A disruption in the initial attachment formed between an infant and a primary caregiver often leads to some type of disordered or disorganized attachment. While research has been conducted on the etiology, symptoms, and effective forms of therapy regarding this disorder, much definitive information remains unknown or unclear. With the increasing use of foster care in America and the frequency of adoption, it is becoming obvious that more attention is needed in the area of how to best appropriately approach a diagnosis of reactive attachment disorder. This article will discuss current trends and implications for mental health professionals working in the field of foster care and adoption settings.