Materiały źródłowe

• #1 Is Hoarding a Mental Illness? | OCD Treatment Program

  https://www.promises.com/addiction-blog/hoarding-a-compulsive-mental-disorder/

  Promises Behavioral Health specializes in providing quality care and support for individuals who struggle with hoarding. […] The clinicians in our OCD treatment center understand that hoarding disorder can be overwhelming; we are committed to helping people recover and live a better quality of life. […] Seeking behavioral healthcare may significantly improve the lives of individuals struggling with the disorder. […] Treatment options for hoarding disorder can vary greatly. However, a general care plan usually consists of cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and medications. […] Cognitive-behavioral therapy is one of the most effective treatments for hoarding disorder as it helps individuals identify, challenge, and replace negative thought patterns fueling their behavior.

• #2 Psychiatry.org – What is Hoarding Disorder?

  https://www.psychiatry.org/patients-families/hoarding-disorder/what-is-hoarding-disorder

  People with hoarding disorder have persistent difficulty getting rid of or parting with possessions due to a perceived need to save the items. Attempts to part with possessions create considerable distress and lead to decisions to save them. The resulting clutter disrupts the ability to use living spaces (American Psychiatric Association, 2022). […] Hoarding disorder can cause problems in relationships, social and work activities, and other important areas of functioning. Potential consequences of serious hoarding include health and safety concerns, such as fire hazards, tripping hazards, and health code violations. It can also lead to family strain and conflicts, isolation and loneliness, unwillingness to have anyone else enter the home, and an inability to perform daily tasks, such as cooking and bathing in the home.

• #3 Hoarding disorder: evidence and best practice in primary care

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10049603/

  Hoarding disorder (HD) only exists as a psychiatric condition with clear diagnostic criteria since 2013, hampering research and treatment. […] Symptoms include difficulty discarding possessions and their excessive accumulation, along with clutter of active living areas to a degree that compromises their intended use. […] Individuals with HD are often characterised by limited insight, which can be exacerbated by stigma, with both substantially inhibiting disclosure and help seeking to healthcare professionals. […] Living conditions can directly impact not only patient wellbeing and safety but also others in the home, visitors, and at times also those living in close physical proximity. […] Current best practice entails close and coordinated engagement with all relevant agencies to facilitate long-term patient-centred support and care. […] GPs and their teams can lead in the identification and long-term care of these patients alongside a coordinated engagement with a wide variety of existing support services.

• #4 A nurse is caring for a client diagnosed with hoarding di | Nursing Exam

  https://www.naxlex.com/nursing/question/a-nurse-is-caring-for-a-client-diagnosed-with-hoarding-disorder-which

  C. Needing to save items and experiencing distress when discarding them. […] Hoarding disorder is characterized by the strong need to save items, regardless of their practical value, and the significant distress experienced when attempting to discard them. […] People with hoarding disorder struggle with organization and often have difficulty maintaining clutter-free spaces due to the accumulation of possessions.

• #5 Hoarding disorder – NHS

  https://www.nhs.uk/mental-health/conditions/hoarding-disorder/

  A hoarding disorder is where someone acquires an excessive number of items and stores them in a chaotic manner, usually resulting in unmanageable amounts of clutter. The items can be of little or no monetary value. […] Hoarding disorders are challenging to treat because many people who hoard frequently do not see it as a problem, or have little awareness of how it’s affecting their life or the lives of others. […] It’s really important to encourage a person who is hoarding to seek help, as their difficulties discarding objects can not only cause loneliness and mental health problems but also pose a health and safety risk. […] A hoarding disorder can be a problem for several reasons. It can take over the person’s life, making it very difficult for them to get around their house. It can cause their work performance, personal hygiene and relationships to suffer.

• #6 Hoarding Disorder – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/obsessive-compulsive-and-related-disorders/hoarding-disorder

  Hoarding disorder is characterized by persistent difficulty discarding or parting with possessions, regardless of their actual value. This difficulty results in the accumulation of possessions that congest and clutter living areas to the point that the intended use of the areas is substantially compromised. […] Patients have a strong need to save items, and they experience significant distress when parting with the items or contemplating parting with them. Patients accumulate a large number of items for which they have inadequate space; the items congest and clutter the living space so much that large areas become unusable, except for storing hoarded items. […] Hoarding symptoms often impair social, occupational, or other areas of functioning. For example, patients may not allow other people, including family members, friends, and repairmen, into the house because they are embarrassed by the clutter.

