What defines an elimination disorder?

An elimination disorder is characterized primarily by the inappropriate timing of urination or defecation, leading to significant distress or impairment in social, academic, or other important areas of functioning. This can manifest as either enuresis, which involves inappropriate urination, or encopresis, which involves inappropriate defecation. Both conditions typically occur in children and are not attributed to a medical condition or substance use.

While other options mention various behavioral issues, they do not directly relate to the specific characteristics of elimination disorders. Thus, the defining feature of elimination disorders is the occurrence of urination or defecation at inappropriate times.