Kleptomania

Kleptomania is the inability to refrain from the urge to steal items for reasons other than personal use or financial gain. First described in 1816, kleptomania is presently classified in psychiatry as an impulse control disorder. Alternatively, some of the main characteristics of the disorder, which consist of recurring intrusion feelings, an inability to resist the urge to steal, and a release of pressure following the theft, suggest that kleptomania could be an obsessive-compulsive spectrum disorder, although this is disputed.

The disorder is frequently under-diagnosed and is regularly associated with other psychiatric disorders, particularly anxiety and eating disorders, and alcohol and substance abuse. Patients with kleptomania are typically treated with therapies in other areas due to the comorbid grievances rather than issues directly related to kleptomania.

Over the last 100 years, a shift from psychotherapeutic to psychopharmacological interventions for kleptomania has occurred. Pharmacological treatments using selective serotonin reuptake inhibitors (SSRIs), mood stabilizers and opioid receptor antagonists, and other antidepressants along with cognitive behavioral therapy, have yielded positive results.