• #7 Psychiatry.org – Expert Q&A: Hoarding Disorder

  https://www.psychiatry.org/patients-families/hoarding-disorder/expert-q-and-a

  TV shows have raised awareness of the devastating impact hoarding behaviors can have on the individual and their loved ones. […] Hoarding disorder, which became a new diagnostic entry in the DSM-5 in 2013, affects about 2-3 percent of the population. People with hoarding disorder have difficulty parting with possessions, clutter that interferes with normal functioning and marked distress and impairment. […] The initial start of hoarding symptoms is thought to happen in childhood or adolescence (typical onset is around age 16) and it is chronic and progressive. Hoarding is more common in older age groups than younger age groups. […] Below are some early signs that an individual may have hoarding behaviors. These behaviors are typically mild and progress over years. They may develop into a severe problem in adults around their 50s. However, not every person with hoarding symptoms has hoarding disorder.

• #8 Hoarding Disorder in Older Adults: Challenges and Resources – Law Office of Edwin E. Lee

  https://lexmedica.net/hoarding-disorder-in-older-adults-challenges-and-resources/

  Hoarding disorder disproportionately affects older adults, according to the United States Senate Special Committee on Aging. While about 2 percent of the general population struggles with accumulating too many objects, hoarding impacts over 6 percent of people aged 65 and older. […] A 2024 Aging Committee report sheds light on hoarding’s negative effects on elders, as older adults who hoard can experience a worsened quality of life. […] Older community members who experience hoarding can face significant challenges. In addition to worsening a person’s quality of life, hoarding can lead to isolation, loneliness, and housing problems. […] When objects crowd a home, living conditions can become unusable and unsafe. […] Aging exacerbates the dangers of hoarding. Changes with vision, cognitive abilities, and energy levels, as well as chronic health problems, can make hoarding more hazardous.

• #9 Psychiatry.org – Expert Q&A: Hoarding Disorder

  https://www.psychiatry.org/patients-families/hoarding-disorder/expert-q-and-a

  TV shows have raised awareness of the devastating impact hoarding behaviors can have on the individual and their loved ones. […] Hoarding disorder, which became a new diagnostic entry in the DSM-5 in 2013, affects about 2-3 percent of the population. People with hoarding disorder have difficulty parting with possessions, clutter that interferes with normal functioning and marked distress and impairment. […] The initial start of hoarding symptoms is thought to happen in childhood or adolescence (typical onset is around age 16) and it is chronic and progressive. Hoarding is more common in older age groups than younger age groups. […] Below are some early signs that an individual may have hoarding behaviors. These behaviors are typically mild and progress over years. They may develop into a severe problem in adults around their 50s. However, not every person with hoarding symptoms has hoarding disorder.

• #10 Ethical Challenges in Treating Hoarding Disorder: Two Primary Care Clinical Case Studies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526966/

  Hoarding disorder, characterized by persistent difficulty discarding or parting with possessions, is newly included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and affects approximately 2%6% of adults. The difficulty in discarding results from both the perceived need to save items as well as the distress experienced at the prospect of discarding them. As a result, individuals accumulate large volumes of clutter that interfere with their ability to use the rooms in their home for their intended purposes. Clutter in the home may create safety risks for the individual or others (e.g., falls, pest infestation, fire) or lead to the threat of eviction. Hoarding disorder can cause clinically significant distress and disrupt family and social relationships and other areas of functioning. Approximately 75% of individuals with hoarding disorder have a concurrent mood or anxiety disorder, most commonly major depression. Hoarding disorder places a heavy burden on communities, thus identification and treatment of affected individuals is urgently needed. Early detection and referral by the primary care team can lead to successful treatment that prevents serious long-term consequences for an individual and his or her community. Current interventions include psychotherapy, pharmacotherapy, and community services; however, other than three randomized controlled trials, a strong evidence base is lacking.

