Kleptomania

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DIAGNOSTIC CRITERIA
A. Recurrent failure to resist impulses to steal objects that are not needed for personal
use or for their monetary value.
B. Increasing sense of tension immediately before committing the theft.
C. Pleasure, gratification, or relief at the time of committing the theft.
D. The stealing is not committed to express anger or vengeance and is not in response
to a delusion or a hallucination.
E. The stealing is not better explained by conduct disorder, a manic episode, or
antisocial personality disorder.
DIAGNOSTIC FEATURES
 The objects are little value, who could have afforded to pay for them.
 may hoard the stolen objects or surreptitiously return them.
 avoid stealing when immediate arrest is probable (e.g., in full view of a police
officer),
 they usually do not preplan the thefts
 done without assistance from, or collaboration with, others.
ASSOCIATED FEATURES
 attempt to resist the impulse to steal,
 aware that the act is wrong and senseless.
 fears being apprehended and
 often feels depressed or guilty about the thefts.
 serotonin, dopamine, and opioid systems

PREVALENCE
 Women outnumber men at a ratio of 3:1.
DEVOLOPMENT AND COURSE
 Disorder often begins in adolescence.
 may begin in childhood, adolescence,
 rare cases in late adulthood.
 sporadic (sometimes) with brief episodes and
 long periods of remission
 The disorder may continue for years, despite multiple convictions for shoplifting.

RISK AND PROGNOSTIC FACTORS


Higher rate of alcohol use disorders in first-degree relatives

ASSOCIATION WITH SUICIDAL BEHAVIOUR OR THOUGHTS


Increased risk for suicide attempts.

FUNCTIONAL CONSEQUENCES OF KLEPTOMANIA


Cause legal, family, career, and personal difficulties.

DIFFERENTIAL DIAGNOSIS
1. Ordinary theft :
 Ordinary theft (whether planned or impulsive)
 motivated by the usefulness of the object or its monetary worth.
 Kleptomania is rare, whereas shoplifting is relatively common.
2. Malingering :
 Simulate the symptoms of kleptomania
 to avoid criminal prosecution.
3. Antisocial personality disorder and conduct disorder
4. Manic episodes, psychotic episodes, and major neurocognitive disorder :
 distinguished from intentional or inadvertent stealing
 that may occur during a 541 manic episode, in response to delusions or
hallucinations (e.g., in schizophrenia),
 result of a major neurocognitive disorder.
COMORBIDITY
 Compulsive buying
 Depressive and bipolar disorders (especially major depressive disorder),
 Anxiety disorders,
 Eating disorders (particularly bulimia nervosa),
 Personality disorders,
 Substance use disorders (especially alcohol use disorder),
 Other disruptive, impulse-control, and
 Conduct disorders.

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