Biological causes are the only way a child may develop an EBD. They cannot develop EBD's due to pathological relationships, school, or cultural factors.

However, it is important to note that biological causes, such as genetics, brain structure, and chemical imbalances, can certainly play a significant role in the development of emotional and behavioral disorders in children. These factors can affect a child's ability to regulate their emotions, behavior, and social interactions, leading to difficulties in functioning and coping with everyday life.

While biological factors may be a key contributor to EBDs, it is also important to recognize the impact of environmental and psychosocial influences on a child's development. Factors such as adverse childhood experiences, trauma, abuse, neglect, family dynamics, and socioeconomic status can also contribute to the onset and exacerbation of EBDs in children.

Therefore, a comprehensive understanding of the complex interplay between biological, environmental, and psychosocial factors is essential in addressing and supporting children with EBDs. Effective intervention and support strategies should take into account the multiple influences that can contribute to the development of emotional and behavioral challenges in children.