Compulsive Behavior in Students: A Case Study - Rare Disease

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Could you please clarify the question regarding the students in the class?


I would like to ask you about a student of mine who frequently steals from other students.
He mentioned that he steals items from girls he likes almost every day, and he doesn't just like one girl at a time; he likes up to eight at once.
Is it possible that he has obsessive-compulsive disorder? He has previously been diagnosed with attention deficit hyperactivity disorder (ADHD).
Thank you.

Zhang Daqian, 20~29 year old female. Ask Date: 2006/09/09

Dr. Huang Litong reply Rare Disease


This student does not have obsessive-compulsive disorder or attention deficit hyperactivity disorder; the issues may stem from family or school adaptation problems.
It would be advisable to seek guidance from the school counselor.

Reply Date: 2006/09/09

More Info


Understanding compulsive behavior in students, particularly in the context of stealing, requires a nuanced approach that considers various psychological factors. In the case you presented, the student exhibits a pattern of stealing items from multiple classmates, specifically targeting belongings of girls he is attracted to. This behavior raises several questions about underlying motivations and potential psychological conditions.

Firstly, it’s important to differentiate between typical adolescent behavior and compulsive actions that may indicate a deeper psychological issue. Adolescents often engage in risk-taking behaviors, including stealing, as part of their developmental process. However, when such actions become repetitive and are driven by an uncontrollable urge, they may align more closely with compulsive behavior, which can be associated with conditions like Obsessive-Compulsive Disorder (OCD) or other impulse control disorders.

In this case, the student has a history of being diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). ADHD can often co-occur with other disorders, including OCD. Individuals with ADHD may struggle with impulse control, leading to behaviors such as stealing. The impulsivity associated with ADHD can manifest as a lack of foresight regarding the consequences of one’s actions, which might explain why this student steals items without considering the impact on others or the potential repercussions for himself.

The fact that he steals items from girls he is attracted to could suggest that his actions are not merely impulsive but also tied to his emotional and social development. Adolescents often navigate complex feelings of attraction and rejection, and stealing items from those they like might be an attempt to establish a connection or gain attention, albeit in an inappropriate manner. This behavior could also stem from low self-esteem or a desire for validation, where the act of stealing becomes a misguided way to feel closer to the individuals he admires.

To address this behavior effectively, it is crucial to adopt a comprehensive approach that includes psychological assessment and intervention. Here are some steps that could be taken:
1. Psychological Evaluation: A thorough assessment by a mental health professional can help determine if the student has OCD, ADHD, or another underlying condition. This evaluation should include interviews, behavioral assessments, and possibly standardized questionnaires.

2. Behavioral Therapy: Cognitive Behavioral Therapy (CBT) is often effective for treating compulsive behaviors. It can help the student understand the triggers for his stealing and develop healthier coping mechanisms. Therapy can also address any underlying issues related to self-esteem or social skills.

3. Parental and School Involvement: Engaging parents and school staff in the intervention process is vital. They can provide support and monitor the student’s behavior, ensuring that he is held accountable while also receiving the necessary guidance.

4. Skill Development: Teaching the student social skills and emotional regulation can help him navigate his feelings of attraction in healthier ways. This might include role-playing scenarios or discussing appropriate ways to express interest in others.

5. Monitoring and Support: Regular follow-ups with a mental health professional can help track the student’s progress and make adjustments to the treatment plan as needed.

In conclusion, the student’s behavior of stealing from peers, particularly those he is attracted to, may be indicative of underlying psychological issues, including ADHD and possibly OCD. A comprehensive approach involving psychological evaluation, therapy, and support from parents and educators is essential to help the student understand and change his behavior. By addressing both the compulsive nature of his actions and the emotional factors at play, it is possible to guide him toward healthier interactions and coping strategies.

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