• #11 Hoarding disorder – NHS

  https://www.nhs.uk/mental-health/conditions/hoarding-disorder/

  The clutter can pose a health risk to the person and anyone who lives in or visits their house. […] If you think a family member or someone you know has a hoarding disorder, try to persuade them to come with you to see a GP. […] Your GP may be able to refer you to your local community mental health team, which might have a therapist who’s familiar with issues such as OCD and hoarding. […] It’s not easy to treat a hoarding disorder, even when the person is prepared to seek help, but it can be overcome. […] The main treatment is cognitive behavioural therapy (CBT). The therapist will help the person to understand what makes it difficult to throw things away and the reasons why the clutter has built up. […] Antidepressant medicines called selective serotonin reuptake inhibitors (SSRIs) have also been shown to help some people with hoarding disorders.

• #12 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  Monika Eckfield, assistant adjunct professor in the UCSF Department of Physiological Nursing and associate specialist in the UCSF Department of Psychiatry, had heard news reports of pack rats people living with enormous amounts of accumulated material. […] But in the early 2000s, when she became a nurse and a case manager providing services to older people and their families, she was startled to find some of her own clients living in homes so cluttered that it could be difficult to walk in them. […] Eckfield began to realize that this wasnt just a clutter problem, but also a health problem. […] People with hoarding problems are often undertreated for the medical problems that can accompany aging, says Eckfield. […] The crowded physical environment in a home also can contribute to falls, and some older people with hoarding problems cannot use necessary equipment, like walkers or wheelchairs, because there simply isnt room.

• #13 Hoarding Disorder – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/obsessive-compulsive-and-related-disorders/hoarding-disorder

  Hoarding can result in unsafe living conditions (eg, by creating a fire hazard or increasing the risk of falls) and may lead to eviction or legal problems. […] Cognitive-behavioral therapy that is tailored to treat the specific hoarding symptoms is usually first-line therapy. However, clinical trials for cognitive-behavioral therapy have shown mixed results. Therapy focuses on helping patients discard items, refrain from acquiring new possessions (if excessive acquisition is a problem), and improve their decision-making abilities. […] Discarding possessions causes patients with hoarding disorder significant distress. […] Treat using cognitive-behavioral therapy that is tailored to treat specific hoarding symptoms. If cognitive-behavioral therapy is not effective, a trial with an SSRI or SNRI can be considered, especially if the patient has potentially responsive comorbidity.

• #14 Senior Hoarding: What is it and How Can You Help? – With A Little Help

  https://withalittlehelp.com/hoarding-in-seattle-a-hidden-mental-health-problem/

  Hoarding is a hot topic of conversation in many families, especially when adult children are worried about hoarding tendencies displayed by aging parents and grandparents. […] After learning more about it, consider holding conversations about hoarding with senior loved ones. Then, work together to create a plan that honors their sentimental attachments to things while ensuring living environments are safe and accessible. […] Addressing the underlying emotional reasons for hoarding is a compassionate first step towards helping your senior family member begin to let go. Honoring the heart of the matter paves the way for the necessary decluttering process. […] Additionally, there are also serious health and safety issues associated with hoarding. As a result, safety is another important thing to address with seniors who have difficulty reducing clutter. Hoarding elevates the chances of:

• #15 My question is about hoarding. That was an excellent article I read here this morning on that very subject. What is the best way to help? – AgingCare.com

  https://www.agingcare.com/questions/my-question-is-about-hoarding-that-was-an-excellent-article-i-read-here-this-morning-on-that-very-su-490220.htm

  Hoarding is a mental disorder that is usually rooted in extreme loss, grief, or early abuse. […] Hoarding creates a very unhealthy living environment – fire risks, falling risks, dust allergens, rodent and insect infestations, and appliances that don’t work. […] Hoarding is now, I believe a newly recognized mental disorder in the DSM-5. […] The fact that it is a disorder, however, can get you coverage for treatment. […] There are many good books on the subject. Start with the book STUFF by Gail Steketee and Randy Frost. Another good one is Digging Out and is about cleanup. That one is by Michael Tompkins.

