CNS Drugs

, Volume 15, Issue 3, pp 185–195 | Cite as


Diagnosis and Treatment Options
  • Rimona Durst
  • Gregory Katz
  • Alexander Teitelbaum
  • Josef Zislin
  • Pinhas N. Dannon
Therapy in Practice


Kleptomania — the inability to resist the impulse to steal objects, not for personal use or monetary gain — is currently classified in psychiatric nomenclature as an impulse control disorder. However, some of the principle features of the disorder, which include repetitive intrusion thoughts, inability to resist the compulsion to perform the thievery and the relief of tension following the act, suggest that kleptomania may constitute an obsessive-compulsive spectrum disorder.

Kleptomania is commonly under-diagnosed and is often accompanied by other psychiatric conditions, most notably affective, anxiety and eating disorders, and alcohol and substance abuse. Individuals with the disorder are usually referred for treatment due to the comorbid psychiatric complaints rather than kleptomanic behaviour per se.

Over the past century there has been a shift from psychotherapeutic to psychopharmacological interventions for kleptomania. Pharmacological management using selective serotonin (5-hydroxytryptamine; 5-HT) reuptake inhibitors (SSRIs) and other antidepressants, mood stabilisers and opioid receptor antagonists, as adjuvants to cognitive-behavioural therapy, has produced promising results.


