Biggest risk factor is blaming everyone else or blaming the “illness”, too many excuses. Anyone close to pre-school and kindergarten age kids in school can see that there are parents , when confronted with socializing their children, who indoctrinate kids into the blame game, escape game, and parents who don’t. I am afraid of and for the children from the parents who don’t quite get responsibility , and they come from all walks of life.
Look at the Helen Keller story, well kind of fiction too probably, but at some point I am pretty sure she was insane,probably a lot more than this kid, but the risk factors for a devastating life were turned around. Why not with other people in a similar way? That’s what I believe, this stuff is not set in stone it’s an attitude as much as innate and our who society an Annie Sullivan intervention to get things straight.