KLEPTOMANIA

Description

• Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value

SYMPTOMS

• Repeated theft of objects that are unnecessary for either personal use or monetary value
• Increasing tension immediately before the theft.
• Pleasure or relief upon committing the theft.
• The theft is not motivated by anger or vengeance, and is not caused by a delusion or hallucination.
• The behavior is not better accounted for by a conduct disorder , manic episode, or antisocial personality disorder

CAUSES

• The cause of kleptomania is unknown, although it may have a genetic component and may be transmitted among first-degree relatives. There also seems to be a strong propensity for kleptomania to coexist with obsessive-compulsive disorder, bulimia nervosa, and clinical depression.

TREATMENT

• Once the disorder is suspected and verified by an extensive psychological interview, therapy is normally directed towards impulse control, as well as any accompanying mental disorder(s). Relapse prevention strategies, with a clear understanding of specific triggers, should be stressed. Treatment may include psychotherapies such as cognitive-behavioral therapy and rational emotive therapy . Recent studies have indicated that fluoxetine (Prozac) and naltrexone (Revia) may also be helpful

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