Monday, March 31, 2025

Kleptomania - By W A Lasitha Imali



“Dupahiya” is an Indian drama series that revolves around a crime-free village. One of the characters, Amavas, suffers from kleptomania. He lost his girlfriend due to his disorder, and the villagers expelled him from the community because of his stealing habit. Amavas steals purely for his own pleasure. In one episode, he steals the mobile phone belonging to his girlfriend's father. When questioned about this act, he explained that he was simply attracted to the phone's back cover, which is why he took it.

Kleptomania is an impulse control disorder characterized by a recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value. People with kleptomania often feel a sense of tension before stealing and experience pleasure or relief afterward. Kleptomaniac stealing is not committed to express anger or revenge and does not arise from delusions or hallucinations. Unlike shoplifters, a person with kleptomania does not plan to steal items in advance and does not seek help from another person. They may hoard the stolen items or sometimes secretly return them. People with kleptomania feel guilt, shame, or regret after stealing, as they are aware that their actions are wrong. Neurotransmitter pathways associated with behavioural addiction, including serotonin, dopamine, and opioid systems, play a role in kleptomania. Psychoanalytic theories link compulsive stealing to childhood trauma and neglectful or abusive parents, suggesting that stealing may symbolize recovering losses from childhood. Kleptomania has also been linked to psychosexual issues such as sexual repression and suppression. This disorder appears to be highly associated with mood disorders, eating disorders, substance use disorders, and anxiety disorders.

The estimated prevalence of kleptomania is around 0.3% to 0.6% of the general population, and women are more likely to be diagnosed with kleptomania than men. The onset of kleptomania often occurs during adolescence, but it can develop at any stage of life, and in rare cases, in late adulthood. This disorder may cause legal, family, career, and personal difficulties and has been associated with an increased risk for suicide attempts.

Treatment for kleptomania typically involves a combination of psychotherapy, such as Cognitive Behavioural Therapy (CBT), and potentially medication, like antidepressants or medications used to reduce urges. CBT helps individuals identify and modify negative thoughts and behaviours associated with kleptomania and learn healthier coping mechanisms. Aversion therapy also uses unpleasant stimuli to discourage the urge to steal.

Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), may be used to help regulate mood and reduce impulsive behaviours. Naltrexone is also a medication used in addiction treatment that may help reduce urges and the pleasure associated with stealing.

Understanding kleptomania is crucial for developing effective treatment strategies and supporting those affected by the disorder, ultimately fostering a path toward recovery and healthier coping mechanisms.


 References

Talih, F. R. (2011, October 1). Kleptomania and potential exacerbating factors: A review and case report. https://pmc.ncbi.nlm.nih.gov/articles/PMC3225132/

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://www.academia.edu/87962793/DSM_5_TR_English_

Durst, R., Katz, G., Teitelbaum, A., Zislin, J., & Dannon, P. N. (2001). Kleptomania. CNS Drugs, 15(3), 185–195. https://doi.org/10.2165/00023210-200115030-00003