The Free Press Journal

What’s wrong Simran?

With Kangana Ranaut playing a character suffering from the disorder in her upcoming movie, we take a look at what it is about and the various treatments

- The article has been published in associatio­n with Juno Clinic (www.juno.clinic)

Kangana Ranaut picking stuff from a department­al store and acting goofy in her upcoming film Simran may come across as a funny girl, but kleptomani­a is not funny in real life. Did you know cases of kleptomani­a have been reported as far back as 1816? Today, it is thought to account for at least 5% of shopliftin­g in USA. It is also known to be more common in women than men. It is most likely that people with kleptomani­a, have other psychiatri­c disorders, such as depressive and bipolar disorders, anxiety disorders, eating disorders, personalit­y disorders, substance abuse disorders etc.

So, what exactly is kleptomani­a, is it same as stealing? The answer is a big No. Kleptomani­a is a rare impulse control disorder. A person suffering from this condition is unable to resist stealing, even if they are aware of what they are doing at all times. It’s not a planned move and is often accompanie­d by feelings of remorse. Stealing on the other hand is a planned move done for personal gain.

Kleptomani­a is often seen in patients who are chemically dependent or who have a coexisting mood, anxiety, or eating disorder. When a person has kleptomani­a, he or she experience­s a great deal of anxiety about stealing. There is a great deal of tension before committing the theft and a sense of relief after the theft is complete.

Here are the major symptoms of kleptomani­a: If you have a friend or a family member, who you think might be suffering from this condition, look out for some of these characteri­stics:

An intense urge to steal: Kleptomani­acs do not need the

items they steal, they tend to steal because of an inability to resist the urge to steal. In fact, very often, these items are not even used by them. A feeling of relief or anxiety

after stealing: Some of the kleptomani­acs feel a sense of relief after stealing, while others may exhibit symptoms such as guilt, remorse, fear, and self-loathing. However, all of them find it impossible to control their urge to steal, and as a result, the cycle repeats itself sooner or later. Episodes are spontaneou­s and not motivated: Episodes of kleptomani­a generally occur spontaneou­sly, usually without planning and without help or collaborat­ion from another person. The theft is not motivated by anger or vengeance, and is not caused by a delusion or hallucinat­ion. Stolen objects don’t have much personal use or monetary value for kleptomani­acs: Often, the stolen items have no value to the person with kleptomani­a, and the person can afford to buy them. The stolen items are usually stashed away, never to be used. Items may also be donated, given away to family or friends, or even secretly returned to the place from which they were stolen.

Most people with kleptomani­a steal from public places, such as stores and supermarke­ts. Some may steal from friends or acquaintan­ces, such as at a party. Urges to steal may come and go or may occur with greater or lesser intensity over the course of time.

What causes it?

Various factors can contribute to kleptomani­a, some of which may include:

Having other mental illnesses, including bipolar disorder, anxiety disorders, substance use disorders, or personalit­y disorders (the link seems to be strongest with obsessive-compulsive disorder).

Problems with low levels of serotonin, leading to an increase in impulsive behaviors.

Relations with addictive disorders, since stealing can release the rush of dopamine that becomes addictive.

An imbalance in the brain’s opioid system, which controls urges

A family history of kleptomani­a or addiction.

Head trauma, like concussion­s.

Can kleptomani­a be treated?

Kleptomani­a can be difficult to overcome on your own, and profession­al help from a trained therapists can go a long way in treating the condition. Treatment of kleptomani­a may involve medication­s and psychother­apy, sometimes with recommende­d participat­ion in selfhelp groups. One usually begins with a form of psychother­apy called cognitive behavioura­l therapy that helps you identify unhealthy, negative beliefs and behaviours and replace them with healthy, positive ones.

Since it is usually perceived to be a part of some underlying psychologi­cal problems, treatment is linked to the complete understand­ing of the patient’s history, genetic conditions, life situations etc. Even though much is not known about the causes of the diseases, it can be managed with a combinatio­n of pharmaceut­ical and behavioura­l treatments from trained profession­al therapists.

KLEPTOMANI­A IS OFTEN SEEN IN PATIENTS WHO ARE CHEMICALLY DEPENDENT OR WHO HAVE A COEXISTING MOOD, ANXIETY, OR EATING DISORDER. WHEN A PERSON HAS KLEPTOMANI­A, HE OR SHE EXPERIENCE­S A GREAT DEAL OF ANXIETY ABOUT STEALING. THERE IS A GREAT DEAL OF TENSION BEFORE COMMITTING THE THEFT AND A SENSE OF RELIEF AFTER THE THEFT IS COMPLETE.

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 ??  ?? REPRESENTA­TIONAL PIC
REPRESENTA­TIONAL PIC
 ??  ?? Kangana Ranaut in a still from the upcoming movie Simran
Kangana Ranaut in a still from the upcoming movie Simran

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