Snap Shot A 32-year-old female with a history of bulimia nervosa presents to the psychiatry clinic after being arrested for shoplifting. She stole a necklace from the department store even though she didn't need it. She reports an uncontrollable urge to steal even though she has no financial difficulties. Introduction Epidemiology more common in women than in men although the severity of symptoms is not related to gender occurs in under 5% of shoplifters increased incidence in patients with comorbid mood disorders eating disorders (especially bulimia nervosa) obsessive-compulsive disorder Presentation Symptoms inability to resist uncontrollable urges to steal objects not needed for personal use or monetary reasons experiencing pleasure or relief when stealing followed by intense guilt or shame objects stolen are typically given away, thrown away, returned, or hoarded Evaluation Diagnosis involves elicitation of symptoms listed above given comorbidity with mood and eating disorders, these diagnoses should also be ruled out Treatment Psychotherapy 12-step program the most effective treatment SSRIs and naltrexone may be initiated after 3 months of abstinence from stealing Prognosis, Prevention, and Complications Prognosis intensity of disorder may change but it remains a chronic condition outcome may be good for the few people who seek treatment