Which Children Are At Risk For ODD Or CD?
ODD and CD are more common in boys than in girls. Children with the following mental health struggles are also more likely to have ODD or CD:
- Mood or anxiety disorders
- Attention-deficit/hyperactivity disorder (ADHD)
- Past trauma event
- Significant life altering event such as divorce, loss of parent, etc.
ODD & CD Causes and Risk Factors
The exact cause of ODD/CD is not known, but a combination of biological, genetic and environmental factors may contribute to the condition.
- Brain chemistry: ODD/CD has been linked to certain types of brain chemicals, or neurotransmitters, that don’t work the right way. Neurotransmitters help nerve cells in the brain communicate with each other. If these chemicals are not working properly, messages may not make it through the brain correctly, leading to symptoms of ODD/CD and other mental illnesses. Further, many children and teens with ODD/CD also have other conditions, such as attention deficit hyperactivity disorder (ADHD), learning disorders, depression, or an anxiety disorder, which may contribute to their behavior problems. At NPS, we explore the underlying causes that could be disrupting normal neurotransmitters being produced in the lining of the gut. The recent exploration and understanding of Brain Gut Connection is transforming how we are now treating many different mental and physical conditions in the body.
- Other brain differences: Some studies suggest that defects in or injuries to certain areas of the brain can lead to serious behavior problems in children.
- Temperament: Kids who have trouble controlling their emotions are more likely to have ODD/CD.
- Family history: Many children and teens with ODD/CD have close family members with mental conditions, including depression, anxiety disorders and personality disorders. This suggests that a risk of getting ODD/CD may be inherited.
- Family issues: Things like a dysfunctional family life, substance abuse and inconsistent discipline by parents or other authority figures may add to the development of behavior disorders.
- Trauma: traumatic or overwhelming events can trigger ODD/CD behaviors in children.
- Peers: Attention from peers or engaging in substances or drugs may sometimes reinforce ODD/CD behaviors.
Therapists
These are our therapists who are experienced in working with ODD/CD.

