracted with
play, and was happy when I returned. (I was unable to leave her
for well over a year...she would scream in terror, and would
rage when I returned, pushing me away.) Our daughter began to
interact and enjoy her siblings. For many months, she didn't
even acknowledge their presence.
- The biggest sign of progress was when I realized that she
was a happy child. For a long time that is not how I would have
described her!

The time frame in parentheses indicates how long this child
had been home before she began to show these signs. The child
was adopted at 16 months of age and was severely malnourished.
- She developed more than one cry--so I could tell if the cry
meant angry, sad, scared, hurt. (4 months)
- I could pick her up off the floor in the middle of the night
and her body was relaxed instead of straight and stiff as a board.
(about 6 months)
- I could carry her in from the car when she was sleeping and
instead of awaking and crying she continued sleeping when I put
her down in her bed or on the sofa. (about a year)
- She actually wanted to sit beside me while I watched a movie
on TV. (I don't watch much TV, but she'd been home over 4 months
by then.)
- She wanted to hold my hand when we were on our walk. (16
months--prior to that time she'd hold the strap on my key chain
or hold my finger if I was wearing a glove).
- First unsolicited hug (5.5 months)
- She began coming to my room and climbing into bed with me
when she awoke in the night (prior to that time she had refused
to sleep with me and screamed when I put her in bed with me--even
if she was sick). (14 months)
- She would crawl into bed with us in the morning and play
for a few minutes. (14 months)
- She fell and scraped her face on the sidewalk. After I washed
her face and put on some salve, I was holding her like an infant,
and she asked for a bottle. (18 months)

B. is a little over 2 1/2 and has been home from Korea for
almost exactly one year. We began HT when he had been home 4 months.
I have been frustrated because the eye contact, though somewhat
improved, still isn't always there. We are still working on him
gripping me when I carry him. And he is still resistant to being
tickled and having laughs with me, though sometimes I can surprise
the giggles out of him. But the truth is, he has been making loads
of progress.
- He has begun molding in to my body when I hug him (around
6-8 months after arriving home)
- He yells "mommy!" and comes for a hug when I get
home (around 10 months)
- He says, "MY mommy!" in a tone of ownership and
pride (around 8 months)
- He has begun to speak much more clearly--He wants to CONNECT
using words (11 months)
- When I am in another part of the house, he searches me out
to chat. My husband noticed this also and said "he seems
more tuned in to you these days." My heart soared! (10 months)
- He has become MUCH more tolerant of being held in a cradle-hold.
(this was an early sign-- probably within a month of beginning
Holding Time)
- He surprises me with an unexpected hug. This has happened
probably 10 times since he came home--beginning a couple months
after HT began. Each time this has caught me totally by surprise.
Hopefully this will become so normal that I'm not even startled.
Then again, I suspect I will always be hyperaware of every hug
from him....

My daughter O. was adopted March 12, 2000, at age 10 mos. Parentheses
indicate how many months she had been home when these behaviors
began occurring.
- Placed my hand on her cheek. (9 mos.)
- Looked into my eyes upon waking in the morning. (10 mos.)
- Laid quietly beside me in bed with our sides touching, without
kicking, struggling, or squirming to get away. (10 mos.)
- Let me hold the bottle while simultaneously holding my hand.
(10 mos.)
- Bit a Cheerio in half and offered to share the remaining
half with me. (10 mos.) Licking her finger to try and remove
a blemish from my face this morning. (10 mos.) Thank goodness
for makeup.

This child was adopted at a reported age of 22 months and showed
many symptoms of PTSD and RAD even during the first week with
her new family. These signs of hope occurred during the period
from 10 to 16 months after joining her new famiy.
- She didn't rage when a shaft of sunlight hit her face like
she did previously.
- She started saying "Bless you, mama" when I sneezed.
- I told her to stop an inappropriate activity/behavior and
she did.
- I could carry groceries in from the car without her screaming
in rage every time I went out to get some bags and every time
I returned to the house.
- She began running to me for a hug and a kiss when I returned
home for lunch or returned at the end of the day.
- She and her nanny had to come to my workplace to get something
from me, and she cried because she didn't want to leave me.
- She let me tuck her arms beneath mine and enjoyed a hug instead
of raging because her arms weren't on top
- She let me hold her and did NOT maintain a space between
her front and mine.
- She asked me to put some of my perfume on her arm so she
could still smell me while I was gone.
- She touched my face the way I touch hers.
- She saw us in a mirror and for the first time said, "Look.
Mama. Baby."
- When she was hurt, she recognized pain and came to me for
comfort.
- She wanted a kiss and hug at bedtime.
- One of the buckles on her seatbelt hadn't fastened and she
let me know.
- She could eat a meal without deliberately spilling things.
- I could put my cheek against hers without it sending her
into a rage.
- She could sit on her little rug to get herself reorganized
and avoid the rage she'd been headed toward.
- The BIG ONE: She was willing to lie on my tummy and chest
and relax almost to the point of sleep. She still won't synchronize
her breathing with mine, but I think we'll get there.

My daughter began a peculiar behavior shortly after we began
holding time with her last fall, and it has evolved in such a
way that I see it as sign of her bonding to us. She began by asking
questions like "If I was squished by a car, what would you
do?"--then evolving to "If I was eaten by an alligator
and squished by a car, what would you do?"; then finally
to the current version: "If 44 dinosaurs, 44 alligators,
60 coyotes and 15 crocodiles ate all my parts, my eyes, legs,
nose, and hands, what would you and Daddy and my sister do?"
For a while, she was asking this 10-15 times a day, and I always
gave the same answer, that we would do whatever it took to get
her put back together again. She seems to be wanting affirmation
that we really are her parents, and will do what parents are supposed
to; that is; take care of her! The queries have now dropped off
to a few per a week, but she still asks, with great seriousness.