I have long speculated that the number of people with Cluster B disorders is considerably higher than any 'official' stats would indicate.
link With another recent tragedy in the news I have stumbled onto what seems to be a likely correlating statistic.
Since the recent shooting incident was committed by another 'trans' person (that's what? 6 now at least), I've seen the following chart:
Percent of U.S. adults identifying as transgender, by birth year. - Behavioral Risk Surveillance Survey, CDCThis chart doesn't necessarily show us a trend over time per se; it's by birth year, so it displays the percentage by age. Almost usable for showing a time trend, but not quite as we'll look at another chart below from the same data source for 2014-2022.
The average reported percentage for Cluster B disorders amongst 'official' stats is around 6%. Though there are some wild differences between datasets. The DSM-5 says Cluster B prevalence is 4.5%. The NESARC (National Epidemiologic Survey on Alchohol and Related Conditions) data shows ~%6 for BPD and also about the same for NPD. There is also data (National Comorbidity Study Replication (NCS-R), 2001-2003) comparing 'any PD' at 9.1% with BPD at 1.4%. The NCS-R shows zero for NPD and Histrionic so I'm not sure how useful or reliable that data is as an indicator. In any case, the generally accepted single digit numbers may have been close to realistic several decades ago. To quote myself from the article I mentioned/linked above:
An interesting side note is that the prevalence of Cluster B disorders is underreported. I've seen 20% as the number of "likely personality disordered", which happens to be the same percentage rate of "high conflict divorces". 1 in 5 is quite significant though I'd consider that a low guess for actual Cluster B disordered; I think it's considerably higher.
If we add the Cluster B categories together from NESARC data we get 17.5%. Not sure if that's scientifically accurate as I haven't really looked into the methodology, etc. of the NESARC data, but it sounds about right. I think it's safe to say that the BPD figure from early 2000's NSC-R could safely be multiplied by 10 to give a more accurate 14%. Though as I and others have noted, stats for Cluster B's in particular do not reflect reality. The real number is much higher than any reported stats.
What does this have to do with the recent spiking trend in trans numbers?
I submit that they are related to the apparent increase of Cluster B's and that the trans stats are a better indicator of that anecdotal observation.

One thing to note is the decrease over time among the older populations. I'll assume the data takes mortality into account so the decrease isn't due to death. This would reflect an observation of some individuals de-transitioning later in life. So there's some that 'come to their senses', or they just find that the make believe game no longer serves their interests.
On the other side, part of the increase in recent years could be related to the "gender dysphoria" change in the DSM-5 and the related change in how the mental health profession in general dealt with it; from correctly affirming proper biology/gender to reinforcing the delusions of patients. Not to mention the general societal influence or pushing of this particular agenda.
I almost think they really should have re-categorized Gender Identity Disorder to a Cluster B PD. Other than the temporary confusion and later-life detransition cases it would seem to fit. There appear to be very similar behavioral symptoms. Apparently I'm not alone in this opinion.
Some researchers consider GD as a manifestation of borderline personality organization and classify it as a subgroup of BPD. They compared personality disorders between patients suffering from both disorders and the control group and found higher levels of aggression, self-injury, suicidal idea, suicide, reality perception impairment, boundary confusion, and object relation disorder in these patients compared with the control group.
- J Family Med Prim Care. 2022 Jun 30;11(6):3196–3202. doi: 10.4103/jfmpc.jfmpc_1931_21
This is the really interesting part. People with GID/gender dysphoria commonly also have a Personality Disorder (PD) - aka comorbidity. Older data (5-10 years ago) suggests 3-80% (or 15-80%) with the most common comorbid being BPD. Why the super low 3% figure is included in the reported range, IDK. One study reports ~81% comorbidity of any PD, with NPD at ~50%. The journal article quoted above (published in 2022) references a couple studies that show 40-70% Cluster B comorbidity. So 80% or more would be a reasonable figure and confirm that my observation of there appearing to be similar behavioral symptoms is spot on.
My initial thoughts on this subject were that this spike in GID/trans could likely be related to a corresponding rise in Cluster B disorders starting about 18-30 years prior. Basically the parents generation - it looks like that would be mostly Gen X. Up until about Gen Y the prevalence of GID/trans was a fairly constant ~0.5%. Why would I think the increase in trans was connected to having Cluster B parents? Because
Cluster B's Are Abusive. Emotionally, verbally and in some cases physically. They are basically broken children in adult bodies - emotionally they are toddlers, maybe adolescents. Based on their general malignant behaviors (eg. projection, manipulation), lack of empathy, various unhealthy interpersonal skills, etc. combined with lack of their own sense of identity, it kinda makes sense that a child raised, or otherwise affected, by such a person would be more likely to be confused about who they are.
Offspring who experienced maternal verbal abuse during childhood were more than three times as likely as those who did not experience verbal abuse to have borderline, narcissistic, obsessive-compulsive, and paranoid PDs during adolescence or early adulthood.
- Compr Psychiatry. 2001 Jan-Feb;42(1):16-23. doi: 10.1053/comp.2001.19755.
The basic premise or reasoning behind my own quote earlier - that being the lack of data to get ballpark guess-timates on Cluster B numbers - does not appear to have changed since my research at the time I wrote that. The divorce data indicating 20-25% as high-conflict, and ~25% where the reasoning for divorce is domestic abuse, would still probably be the closest for making an educated guess. Add at least a few points for the crowds where the reason was infidelity or substance abuse, plus a correction factor to account for the typical Cluster B under-reporting and we should be close. Is ~30% really a realistic number? On one hand they seem to be everywhere so it wouldn't surprise me. On the other... that would be 3 of every ten people... and that equals a really big number, that can't be right. Alas I still haven't found any similar trending data to even try to make a comparison. Maybe I could ask one of the AI's... but
AI seems to have a personality disorder, so I'd rather not. I might need to write an update on that particular subject with news of ChatGPT assisting/encouraging a kid to suicide recently and the new-ish stats here.