  1. 1.
    Seguier H. Revue historique de la notion de kleptomania. L’Encephale 1966; 55: 336–69PubMedGoogle Scholar
  2. 2.
    Seguier H. Revue historique de la notion de kleptomania. L’Encephale 1966; 55: 452–66Google Scholar
  3. 3.
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association, 1994Google Scholar
  4. 4.
    World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization, 1992Google Scholar
  5. 5.
    NcNeilly DP, Burke WJ. Stealing lately: a case of late-onset kleptomania. Int J Geriatr Psychiatry 1998; 13: 116–21CrossRefGoogle Scholar
  6. 6.
    McElroy SL, Keck Jr PE, Phillips KA. Kleptomania, compulsive buying, and binge-eating disorder. J Clin Psychiatry 1995; 56(4 Suppl.): 14–26PubMedGoogle Scholar
  7. 7.
    Lepkifker E, Dannon PN, Ziv R, et al. The treatment of kleptomania with serotonin reuptake inhibitors. Clin Neuropharmacol 1999; 22: 40–3CrossRefPubMedGoogle Scholar
  8. 8.
    Goldman MJ. Kleptomania making sense of the nonsensical. Am J Psychiatry 1991; 148: 986–96PubMedGoogle Scholar
  9. 9.
    Bradford J, Balmaceda R. Shoplifting: is there a specific psychiatric syndrome? Can J Psychiatry 1983; 28: 248–54PubMedGoogle Scholar
  10. 10.
    Goldman MJ. Kleptomania: An overview. Psychiatric Annals 1992; 22: 68–71Google Scholar
  11. 11.
    Arieti S. American handbook of psychiatry. New York (NY): Basic Books, 1960Google Scholar
  12. 12.
    Gudjonsson GH. The significance of depression in the mechanism of ‘compulsive’ shoplifting. Med Sci Law 1987; 27(3): 171–6PubMedGoogle Scholar
  13. 13.
    McElroy SL, Keck PL, Pope HG, et al. Kleptomania: clinical characteristics and associated psychopathology. Psychol Med 1991; 21: 93–108CrossRefPubMedGoogle Scholar
  14. 14.
    Baum A, Goldner EM. The relationship between stealing and eating disorders: a review. Har Rev Psychiatry 1995; 3(4): 210–21CrossRefGoogle Scholar
  15. 15.
    Sarasalo E, Bergman B, Toth J. Personality traits and somatic morbidity among kleptomaniacs. Acta Psychiatr Scand 1996; 94: 358–64CrossRefPubMedGoogle Scholar
  16. 16.
    Janet P. La kleptomanie et la depression mentale. J de Psychologie Normale et Pathologique 1911; 8: 97–103Google Scholar
  17. 17.
    Coid J. Relief of diazepam-withdrawal syndrome by shoplifting. Br J Psychiatry. 1984; 145: 552–4CrossRefPubMedGoogle Scholar
  18. 18.
    Fishbain DA. Kleptomania as a risk taking behavior in response to depression. Am J Psychotherapy 1987; 41: 598–603Google Scholar
  19. 19.
    Durst R, Katz G, Knobler HY. Buspirone augmentation of fluvoxamine in the treatment of kleptomania. J Nerv Ment Dis 1997; 185(9): 586–8CrossRefPubMedGoogle Scholar
  20. 20.
    McElroy SL, Pope HG, Hudson JL, et al. Kleptomania: a report of 20 cases. Am J Psychiatry 1991; 148: 652–7PubMedGoogle Scholar
  21. 21.
    Hudson JL, Pope HG. An affective spectrum disorder. Am J Psychiatry 1990; 147: 552–6PubMedGoogle Scholar
  22. 22.
    Pope HG, Hudson JI. A supplemental interview for forms of affective spectrum disorder. Int J Psychiatry Med 1991; 21: 205–35CrossRefPubMedGoogle Scholar
  23. 23.
    McElroy SL, Keck PE, Pope HG, et al. Pharmacological treatment of kleptomania and bulimia nervosa. Clin Psychopharmacol 1989; 358–60Google Scholar
  24. 24.
    McElroy SL, Hudson JL, Pope HG, et al. The DSM-III-R impulse control disorders not elsewhere classified: clinical characteristics and relationships to other psychiatric disorders. Am J Psychiatry 1992; 149: 318–27PubMedGoogle Scholar
  25. 25.
    Hollander E, Wong CM. Obsessive-compulsive spectrum disorders. J Clin Psychiatry 1995; 56(4 Suppl.): 3–6PubMedGoogle Scholar
  26. 26.
    Koran LM. Obsessive-compulsive and related disorders in adults. Cambridge: Cambridge University Press, 1999Google Scholar
  27. 27.
    Lacassagne A. Les rols a l’etage et dans les grands magasins. Congres International d’Anthropologie Criminelle [Rapports]; Georg: Geneve: 1896; 4: 396Google Scholar
  28. 28.
    Dupouy R. De la kleptomanie. J Psychologie Normale et Pathologique 1905; 2: 404–26Google Scholar
  29. 29.
    Esquirol E. Des maladies mentales. Paris: Balliere, 1838Google Scholar
  30. 30.
    Stekel W. Compulsion and doubt. New York (NY): Washington Square Press, 1967Google Scholar
  31. 31.
    Fenichel O. Acting out: the yearbook of psychoanalysis. London: Imago Publishing, 1946Google Scholar
  32. 32.
    Bleuler E. Textbook of psychiatry. New York (NY): Macmillan, 1924: 538–40Google Scholar
  33. 33.
    Kernberg O. Borderline personality organization. J Am Psychoanal Assoc 1967; 15: 641–85CrossRefPubMedGoogle Scholar
  34. 34.
    Elizur A, Jaffe R. Stealing as a pathological symptom. Isr Ann Psychiatry Relat Discipl 1968; 6(1): 52–61Google Scholar
  35. 35.
    Aggernaes M. A study of kleptomania with illustrative cases. Acta Psychiatr Neuro Scand 1961; 36: 1–46CrossRefGoogle Scholar
  36. 36.
    Glover JH. A case of kleptomania treated by covert sensitization. Br J Clin Psychol 1985; 24: 213–4CrossRefPubMedGoogle Scholar
  37. 37.
