The issue of theft inquiry?
Hello Doctor, I have a relative who, during their school years, although the teacher recommended special education assessment, was never classified as having intellectual disabilities because their self-care skills were relatively good and their verbal expression was even somewhat arrogant (perhaps due to a lack of awareness).
In the past, they would sometimes struggle with personal boundaries and touch others, but most people were understanding of their situation.
However, now that they are in college, their behavior has worsened.
They are learning to drive but have been stealing money from their driving instructor to spend on activities like going to karaoke and visiting massage parlors.
They started by stealing from home, and now they are stealing from outside, seemingly unaware of the seriousness of their actions, only feeling the need to fulfill their sexual urges.
The family is considering whether to marry a foreign bride, but I believe that this is not a solution, as he could still engage in infidelity outside of marriage.
This situation has caused great distress and concern for the entire family.
I would like to ask the doctor: can such a situation be managed by a psychiatrist? Is it possible to control sexual addiction and prevent theft? Previously, he stole money from home and when reported to the police, they said they could not take action.
Thank you.
sine, 30~39 year old female. Ask Date: 2010/05/26
Dr. Su Zongwei reply Psychiatry
Of course, in many cases, it is difficult to make a determination without seeing the individual.
However, if it is purely a behavioral issue (such as theft) or a matter of sexual needs, meaning there are no other mental or emotional disorders, it is not easy for the psychiatric department of a hospital to provide treatment.
One could consult some counseling organizations, but the most important factor is the individual's willingness to undergo treatment; without that willingness, medical intervention cannot take place.
Reply Date: 2010/05/26
More Info
Addressing the complexities of sexual impulses and theft in young adults, particularly in the context of psychiatric evaluation and intervention, is a multifaceted issue that requires careful consideration. Your relative's behavior, which includes stealing money and engaging in inappropriate sexual activities, suggests underlying psychological and behavioral challenges that may benefit from professional intervention.
Firstly, it is essential to understand that sexual impulses, especially when they manifest in compulsive behaviors, can be indicative of deeper psychological issues. In many cases, these impulses may stem from a lack of impulse control, which can be associated with various mental health disorders. For instance, conditions such as impulse control disorders, personality disorders, or even certain neurodevelopmental disorders can lead to behaviors like theft and inappropriate sexual conduct.
The fact that your relative has a history of touching others inappropriately and now engages in theft to fund sexual activities indicates a potential lack of understanding of social norms and boundaries. This behavior could be exacerbated by a possible developmental delay or a cognitive impairment that affects their ability to comprehend the consequences of their actions. While they may not have been classified as having low intelligence, their actions suggest a need for further evaluation to understand their cognitive and emotional functioning better.
In terms of intervention, seeking help from a mental health professional, particularly a psychiatrist or clinical psychologist, is crucial. These professionals can conduct a comprehensive assessment to determine the underlying causes of your relative's behavior. This assessment may include psychological testing, interviews, and observations to evaluate their cognitive abilities, impulse control, and understanding of social norms.
Once a thorough evaluation is completed, the mental health professional can recommend appropriate treatment options. Cognitive-behavioral therapy (CBT) is often effective in addressing impulse control issues and can help individuals develop healthier coping mechanisms. CBT focuses on identifying and changing negative thought patterns and behaviors, which can be particularly beneficial for someone struggling with compulsive sexual impulses and theft.
Additionally, if your relative is diagnosed with a specific mental health disorder, medication may also be considered as part of the treatment plan. Medications such as selective serotonin reuptake inhibitors (SSRIs) have been shown to help reduce impulsivity and compulsive behaviors in some individuals.
It is also important to address the family dynamics and support systems surrounding your relative. Family therapy may be beneficial in helping family members understand the challenges your relative faces and how to provide appropriate support. This approach can foster a more supportive environment that encourages positive behavior changes.
Regarding the consideration of marriage to an overseas bride as a solution, it is crucial to recognize that this approach may not address the underlying issues. Marriage does not inherently resolve behavioral problems and may lead to further complications if the individual does not develop healthier coping strategies and impulse control.
In conclusion, your relative's situation requires a comprehensive psychiatric evaluation to understand the underlying causes of their behavior. Professional intervention, including therapy and possibly medication, can help them manage their impulses and reduce the likelihood of engaging in theft or inappropriate sexual activities. It is essential to approach this situation with empathy and a focus on long-term solutions rather than quick fixes. Seeking help from mental health professionals is a critical step in addressing these complex issues effectively.
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