Kleptomania

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Kleptomania is an irresistible urge to steel objects that are not needed for personal use. According to DSM, kleptomania is categorized as an impulse- control disorder and is defined by the following diagnostic criteria: 1) reoccurring failure to hold oneself back from stealing objects that are not needed; 2) an increase in the amount of tension that is felt immediately prior to the stealing; 3) pleasure, gratification or relief at the time the theft takes place; 4) the theft is not committed to express anger or vengeance and is not in response to a delusion or a hallucination and 5) the stealing is not better accounted for by conduct disorder, a manic episode or antisocial personality disorder. Kleptomaniacs report that the things they steal usually don’t have a lot of value and after they steal, they would discard, hoard or secretly return the items they stole. Although they will usually experience feelings of pleasure, gratification or relief at the time the stealing is committed, many times they have a sense of guilt, remorse or depression a short time later. The average age of onset of stealing behaviors is typically during adolescence, however they can begin as early as four years of age and as late as seventy- seven years of age. The average age at the time of evaluation s usually mid to late thirties. Women are usually evaluated at a younger age than men. The average age for women at the time of evaluation was thirty- five years old, whereas for men the average age was fifty years old. The irresistible and uncontrollable shoplifting associated with kleptomania closely resemble the frequently excessive, unnecessary and unwanted rituals of OCD. Kleptomaniacs also hoard which is very similar to the hoarding symptoms of i... ... middle of paper ... ... This case report suggests that naltrexone may be an effective treatment for kleptomania. It is important for kleptomania to be recognized and treated in adolescents, who are particularly vulnerable to this unrecognized disorder. (Grant & Kim, 2002) Works Cited Anonymous. (2009). The Thief Within. Nature. Goldman, M. J. (1991). Kleptomania: Making Sense of the Nonsensical. The American Journal of Psychiatry. Goldman, M. J. (1992). Kleptomania: An Overview. Pschiatric Annals. Grant, J. E. (2003). Family History and Psychiatric Comorbity in Persons With Kleptomania. Comprehensive Psychiatry. Grant, J. E. (2006). Understanding and Treating Kleptomania: New Models and New Treatments. The Israel Jurnal of Psychiatry and Related Sciences. Grant, J. E., & Kim, S. W. (2002). Adolescent Kleptomania Treated With Naltrexone. European Child & Adolescent Psychiatry.

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