What defines elimination disorders in the DSM-5-TR?

Elimination disorders, as defined in the DSM-5-TR, specifically refer to conditions where a child exhibits inappropriate excretion of urine or feces. This encompasses two main types: enuresis, which involves the inappropriate urination, and encopresis, which refers to the inappropriate defecation. These disorders typically manifest in children and can lead to significant distress or impairment in social, academic, or other areas of functioning.

The focus on inappropriate excretion distinguishes these disorders from other categories in the DSM-5-TR. For example, anxiety disorders involve excessive worry or fear; personality disorders are characterized by enduring patterns of behavior and inner experience; and mood disorders primarily relate to disturbances in emotional state. Thus, elimination disorders occupy a distinct classification that highlights issues surrounding physical functioning related to toileting.