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Kleptomania


Presentation

  • Methods: We present a clinical case of a 67 years old female patient treated with venlafaxine for MDD that developed kleptomania.[academic.oup.com]
  • Case Report Presentation. A 54-year-old Caucasian woman presented to the author's psychiatric clinic initially for treatment of attention and concentration issues.[ncbi.nlm.nih.gov]
  • […] theft, which is: Deliberate Motivated by the stolen item's usefulness or monetary value The result of a dare, an act of rebellion, or a rite of passage A psychiatrist or psychologist will diagnose kleptomania when: All of the symptoms of kleptomania are present[winchesterhospital.org]
  • ., the probable efficacy of the opioid antagonist, naltrexone, in the treatment of both kleptomania and substance use disorders) could present additional support for a joint relationship between kleptomania and substance use disorders.[en.wikipedia.org]
Epilepsy
  • Epilepsy and kleptomania. Epilepsy Behav. 2007; 11 :474–475. [ PubMed ] [ Google Scholar ] 18. McAllister TW. Neuropsychiatric sequelae of head injuries. Psychiatr Clin North Am. 1992; 15 :395–413. [ PubMed ] [ Google Scholar ] 19.[ncbi.nlm.nih.gov]
  • Potenza MN 2008 34 Neuropsychological functioning in kleptomania. ( 17007811 ) Grant JE...Wozniak JR 2007 35 Escitalopram treatment of kleptomania: an open-label trial followed by double-blind discontinuation. ( 17388713 ) Koran LM...Gamel NN 2007 36 Epilepsy[malacards.org]
Turkish
  • Türk Psikiyatri Dergisi ( Turkish Journal of Psychiatry) (in Turkish). 18 (1): 80–6. PMID 17364271. Grant, J.E. (2006). "Understanding and treating kleptomania: new models and new treatments".[en.wikipedia.org]
Nausea
  • Venalfaxine is generally considered quite effective and safe, with commonly reported adverse reactions in clinical studies being nausea, dry mouth, headache and sweating.[academic.oup.com]
  • They include: hidden sensitisation by unpleasant images of nausea and vomiting, aversion therapy (for example, aversive holding of breath to achieve a slightly painful feeling every time a desire to steal or the act is imagined), and systematic desensitisation[en.wikipedia.org]
Vomiting
  • They include: hidden sensitisation by unpleasant images of nausea and vomiting, aversion therapy (for example, aversive holding of breath to achieve a slightly painful feeling every time a desire to steal or the act is imagined), and systematic desensitisation[en.wikipedia.org]
Fracture
  • The patient reported that she had been hospitalized for a concussion and multiple fractures following the MVA in which her husband died. She had been told at that time that her brain imaging tests were normal.[ncbi.nlm.nih.gov]
Psychiatric Symptoms
  • "Case report: kleptomania and other psychiatric symptoms after carbon monoxide intoxication". Türk Psikiyatri Dergisi ( Turkish Journal of Psychiatry) (in Turkish). 18 (1): 80–6. PMID 17364271. Grant, J.E. (2006).[en.wikipedia.org]
Hysteria
  • Hysteria, imbecility, cerebral defect, and menopause were advanced as theories to explain these seemingly nonsensical behaviors, and many linked kleptomania to immaturity, given the inclination of young children to take whatever they want.[en.wikipedia.org]
Neglect
  • Psychoanalytic theories link compulsive stealing to childhood trauma and neglectful or abusive parents, and stealing may symbolize repossessing the losses of childhood. 1, 4 Kleptomania has also been linked to psychosexual issues such as sexual repression[ncbi.nlm.nih.gov]
Seizure
  • Medications Drugs used for treatment include antidepressants, mood stabilizers, medications to treat drug addiction, and medications to treat seizure disorders.[winchesterhospital.org]
Headache
  • Venalfaxine is generally considered quite effective and safe, with commonly reported adverse reactions in clinical studies being nausea, dry mouth, headache and sweating.[academic.oup.com]

Workup

Dyslipidemia
  • Her history included dyslipidemia, major depressive disorder (MDD), attention deficit hyperactivity disorder (ADHD), which was diagnosed in childhood, and posttraumatic stress disorder (PTSD) due to a motor vehicle accident (MVA).[ncbi.nlm.nih.gov]

Treatment

  • After discharge, psychiatric outpatient treatment was continued. Eight months after her first hospital treatment, patient was readmitted: her depressive symptoms were recurring after she started to shoplift regularly and compulsively.[academic.oup.com]
  • Treatment modalities used in this case, including the use of the Yale-Brown Obsessive Compulsive Scale as a surrogate marker to gauge response to treatment, will be discussed.[ncbi.nlm.nih.gov]
  • A 2014 16 Emergence of kleptomania during treatment for obsessive compulsive disorder with fluvoxamine. ( 24574573 ) Gupta PR 2014 17 Kleptomania: Beyond serotonin. ( 25540525 ) Mangot AG 2014 18 Kleptomania: a case series. ( 25630329 ) Saluja B...Dhaval[malacards.org]
  • Even though the approaches used in CBT need more research and investigation in kleptomania, success in combining these methods with medication was illustrated over the use of drug treatment as the single method of treatment. [30] Drug treatment [ edit[en.wikipedia.org]
  • Treatment may involve treating an underlying disease.[winchesterhospital.org]

Etiology

  • […] judicial difficulties. ( 29704416 ) Sipowicz J...Kujawski R 2018 6 Imaging studies of kleptomania in a middle-aged woman with obsessive-compulsive disorder: a case report. ( 29987861 ) Midorikawa H...Arai T 2018 7 Kleptomania: Recent Advances in Symptoms, Etiology[malacards.org]
  • Based on the idea that kleptomania and substance use disorders may share some etiological features, it could be concluded that kleptomania would react optimistically to the same treatments.[en.wikipedia.org]

Epidemiology

  • Phenomenology and Epidemiology of Kleptomania Edited by Jon E. Grant and Marc N. Potenza Show Summary Details Abstract and Keywords Stealing behaviors have been reported since the eighteenth century.[oxfordhandbooks.com]
  • Data from epidemiological studies additionally propose that there is an affiliation between kleptomania and substance use disorders along with high rates in a unidirectional manner.[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • Possible pathophysiological causes are further discussed, leading to the conclusion that other neurotransmitter pathways, above and beyond serotoninergic ones, can play a role in emergence of this rare and unique phenomenon. The Author 2016.[academic.oup.com]
  • The patients with kleptomania were also found to have high rates of substance abuse and mood disorders. 8 The pathophysiology of kleptomania is unknown.[ncbi.nlm.nih.gov]

Prevention

  • Prevention There are no current guidelines to prevent kleptomania because the cause is not known.[winchesterhospital.org]
  • 1 Aripiprazole-induced kleptomania: Case report. ( 29884322 ) 2019 2 Exposure and response prevention therapy augmented with naltrexone in kleptomania: a controlled case study using galvanic skin response for monitoring. ( 30894239 ) Olbrich S...Stengler[malacards.org]
  • […] to achieve a slightly painful feeling every time a desire to steal or the act is imagined), and systematic desensitisation. [29] In certain instances, the use of combining several methods such as hidden sensitisation along with exposure and response prevention[en.wikipedia.org]

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