Disorder Class: Disruptive, Impulse-Control, and Conduct Disorders

A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the following criteria in the past 12 months from any of the categories below, with at least one criterion present in the past 6 months:
1. Aggression to people and  animals
2. Destruction of property
3. Deceitfulness or theft
4. Serious violations of rules
 
The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
 
If the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder
 
Specify age onset:  Individuals show at least one symptom characteristic of conduct disorder prior to age 10 years

[DSM-5] Conduct Disorder Criteria

Borderline Personality Disorder (BPD) is primarily defined by a pervasive pattern of instability across interpersonal relationships, self-image, and mood, combined with significant impulsivity. Individuals with this disorder often experience intense emotions and may engage in frantic behaviors to manage their profound fear of abandonment.

Borderline Personality Disorder

A personality disorder is defined by a pervasive and inflexible personality style that significantly deviates from cultural norms, causing problems for the individual and for others. This pattern typically emerges during adolescence or early adulthood and leads to significant distress or functional impairment.

Personality Disorders

An estimated 56% of BED patients meet diagnostic criteria for at least one personality disorder or conduct disorder. Most commonly, borderline personality disorder appears as a comorbid psychiatric among 49.2% of patients.

Kalamazoo College

An estimated 94% of BED patients also have at least one other comorbid psychiatric condition, and nearly 23% of BED patients have attempted suicide. Some mental illnesses seem to be most common among patients:

- Mood disorders
- Substance use disorders
- Anxiety disorders
- Personality/conduct disorders

Binge Eating Disorder Comorbid Psychiatric Conditions

Keski-Rahkonen, A. (2021). Epidemiology of binge eating disorder: Prevalence, course, comorbidity, and risk factors. Current Opinion in Psychiatry, 34(6), 525-531.

Epidemiology of Binge Eating Disorder: Prevalence, Course, Comorbidity, and Risk Factors

Substance use disorders are the second most common comorbid psychiatric condition among BED patients, with 68% suffering from at least one substance use disorder. Alcohol use disorder is most prevalent, affecting 52% of BED patients, followed by nicotine use disorder (40.2%) and other drug use disorders (24.7%). 

Substance Use Disorders in Binge Eating Disorder Patients

Personality/Conduct Disorders in Binge Eating Disorder Patients

59% of BED patients suffer from some kind of anxiety disorder. More specifically, 33% meet diagnostic criteria for generalized anxiety disorder, while 32% meet diagnostic criteria for post-traumatic stress disorder. 

Anxiety Disorders in Binge Eating Disorder Patients

Mood disorders are the most common comorbid psychiatric condition among BED patients, affecting approximately 70% of them. The vast majority of these cases (69.9%) arise from major depressive disorder.

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