And one of the first things that needs to occur is a screening for bipolar disease because excessive spending is often seen in the manic or hypomanic phase of that disorder. However, he adds, most compulsive spenders do not have this condition. It's believed that women are more affected by the disorder. However, Pollak points out that men are less likely to join research efforts or acknowledge such problems. In broad categories, women generally buy cosmetics, clothing and jewelry, while men tend to purchase electronics or sports equipment.
Some compulsive shoppers buy only certain items.
Pollak recalls a patient who was obsessed with purchasing movie promotional items, for example. But underneath that exterior is someone who, she says, often doesn't feel good enough, so being dressed well and wearing lots of jewelry is used to enhance a weak self-image. Or looking for bargain buys becomes a form of excitement for them. Some women will track prices for months. This is an adventure for them and gives them a sense of accomplishment when they finally purchase something at a rock-bottom price.