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JIMMY B. SORIANO
MAY 2019
INTRODUCTION
Kleptomania is rare overall but more common in females than in males. People with
kleptomania often have another psychiatric disorder, such as depressive and bipolar
disorders, anxiety disorders, eating disorders, personality disorders, substance abuse
disorders, and other impulse-control disorders. There is evidence linking kleptomania with
the neurotransmitter pathways in the brain associated with behavioral addictions, including
those associated with the serotonin, dopamine and opioid systems. (Christianini, A. et.al,
2015). People with kleptomania disorder have an overwhelming urge to steal and get a thrill
from doing so. The recurrent act of stealing may be restricted to specific objects and
settings, but the affected person may or may not describe this special preferences. People
with this disorder usually exhibit guilt after the theft. (Jerald Kay, et.al, 19997).
Some people with disorder might feel guilty afterward and even try to return the
objects they steal. Sense of tension and excitement related to impulse. Feeling of relief,
satisfaction and/or pleasure after acting on an impulse to steal the item. Unplanned stealing
that is done on the spur-of-the-moment. Stealing that is not done out of anger or to “get back
at” someone. Some kleptomanias feel sense of relief after stealing. They may even feel
calm after the episode. On the other hand, others may exhibit symptoms such as guilt,
remorse, fear, and self-loathing. However, almost all find it impossible to control their
kleptomania, and as a result, the cycle repeats itself sooner or later. (Thompson JW, Jr.,
Winstead DK.)
Kleptomania is classified in the psychiatric nomenclature as an impulse control
disorder. Patients with kleptomania, however, often suffer from repetitive intrusive thoughts
about stealing, an inability to avoid the compulsion to steal as well as a relief of tension
following the theft. These associated symptoms suggest that kleptomania may be a form of
obsessive compulsive spectrum disorder. On the other hand, some authors describe
kleptomania as a nonpharmacological addiction n because of the inability to control
maladaptive behavior. A broad range of pharmacotherapeutic agents has been found to be
beneficial in the treatment of kleptomania including serotonin reuptake inhibitors (SSRIs),
mood stabilizers, and opioid receptor antagonist medications. Adjuvant cognitive behavioral
therapy (CBT) is recommended (Dannon P, et al.).
Psychotherapy is usually the treatment for impulse control disorders. Therapy helps
the individual understand why he acts on impulse. The treatment also focuses on managing
the behavior. A therapist will also work with the individual on relapse prevention strategies
by identifying the triggers. In addition, other disorders that may coexist like depression or
anxiety are also treated. Kleptomania may need to be treated with a combination of
medication and psychotherapy. Since scientists believe low levels of serotonin may be
involved, a drug that increases the levels of serotonin may be used. Because an imbalance
of opioids may be to blame, then drugs that block the action of opioids may be given.
The person suffering from kleptomania disorder has to deal with strong feelings of
guilt, shame and remorse. These are feelings that must continually be dealt with if the
disorder goes untreated. There is no cure for kleptomania. The best way to manage
kleptomania is with a combination of pharmaceutical and behavioral treatments. (Jacquelyn
Ekern, 2013). Kleptomania is extremely difficult to treat alone, so getting medical help is a
necessity for most that experience it. Treatment typically involves a combination of
psychotherapy and medications, which can address triggers and causes.
Cognitive behavioral therapy is most commonly used to treat kleptomania. With this
type of treatment, your therapist will help you learn to stop detrimental behavior and address
the cognition that causes them. In cognitive therapy, your therapist may use systematic
desensitization, in which you practice relaxation techniques to learn to control the urges to
steal and covert sensitization, in which you imagine yourself stealing and then facing
negative consequences like being arrested. (Dillon Browne, PhD) Commented [u3]: Transfer after Psychorepy is usually the
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CONCLUSION
Joe E Grant, JD, MD, MPH. (2006). Department of Psychiatry, University of Minnesota
School of Medicine, Minneapolis, Minnesota, U.S.A
Anonymous (2013). Kleptomania. In: Diagnostic and Statistical Manual of Mental Disorders
DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association. Retrieved from
http://dsm.psychiatryonline.org.
Palmer B.A (2017). Mayo Clinic, Rochester, Minn. Sept. 21, 2017. Retrieved from
https://www.mayoclinic.org/diseases-conditions/kleptomania/symptoms-causes/syc-
20364732