A 25-year-old female patient presents with symptoms consistent with an impulse control disorder. She reports experiencing recurrent difficulties in controlling impulsive behaviors, leading to significant distress and impairment in social and occupational functioning.  History of Present Illness: The onset of symptoms began approximately two years ago. The patient describes frequent episodes of impulsive actions, such as excessive spending, binge eating, and occasional aggressive outbursts. These behaviors occur despite negative consequences and are often preceded by a sense of tension or arousal. She reports that these actions provide temporary relief but are followed by feelings of guilt and regret