When you decide to seek treatment for symptoms of possible kleptomania, you may have both a physical and psychological evaluation. The physical evaluation can determine if there may be any medical causes triggering your symptoms.
Kleptomania is diagnosed based on your signs and symptoms. Because it's a type of impulse control disorder, to help pinpoint a diagnosis, your doctor may:
- Ask questions about your impulses and how they make you feel
- Review a list of situations to ask if these situations trigger your kleptomania episodes
- Have you fill out psychological questionnaires or self-assessments
- Use the criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association
Although fear, humiliation or embarrassment may make it hard for you to seek treatment for kleptomania, it's important to get help. Kleptomania is difficult to overcome on your own. Without treatment, kleptomania will likely be an ongoing, long-term condition.
Treatment of kleptomania typically involves medications and psychotherapy, or both, sometimes along with self-help groups. However, there's no standard kleptomania treatment, and researchers are still trying to understand what may work best. You may have to try several types of treatment to find what works well for you.
There's little scientific research about using psychiatric medications to treat kleptomania. And there is no FDA-approved medication for kleptomania. However, certain medications may help, depending on your situation and whether you have other mental health disorders, such as depression or substance misuse.
Your doctor may consider prescribing:
- An addiction medication called naltrexone, an opioid antagonist, which may reduce the urges and pleasure associated with stealing
- An antidepressant — specifically a selective serotonin reuptake inhibitor (SSRI)
- Other medications or a combination of medications
If medication is prescribed, ask your doctor, mental health professional or pharmacist about potential side effects or possible interactions with any other medications.
A form of psychotherapy called cognitive behavioral therapy helps you identify unhealthy, negative beliefs and behaviors and replace them with healthy, positive ones. Cognitive behavioral therapy may include these techniques to help you control kleptomania urges:
- Covert sensitization, in which you picture yourself stealing and then facing negative consequences, such as being caught
- Aversion therapy, in which you practice mildly painful techniques, such as holding your breath until you become uncomfortable, when you get an urge to steal
- Systematic desensitization, in which you practice relaxation techniques and picture yourself controlling urges to steal
It's not unusual to have relapses of kleptomania. To help avoid relapses, be sure to stick to your treatment plan. If you feel urges to steal, contact your mental health professional or reach out to a trusted person or support group.
Coping and support
You can take steps to care for yourself with healthy coping skills while getting professional treatment:
- Stick to your treatment plan. Take medications as directed and attend scheduled therapy sessions. Remember, it's hard work and you may have occasional setbacks.
- Educate yourself. Learn about kleptomania so that you can better understand risk factors, treatments and triggering events.
- Identify your triggers. Identify situations, thoughts and feelings that may trigger urges to steal so you can take steps to manage them.
- Get treatment for substance abuse or other mental health problems. Your substance use, depression, anxiety and stress can feed off each other, leading to a cycle of unhealthy behavior.
- Find healthy outlets. Explore healthy ways to rechannel your urges to steal or shoplift through exercise and recreational activities.
- Learn relaxation and stress management. Try such stress-reduction techniques as meditation, yoga or tai chi.
- Stay focused on your goal. Recovery from kleptomania can take time. Stay motivated by keeping your recovery goals in mind and reminding yourself that you can work to repair damaged relationships and financial and legal problems.
Support for loved ones
If your loved one is being treated for kleptomania, make sure you understand the details of the treatment plan and actively support its success. It may be helpful to attend one or more therapy sessions with your loved one so that you're familiar with the factors that seem to trigger the urge to steal and the most effective ways to cope.
You may also benefit from talking with a therapist yourself. Recovering from an impulse control disorder is a challenging, long-term undertaking — both for the person with the disorder and those closest to him or her. Make sure you're taking care of your own needs with the stress-reduction outlets that work best for you, such as exercise, meditation or time with friends.
People with kleptomania may benefit from participating in self-help groups based on 12-step programs. Even if you can't find a group specifically for kleptomania, you may benefit from attending Alcoholics Anonymous or other addiction meetings. Such groups don't suit everyone's tastes, so ask your mental health professional about alternatives.
Preparing for your appointment
If you struggle with an irresistible urge to steal, talk to your doctor. Having that discussion will undoubtedly be scary, but trust that your doctor is interested in caring for your health, not in judging you. Your doctor may refer you to a mental health professional, such as a psychiatrist, with experience diagnosing and treating kleptomania.
You may want to take a trusted family member or friend along to help remember the details. In addition, someone who has known you for a long time may be able to ask questions or share information with the mental health professional that you don't remember to bring up.
Here's some information to help you get ready and know what to expect from your doctor or mental health professional.
What you can do
To prepare for your appointment, make a list of:
- Any symptoms you're experiencing, and for how long
- Key personal information, including traumatic events in your past and any current, major stressors
- Your medical information, including other physical or mental health conditions with which you've been diagnosed
- All medications you're taking, including any vitamins, herbs or other supplements, and the dosages
- Questions to ask your mental health professional so that you can make the most of your appointment
Some questions to ask your mental health professional may include:
- Why can't I stop stealing?
- What treatments are available?
- What treatments are most likely to work for me?
- How quickly might I stop stealing?
- Will I still feel the urge to steal?
- How often do I need therapy sessions and for how long?
- Are there medications that can help?
- What are the possible side effects of these medications?
- I have these other health conditions. How can I best manage these conditions together?
- How can my family best support my treatment?
- Are there any brochures or other printed material that I can have? What websites do you recommend?
What to expect from your mental health professional
To better understand your symptoms and how they're affecting your life, your mental health professional may ask:
- At what age did you first experience an irresistible urge to steal?
- How often do you experience the urge to steal?
- Have you ever been caught or arrested for stealing?
- How would you describe your feelings before, during and after you steal something?
- What kinds of items do you steal? Are they things you need?
- In what kinds of situations are you likely to steal?
- What do you do with the items you steal?
- Does anything in particular seem to trigger your urge to steal?
- How is your urge to steal affecting your life, including school, work and personal relationships?
- Have any of your close relatives had a problem with compulsive stealing or with other mental health conditions, such as depression or alcohol or drug misuse?
- Do you use alcohol or recreational drugs? What and how often?
- Have you been treated for any other mental health problems, such as eating disorders? If yes, what treatments were most effective?
- Are you currently being treated for any medical conditions?
Oct. 21, 2017