Should Shopaholism Be A Mental Disorder?
MayorBob.
Posted to SciTech on Wed Aug 20, 2008 at 07:24:57 AM EST (promoted by port1080). RSS.
Just like every other group of specialists, mental health professionals must rely upon an accurate, complete and up-to-date user manual to help them do their jobs. One of those jobs is the correct diagnosis of what's ailing the various patients they encounter. The manual they refer to is the Diagnostic and Statistical Manual of Mental Disorders (DSM). These mental health community is eagerly looking forward to the next edition of the DSM. But as the prep work is ongoing for this next edition, one of the debates raging now in this community is "should compulsive shopping be listed as a disorder?"
An early draft of DSM-V will be out for review early next year. This all leads up to an anticipated publication date sometime in 2012. Compulsive shopping is one condition which might end up specifically cited as a disorder in DSM-V. Other behavioral addictions, such as hypersexuality, compulsive gambling and internet addiction might also find their way into the list of formal disorders, as identified by DSM-V. Just like all of those other conditions, compulsive shopping causes "severe impairment and distress" - two key criteria of any mental disorder. But, the problem with compulsive shopping is that another already recognized mental disorder is associated so closely with the addiction that the psychiatric community is unsure of what causes what.
As a matter of fact, Dr. Timothy Fong finds 40 to 50 percent of patients he treats for compulsive buying have some other associated mental disorder. Generally, psychiatrists find a close correlation between compulsive buying and depression. Studies have been published, going back as far as the early 1990s, showing that compulsive buyers also exhibited symptoms of other disorders such as depression, anxiety and obsessive compulsive disorder. Pharmacological treatments such as anti-depressants and an anti-alcohol drug have shown "modest effectiveness" in reducing urges to overbuy. But, not everyone agrees the answer to compulsive shopping is a pill. Dr. Lorrin Koran, who specializes in obsessive compulsive disorders, believes medicating for compulsive shopping may be a waste of time and money - that the only effective way of treating the condition is to identify the disorders which may lie at the root of the behavior.
How prevalent a condition is compulsive shopping anyhow? By some estimates, eight percent of the population are compulsive shoppers, with 90 percent of shopaholics being women. One of the outcomes of formally making the condition a diagnosable mental disorder would be to make healthcare insurance carriers cover the treatments. Of course, this would increase the cost of health insurance for most policies with psychiatric coverage. Also, as with any diagnosis of mental disorder or illness, there is an unfortunate tendency to label those diagnosed.
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