if the oppositional defiant personality disorder is not addressed it can lead to serious outcomes of a comorbid conduct /adhd personality disorder in adult life, jail and crime and stuck in a juvenile court system and also homelessness, drug addiction and worse. that child could be taken from her parents deemed uncontrollable and bought in a juevi detention and she won't like that if she keeps up all this violence on people. and if she thinks the foster and orphan system is great she will get a rude shock.