Klepto Free Download [UPDATED]
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Klepto Free Download
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It may even be that the kleptomaniac is more attracted to stealing things if they are likely to get caught. Kleptomania can be similar to obsessive compulsive disorder and is a psychological condition.
The Conquer Kleptomania hypnosis session, as well as being deeply relaxing and enjoyable, will train your mind to 'step out' of the theft trance at will and give you your freedom from kleptomania for good.
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The game is aimed at reaching out to many gamers in the community by making it adaptable to different electronic devices. KleptoCats 2 is available for personal computers using Windows 7/8/8.1/10/XP and MAC. KleptoCats 2 offer free download in increasing the number of people available to use the game.
A study involving 20 kleptomania patients found a high association with major depression and, to a lesser extent, anxiety and eating disorders. All of the patients in the study had a lifetime diagnosis of depression; 16 had a lifetime diagnosis of an anxiety disorder; and 12 had a lifetime diagnosis of an eating disorder.6
Kleptomania and other impulse control disorders seem to be more prevalent among those with psychiatric disorders. In a study of 204 psychiatric patients admitted for inpatient treatment, 31 percent of the patients were identified with a current impulse control disorder and 7.8 percent with kleptomania.7 A report that identified 11 patients with kleptomania compared them to a group of patients with alcoholism and to a group of non-psychotic psychiatric patients. The patients with kleptomania had significantly higher levels of impulsivity that distinguished them from both comparison groups. The patients with kleptomania were also found to have high rates of substance abuse and mood disorders.8
The pathophysiology of kleptomania is unknown. Psychoanalytic theories link compulsive stealing to childhood trauma and neglectful or abusive parents, and stealing may symbolize repossessing the losses of childhood.1,4 Kleptomania has also been linked to psychosexual issues such as sexual repression and suppression.1,4 Neuropsychiatric factors are also thought to play a role in kleptomania. The disorder appears to be highly associated with mood disorders and anxiety spectrum disorders.6,9 Reports of kleptomania responding to selective serotonin reuptake inhibitors (SSRIs) suggests a common pathophysiology with mood and anxiety disorders.9,10
Impulse control disorders can present as neuropsychiatric sequelae of head trauma and traumatic brain injury.18 New onset kleptomania has been reported in two cases of closed head trauma.19 Brain disorders, such as epilepsy17 and frontotemporal dementia1 have been reported to cause kleptomania. Kleptomania has also been reported as paradoxical side effect of SSRIs in three patients.20
At the next medication management appointment four weeks later, the patient spontaneously reported a history of behaviors consistent with kleptomania since adolescence. The patient reported that the severity and frequency of the behaviors had escalated over the past five years, but that she, as of yet, had never been caught stealing. The patient reported that the stealing behaviors began at age 15, and that initially she would steal unneeded items from large stores every 3 to 4 weeks. She reported that excitement and tension would build up while thinking about stealing; eventually, she would steal and feel an immediate sense of relief, quickly followed by guilt and shame. Afterward, she would discard the items for fear of being discovered. In late adolescence, the patient reported that she started to drink heavily and by early adulthood developed alcoholism. The patient reported that she did not steal when intoxicated.
The patient reported that she had been hospitalized for a concussion and multiple fractures following the MVA in which her husband died. She had been told at that time that her brain imaging tests were normal. The patient reported that following the discharge from the hospital, she stopped drinking alcohol and had remained abstinent for the last five years. She also reported that, since the accident, her symptoms of kleptomania worsened to multiple episodes of stealing per week and sometimes daily.
With agreement from the patient, the team initiated treatment for her symptoms of kleptomania. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS)22 was administered to the patient. The Y-BOC questionnaire includes 10 questions rated on a Likert-type scale,22,24 and severity is rated as subclinical 0 to 7; mild 8 to 15; moderate 16 to 23; severe 24 to 31; and extreme 32 to 40. The patient's initial score was 33.
The Y-BOCS is not a validated questionnaire for kleptomania and is not indicated for use in kleptomania. However, in attempting to objectively gauge improvement in the patient, the team decided to use the Y-BOCS as a surrogate marker for the intensity of the compulsions as they related to her symptoms of kleptomania.
Initial treatment consisted of increasing venlafaxine, a serotonin norepinephrine reuptake inhibitor (SNRI), to 225mg daily and discontinuing methylphenidate. At follow up three weeks later, there was no change her symptoms. A trial of naltrexone 50mg daily was started, and cognitive behavioral therapy (CBT) was initiated. The patient discontinued the naltrexone after two weeks due to intolerance (e.g., patient reported feeling groggy, sedated, and cognitively slowed). However, the patient perceived a reduction in the kleptomania symptoms, which she felt was related to the psychotherapeutic techniques. Y-BOCS score at this follow up was in the moderate range at 20. CBT was continued and topiramate therapy was initiated. Topiramate 100mg at bedtime was recommended to the patient, and she was instructed to titrate to the recommended dose of 100mg with weekly 25mg increments. The treatment team decided to gauge her response to topiramate at the next follow-up visit to determine whether the topiramate dosage should be increased or maintained at 100mg. At follow-up visit four weeks later, the patient reported tolerating topiramate well with significant improvement in symptoms and no stealing during those four weeks. Topiramate was maintained at 100mg, and at her next follow-up visit six weeks later, she reported continuing to refrain from stealing. The Y-BOCS score was further decreased to the mild score of 12. Venlafaxine was maintained through the course of treatment for depressive symptoms.
The Y-BOCS is not a validated questionnaire for kleptomania and is not indicated for use in kleptomania. However, in attempting to objectively gauge improvement in the patient, the team decided to use the Y-BOCS as a surrogate marker for the intensity of the compulsions as they related to her symptoms of kleptomania. The patient was instructed to answer the questionnaire in terms of her kleptomania symptoms only. Y-BOCS was administered three times at approximately eight-week intervals.
This report illustrates the multiple neuropsychiatric issues that may accompany and possibly complicate kleptomania. Our patient presented with a history of addiction, childhood and psychological trauma, depression, and head trauma (concussion). To the best of our knowledge, this is the first report describing the exacerbation of preexisting kleptomania. The worsening of symptoms was reported by our patient to consist of stronger and more frequent compulsions to steal. This was reflected by an increase in stealing to an almost daily pattern while previously the frequency was every 3 to 4 weeks. The feelings of guilt, shame, and helplessness intensified and caused a worsening of depression.
Kleptomania developing after head trauma has been reported in the literature.19 We were unable to obtain records of the brain imaging performed at the time of the patient's MVA despite multiple attempts. This unfortunately will preclude any causal link between the head trauma and the worsening of kleptomania in this case. While it cannot be completely ruled out that the head trauma may have contributed to the worsening of the patient's kleptomania, it is most likely that the exacerbation of her kleptomania following the MVA was multifactorial. 041b061a72