Mayo Clinic Health Manager
Get free personalized health guidance for you and your family.
Get StartedRisk factors
By Mayo Clinic staffA number of factors play a role in the development of oppositional defiant disorder. ODD is a complex problem involving a variety of influences, circumstances and genetic components. No single factor causes ODD. Possible risk factors include:
- Having a parent with a mood or substance abuse disorder
- Being abused or neglected
- Harsh or inconsistent discipline
- Lack of supervision
- Poor relationship with one or both parents
- Family instability such as occurs with divorce, multiple moves, or changing schools or child care providers frequently
- Parents with a history of ADHD, oppositional defiant disorder or conduct problems
- Financial problems in the family
- Exposure to violence
- Substance abuse in the child or adolescent