    Shohier JJ. A rather ordinary crime: shoplifting. International Criminal Police 1969; 299: 161–6Google Scholar
  38. 38.
    Stekel W. The sexual root of kleptomania. J Am Institut Crim Law Crimonol 1911; 12: 239–46CrossRefGoogle Scholar
  39. 39.
    Allen A. Stealing as a defense. Psychiatr Q 1965; 34: 572–83Google Scholar
  40. 40.
    Levy E. Psychoanalytic treatment of a child with a stealing compulsion. Am J Orthopsychiatry 1934; 4: 1–23CrossRefGoogle Scholar
  41. 41.
    Meyer TJ. Acontribution to the psychopathology of shoplifting. J Forensic Sci 1970; 13: 295–310Google Scholar
  42. 42.
    Fenichel O. The psychoanalytic theory of neurosis. New York (NY): WW Norton, 1945Google Scholar
  43. 43.
    Adler A. The individual psychology of Alfred Adler. In: Ansbacher HL, Ansbacher RR, editors. The individual psychology of Alfred Adler. New York (NY): Basic Books Inc., 1956Google Scholar
  44. 44.
    Wannann WA. The use of aversion therapy to treat kleptomania. Psychopathologie Africaine 1980; 16(1): 77–82Google Scholar
  45. 45.
    Keutzer C. Kleptomania: A direct approach to treatment. Br J Med Psychol 1972; 45: 159–63CrossRefPubMedGoogle Scholar
  46. 46.
    Marzagao LR. Systematic desensitization treatment of kleptomania. J Behav Ther Exp Psychiatry 1972; 3(4): 327–8CrossRefGoogle Scholar
  47. 47.
    McConaghy N, Blaszczynski A. Imaginal desensitization: a cost-effective treatment in two shop-lifters and a binge-eater resistant to previous therapy. Aust N Z J Psychiatry 1988; 22: 78–82CrossRefPubMedGoogle Scholar
  48. 48.
    Guidry LS. Use of covert punishing contingency in compulsive stealing. J Behav Ther Exp Psychiatry 1969; 6: 169CrossRefGoogle Scholar
  49. 49.
    Gauthier J, Pellerin D. Management of compulsive shoplifting through covert sensitization. J Behav Ther Exp Psychiatry 1982; 13: 73–5CrossRefPubMedGoogle Scholar
  50. 50.
    Christenson GA, Crow SJ. The characterization and treatment of trichotilomania. J Clin Psychiatry 1996; 57(8 Suppl.): 42–7PubMedGoogle Scholar
  51. 51.
    DeCaria CM, Hollander E, Grossman R, et al. Diagnosis, neurobiology, and treatment of pathological gambling. J Clin Psychiatry 1996; 57(8 Suppl.): 42–7Google Scholar
  52. 52.
    Tynes LL, White K, Steketee GS. Towards a new nosology of obsessive-compulsive disorder. Comp Psychiatry 1990; 31: 465–80CrossRefGoogle Scholar
  53. 53.
    Marazziti D, Dell’Osso L, Presta S, et al. Platelet [3H] paroxetine binding in patients with OCD-related disorders. Psychiatry Res 1999; 27: 89 (3): 223-8Google Scholar
  54. 54.
    Schwartz JH. Psychoanalytic psychotherapy for a woman with diagnosis of kleptomania. Hosp Community Psychiatry 1992; 43: 109–10PubMedGoogle Scholar
  55. 55.
    Burstein A. Fluoxetine-lithium treatment for kleptomania. J Clin Psychiatry 1992; 53(1): 28–9PubMedGoogle Scholar
  56. 56.
    Chong SA, Low BL. Treatment of kleptomania with fluvoxamine. Acta Psychiatr Scand 1996; 93; 314–5CrossRefPubMedGoogle Scholar
  57. 57.
    Dannon PN, Ianco I, Grunhaus L. Naltrexone treatment in kleptomanic patients. Human Psychopharm 1999; 14: 583–5CrossRefGoogle Scholar
  58. 58.
    Kindler S, Dannon PN, Iancu I, et al. Emergence of kleptomania during treatment for depression with serotonin selective reuptake inhibitors. Clin Neuropharmacol. 1997; 20(2): 126–9CrossRefPubMedGoogle Scholar
  59. 59.
    Kraus JE. Treatment of kleptomania with paroxetine. J Clin Psychiatry 1999; 60(11): 793CrossRefPubMedGoogle Scholar
  60. 60.
    Fishbain DA. Kleptomanie behavior response to perphenazine-amitriptyline HCL combination. Can J Psychiatry 1988; 33: 241–2PubMedGoogle Scholar
  61. 61.
    Priest RG, Gimbrett R, Roberts M, et al. Reversible and selective inhibitors of monoamine oxidase A in mental and other disorders. Acta Psychiatr Scand Suppl 1995; 386: 40–3CrossRefGoogle Scholar
  62. 62.
    Kmetz GF, McElroy SL, Collins DJ. Response of kleptomania and mixed mania to valproate. Am J Psychiatry 1997; 154: 580–1PubMedGoogle Scholar
  63. 63.
    Kim SW. Opioid antagonists in the treatment of impulse-control disorders. J Clin Psychiatry 1998; 59: 159–64CrossRefPubMedGoogle Scholar
  64. 64.
    Volpicelli JR, Clay KL, Watson NT, et al. Naltrexone in the treatment of alcoholism. J Clin Psychiatry 1995; 56(7 Suppl.): 39–44PubMedGoogle Scholar
  65. 65.
    Ramelli E, Mapelli G. Du vol Melancholique. Acta Psychiat Belg 1979; 79: 56–74Google Scholar
  66. 66.
    Zorick FJ, Salis PJ, Roth T, et al. Narcolepsy and automatic behavior: a case report. J Clin Psychiatry 1979; 40(4): 194–7PubMedGoogle Scholar

Copyright information

© Adis International Limited 2001

Authors and Affiliations

  • Rimona Durst
    • 1
  • Gregory Katz
    • 1
  • Alexander Teitelbaum
    • 1
  • Josef Zislin
    • 1
  • Pinhas N. Dannon
    • 2
  1. 1.Kfar Shaul Mental Health CenterHebrew University, Hadassah Medical School, Kfar Shaul Hospital Jerusalem Mental Health CenterJerusalemIsrael
  2. 2.The Sheba Medical CenterTel-Aviv University, Sackler School of MedicineTel-Hashomer, Tel-AvivIsrael

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