![]() ![]() Studies examing the comorbidity of OCD in subjects with kleptomania have inconsistent results, with some showing a relatively high co-occurrence (45%-60%) while others demonstrate low rates (0%-6.5%). Prevalence rates between the two disorders do not demonstrate a strong relationship. Some individuals with kleptomania demonstrate hoarding symptoms that resemble those with OCD. Kleptomania is often thought of being a part of obsessive-compulsive disorder, since the irresistible and uncontrollable actions are similar to the frequently excessive, unnecessary and unwanted rituals of OCD. ![]() A similar three year follow-up of patients treated only with naltrexone showed a clinically significant reduction in kleptomanic behavior. The only open-trial of medication for kleptomania showed naltrexone significantly reduced the intensity of urges to steal, stealing thoughts and stealing behavior. Some medications that are used for people diagnosed with kleptomania are selective serotonin reuptake inhibitors, mood stabilizers and opioid antagonists. Cognitive-behavioral therapy is recommended as an adjuvant to medication. Kleptomania has several different treatments. The stealing is not better explained by conduct disorder, a manic episode, or antisocial personality disorder. The stealing is not committed to express anger or vengeance and is not in response to a delusion or a hallucination.Į. Pleasure, gratification, or relief at the time of committing the theft. Increasing sense of tension immediately before committing the theft. Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value. 300-600 per 100,000 (0.3%-0.6%) in the overall population ĭiagnostic Criteria DSM-V Diagnostic Criteria for Kleptomania “.Kleptomania is distinguished from shoplifting or ordinary theft, as shoplifters and thieves generally steal for monetary value, or associated gains and usually display intent or premeditation, while people with kleptomania are not necessarily contemplating the value of the items they steal or even the theft until they are compulsed. In particular, this disorder is frequently co-morbid with substance use disorders, and it is common for individuals with kleptomania to have first-degree relatives who suffer from a substance use disorder. Kleptomania is usually thought of as part of the obsessive compulsive disorder spectrum, although emerging evidence suggests that it may be more similar to addictive and mood disorders. Kleptomania can occur after traumatic brain injury and carbon monoxide poisoning. People with this disorder are likely to have a comorbid condition, specifically paranoid, schizoid or borderline personality disorder. Although a kleptomaniac may steal uncontrollably without realization, judiciary|judicial courts in the United Kingdom and United States generally do not accept kleptomania as an affirmative defense. The majority of kleptomaniacs sometimes have preferences to certain items (again, usually subconsciously) for example, battery (electricity)|batteries or television remote controls. Some may not be aware that they have committed the theft until later. People with this disorder are compelled to steal things, generally things of little or no value, such as pens, paper clips, small toys, or packets of sugar. Kleptomania (Greek language|Greek: κλέπτειν, kleptein, "to steal", μανία, " mania") is an inability or great difficulty in resisting impulses of stealing. Associate Editor(s)-in-Chief: Kiran Singh, M.D. Risk calculators and risk factors for KleptomaniaĮditor-In-Chief: C. US National Guidelines Clearinghouse on Kleptomaniaĭirections to Hospitals Treating Kleptomania Ongoing Trials on Kleptomania at Clinical Articles on Kleptomania in N Eng J Med, Lancet, BMJ ![]()
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