HOW DO YOU KNOW?

Don't wait at all. Yes, there is real help available, although real, good treatment for attachment issues can be hard to find. It's more important to find the right treatment than have the labor, and someone can have serious attachment struggles without meeting the criteria for a RAD diagnosis. Having the right attachment therapist early enough can help the child but can also help you, because it can be really hard to see the full picture from the inside.