Behaviors seen in newly adopted international children may include:

• Stereotypical behaviors such as head banging, rocking
• Unusual eating patterns, gorging, refusing to eat, hoarding food
• Unwillingness to sleep alone, or to sleep in a crib or bed

It may be helpful to let parents know that these behaviors are common and typically improve over time. A flexible approach to management with a focus on gradual improvement is the key.

A child may appear to have language delay following placement with a family speaking a different language. Often, such delay is both normal and temporary.

If delay persists, refer the child to a speech-language pathologist experienced in working with bilingual children; your local AEA can provide a referral.

Early referral to a clinical child psychologist or other mental health professional with experience in adoption and attachment issues is important.

Sensory defensiveness may result in the child disliking:

• Hugging
• Grooming (having hair combed)
• Touching textured materials (finger paint, sand)
• Loud noises (vacuum cleaner noise, toilet flush)
• Bright lights

Evaluation by a qualified occupational or physical therapist, using standardized testing and structured observation.

Older children may:

• Show indiscriminate friendliness
• Exhibit fear of being abandoned or other anxiety symptoms
• Have concerns about identity
• Be over-controlling in relationships
• Have little sense of belonging
• Have difficulties with mood regulation

Referral to a clinical child or adolescent psychologist or other mental health professional with experience in adoption issues can be helpful.

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