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The younger you can get them treatment the better. Find a therapist that specializes in RAD and start therapy ASAP. We were told we were too late. (we took them in when he was 7 and his sister was 8). They always had weekly counseling. We thought loving them and giving them structure was enough.....After 5 hospitalizations ou 15 year old son has been in residential care for 1.5 years now. His 16 year old sister who is still with us is going through extreme difficulties right now.