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Are Teenagers with ADHD–ODD More Likely to Drop Out of School? 

PostedSeptember 9, 2025
UpdatedSeptember 10, 2025
ByMy Patient Advice
Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Yes, teenagers with ADHD and ODD school dropout risk are higher due to the combined challenges of these conditions. ADHD often causes difficulties with attention, impulse control, and organisation, while ODD can lead to defiance, anger, and conflicts with authority figures. Together, these issues can significantly affect teen ADHD students’ school performance, relationships with teachers, and overall engagement with education, increasing the risk of disengagement and eventually dropping out. 

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How ADHD Affects School Performance 

ADHD impact on school performance is often seen in areas such as poor concentration, difficulty completing assignments, and frequent distractions. Teenagers with ADHD may struggle to meet academic expectations, leading to frustration and feelings of inadequacy. Over time, these challenges can cause a lack of motivation, making school seem like an insurmountable obstacle. 

How ODD Contributes to School Challenges 

ODD’s impact on school can manifest as resistance to authority, arguing with teachers, and deliberately disregarding rules. These behaviours can lead to disciplinary action, conflicts with peers, and a strained relationship with teachers. When combined with ADHD, the frustration of not performing well academically and struggling with behaviour can intensify, leading to further disengagement and potential school avoidance. 

Preventing School Dropout 

Interventions, such as behavioural therapy, social skills training, and academic support, can help manage ADHD and ODD school dropout risk and improve school engagement. Providing structured routines, clear expectations, and positive reinforcement can create a more supportive school environment.  

In conclusion, collaboration between parents, teachers, and school counselors is also essential in helping teens with ADHD and ODD stay on track academically. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Oppositional Defiant Disorder.

Book an ADHD test now
Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk
Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.