So I can't seem to find anything showing Cluster B trends. However, we do have the GID/PD comorbidity data from which we can speculate on the percentage of Cluster B's. The 4.5% Cluster B from DSM 5 should be circa 2013 and the trans chart data starts at 2014 with 0.45% being about the average at that point, so let's start with 10x. Basically this is guessing that 10% of Cluster B's are also GID/trans. IOW, the inverse of the comorbid data - which I'm not sure there is any study to report such numbers, hence the guessing game. Based on the 2023 numbers in the trans chart, this would put the 25-34 age group at about 17% Cluster B and the 18-24's at 31%. This is not looking good, at all.
Let's look at another chart from "Disorder in the Court: Cluster B Personality Disorders in United States Case Law".
Combined Cluster B personality disorders trend in U.S. case law since Diagnostic and Statistical Manual of Mental Disorders–Third Edition (DSM–III). - Psychiatr Psychol Law. 2018 Jun 13;25(5):706–723. doi: 10.1080/13218719.2018.147481This is just a trend based on number of cases where the Cluster B's disorder was some factor in the case. From the 90's to the 2000's the number roughly doubled. With nearly the same increase into the 2010's. The drop in 2016 is likely a data anomaly based on incomplete sampling data eg. delays in finalized court opinions being available, etc., as the article was published in 2018. Interesting data nonetheless, but I'm going to take a page out of the Cluster B politicians' and psuedo-scientists' playbook; and use this trend chart to show my correlation hypothesis. Neat, huh? Hey, they've been known to convince people of completely fabricated crap with even less real data...
What if we consider the court trends as a reflection of Cluster B prevalence? Let's call the somewhat popularly used ~2% as a sort of baseline average for Cluster B's prior to 1980 with an increase to the 4.5% number in the 80's.
The 90's start around 6-9% and average 9-14%. - Gen Y to Z born.
2000 is around 17.5% and goes into the 20% range by 2005. ~25% in 2010...
Maybe there is a correlation. Did Cluster B disorders start doubling in the Boomer population and then more than double in Gen X?
If my wild guesses at numbers here are anywhere near being correct, we're looking at a serious mental health crisis with Cluster B's making up somewhere in the range of 30% of the population!!!
As it is we have data indicating that the percentage of the 18-24 bracket which identify as trans has quadrupled within 10 years. That may still be a very small percentage, but out of ~30 million that's going from a bit under 300,000 to about 1 million. Now consider that ~80% (that's 800,000 young adults) also have a Cluster B disorder. The number of 25-34 year olds identifying as trans are also at ~800k (up from ~200k over 10 years). That equals ~600k Cluster B's in the 25-34 group. If we take the low general figure of 6% for Cluster B, the 18-35 number would equal ~5 million.
Is my math right here? These numbers are unbelievable!
If my ~30% guess is correct, that would mean nearly 23 million of the 18-35 crowd are likely to have a Cluster B disorder. Now consider that those with a Cluster B disorder are 10 times more likely to be violent than non-Cluster B's...
This is VERY bad.
There is no 'cure' for Cluster B disorders. As far as I know, the closest thing to one is Dialectic Behavior Therapy (DBT) and that essentially requires a lifetime commitment to it by the individual. The reported success rate is ~50% and that's after 10 years of therapy.
Since they tend to think nothing is wrong with them, their problems are 'everyone else', etc., good luck with that... Don't expect them to be lining up for help. I have said for quite a while that I think there should be a mandatory screening specifically for Cluster B required to be in any position working directly with kids, any elected .gov or 'public service' job, and really any position involving 'power' over others. I've also said that a public registry is in order. At this point I'm beginning to think that asylums need to come back, without being run by the pharma industry of course. Maybe marketed more as 'safe spaces' for those 'poor, stigmatized' people - like resorts or gated self-reliant commun-ities, only they can't leave without close supervision and only after a significant period of successful therapy.
There's a good chance this would significantly reduce prison populations seeing as how ~70% of prisoners are ASPD, not to mention the other Cluster B categories. Could also make a large dent in .gov corruption issues - a high percentage of politicians, lawyers, etc. are NPD specifically. I'll have to find the article/study where I saw those stats again. And such measures would have a meaningful impact on reducing child abuse and domestic violence since a high percentage of abusers are Cluster B. I also suspect that many within CPS depts. are actually Cluster B's - they became masters at manipulation as part of getting their Master Social Worker cert. Which could be part of the reason that parents pushing their children to be trans is not being treated as the child abuse it is, but I digress.
Anyways, something needs to happen. The recent school/church/etc. shooting incidents are a tragic symptom of a very serious underlying mental health problem. One which according to the numbers I'm seeing, appears to be getting much worse.
There is certainly more behind the trans issue (particularly with the overt violence cases) than just the highly likely chance of having a Cluster B parent, or other influential person present in a child's formative years. The societal push to normalize such behavior and attempts to redefine, what is by practically all accounts, a mental illness as a 'lifestyle choice' is insanity itself. One could say it is just plain evil. And on that note, I may write something from that angle but that's it for this post.
- - trans charts/data citation: Twenge, J.M., Wells, B.E., Le, J. et al. Increases in Self-identifying as Transgender Among US Adults, 2014–2022. Sex Res Soc Policy 22, 755–773 (2025). https://doi.org/10.1007/s13178-024-01001-7