Adopted children in psychotherapy

Research shows that a larger than expected proportion of children in psychiatric treatment are adopted. When these children present with more pressing symptomatology, it is often difficult to determine how and when to address the adoption issue. This report provides a brief analysis of adoption from the perspective of attachment theory and family of origin theory. Case examples illustrate typical themes and dilemmas that arise in therapy. The authors conclude the report with an analysis of factors to consider in clinical decision-making and guidelines for intervention.