Problem: Paraphrase One possible diagnosis for Marisa is Reactive Attachment Disorder (RAD) (F94.1). Given Marisa's early experiences in an orphanage and her challenges during her adoption, RAD might be considered. RAD involves difficulties forming healthy attachments and relationships due to early neglect or disruptions in caregiving. Marisa's hitting herself when afraid or when she thinks Catherine is upset might indicate difficulties in managing her emotions and forming secure attachments. RAD has been reported in children fostered or adopted after experiencing severe early deprivation through institutionalization and youth with foster care and maltreatment histories (Zilberstein, 2023). Need Assignment Help?