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Kleptomania presenting with major depressive disorder : a case report
1M.D., Assistant Professor, Department of Psychiatry, Indira Gandhi Medical College, Shimla - 171 001.
Indian Journal of Psychiatry
|May 18, 2011
Summary
This case study highlights a woman with kleptomania and recurrent major depressive disorder. Antidepressant treatment moderately improved her kleptomanic symptoms alongside her depression.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Kleptomania is an impulse-control disorder characterized by recurrent urges to steal objects.
- Major depressive disorder is a common mood disorder associated with significant distress and functional impairment.
- Comorbidity between impulse-control disorders and mood disorders is frequently observed in clinical practice.
Purpose of the Study:
- To present a case study of a patient diagnosed with both kleptomania and recurrent major depressive disorder.
- To explore the relationship between depressive episodes and kleptomanic behaviors.
- To examine the impact of treating depression on kleptomanic symptoms.
Main Methods:
- A detailed clinical case presentation of a 35-year-old female patient.
- Psychiatric evaluation including diagnostic interviews and assessment of symptoms.
- Pharmacological treatment with antidepressants for major depressive disorder.
Main Results:
- The patient exhibited stealing and hoarding of defective objects for three years, primarily during depressive episodes.
- She had a history of two arrests for stealing.
- Moderate improvement in kleptomanic symptoms was observed as her depression resolved with antidepressant medication.
Conclusions:
- The findings suggest a potential link between major depressive disorder and the manifestation or exacerbation of kleptomania.
- Treatment of underlying depression may lead to a reduction in kleptomanic behaviors.
- This case underscores the importance of assessing and treating comorbid conditions in psychiatric practice.
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