Kleptomania is an irresistible urge to steal items of trivial value. People with this disorder are compelled to steal things, generally, but not limited to, objects of little or no significant value. Some kleptomaniacs may not even be aware that they have committed a theft. It is usually thought of as part of the obsessive-compulsive disorder (OCD) spectrum, although new evidence suggests that it may be more similar to addictive and mood disorders. Kleptomania strongly differs from shoplifting or ordinary theft. Shoplifters and thieves generally steal for monetary value or gain. There is usually forethought intent while kleptomaniacs do not consider the value of an item or even contemplating theft until they are compelled without motive. Kleptomania can also demonstrate with hoarding symptoms that resemble those with OCD.
The onset of this illness generally begins during puberty and, in some cases last throughout the person's life. Kleptomania can present after traumatic brain injury or carbon monoxide poisoning. People with Kleptomania generally have dual diagnosis with specifically paranoid, schizoid, or borderline personality disorder and or substance use disorders. It is common for individuals with kleptomania to have first-degree relatives who suffer from a substance use disorder. Kleptomania can also present after traumatic brain injury or carbon monoxide poisoning.
Treatment of kleptomania typically involves medications and psychotherapy, perhaps along with self-help groups. However, there is no standard kleptomania treatment and researchers are still trying to understand what may work best. Medications may include Antidepressants, Mood stabilizers, Benzodiazepines, Anti-seizure medications, and Addiction medications. Psychotherapy treatment generally has a strong Cognitive behavioral therapy base and may include techniques such as Covert sensitization, Aversion therapy, and Systematic desensitization. Other forms of therapy, such as psychodynamic therapy, family therapy, or marriage counseling, also may be helpful.
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