• #16 My question is about hoarding. That was an excellent article I read here this morning on that very subject. What is the best way to help? – AgingCare.com

  https://www.agingcare.com/questions/my-question-is-about-hoarding-that-was-an-excellent-article-i-read-here-this-morning-on-that-very-su-490220.htm

  Hoarding is a mental disorder that is usually rooted in extreme loss, grief, or early abuse. […] Hoarding creates a very unhealthy living environment – fire risks, falling risks, dust allergens, rodent and insect infestations, and appliances that don’t work. […] Hoarding is now, I believe a newly recognized mental disorder in the DSM-5. […] The fact that it is a disorder, however, can get you coverage for treatment. […] There are many good books on the subject. Start with the book STUFF by Gail Steketee and Randy Frost. Another good one is Digging Out and is about cleanup. That one is by Michael Tompkins.

• #17 Hoarding Disorder in Older Adults: Challenges and Resources – Law Office of Edwin E. Lee

  https://lexmedica.net/hoarding-disorder-in-older-adults-challenges-and-resources/

  Hoarding disorder disproportionately affects older adults, according to the United States Senate Special Committee on Aging. While about 2 percent of the general population struggles with accumulating too many objects, hoarding impacts over 6 percent of people aged 65 and older. […] A 2024 Aging Committee report sheds light on hoarding’s negative effects on elders, as older adults who hoard can experience a worsened quality of life. […] Older community members who experience hoarding can face significant challenges. In addition to worsening a person’s quality of life, hoarding can lead to isolation, loneliness, and housing problems. […] When objects crowd a home, living conditions can become unusable and unsafe. […] Aging exacerbates the dangers of hoarding. Changes with vision, cognitive abilities, and energy levels, as well as chronic health problems, can make hoarding more hazardous.

• #18 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  Monika Eckfield, assistant adjunct professor in the UCSF Department of Physiological Nursing and associate specialist in the UCSF Department of Psychiatry, had heard news reports of pack rats people living with enormous amounts of accumulated material. […] But in the early 2000s, when she became a nurse and a case manager providing services to older people and their families, she was startled to find some of her own clients living in homes so cluttered that it could be difficult to walk in them. […] Eckfield began to realize that this wasnt just a clutter problem, but also a health problem. […] People with hoarding problems are often undertreated for the medical problems that can accompany aging, says Eckfield. […] The crowded physical environment in a home also can contribute to falls, and some older people with hoarding problems cannot use necessary equipment, like walkers or wheelchairs, because there simply isnt room.

• #19 How To Help a Loved One Who is Hoarding | Nurse Next Door

  https://www.nursenextdoor.com/blog/hoarding-how-to-help

  Hoarding is a mental health disorder and it is recommended for the individual with hoarding behavior to seek therapy or counselling to alleviate the symptoms. […] Those who suffer from hoarding disorders might have strained and conflicting relationships with their family members, who may live under the same roof as them or when they come to visit. The conflicts may lead to the hoarder to suffer from loneliness isolation and loneliness and reluctance for anyone to enter their home. […] Daily tasks like cooking a meal or taking a bath in the comfort of their own homes will become major struggles, which will take a toll on anyone’s mental and physical well-being. […] Decluttering and getting your space organized can be really stressful (emotionally and physically). Consider hiring a professional organizers, like SpaceAndTimeOrganized. Often times their team works closely with junk removal companies to help people clear out and organize their living spaces. They specialize in hoarding situations and have the equipment, knowledge and compassion to help you and your loved one out.

• #20 Ethical Challenges in Treating Hoarding Disorder: Two Primary Care Clinical Case Studies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526966/

  Hoarding disorder, characterized by persistent difficulty discarding or parting with possessions, is newly included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and affects approximately 2%6% of adults. The difficulty in discarding results from both the perceived need to save items as well as the distress experienced at the prospect of discarding them. As a result, individuals accumulate large volumes of clutter that interfere with their ability to use the rooms in their home for their intended purposes. Clutter in the home may create safety risks for the individual or others (e.g., falls, pest infestation, fire) or lead to the threat of eviction. Hoarding disorder can cause clinically significant distress and disrupt family and social relationships and other areas of functioning. Approximately 75% of individuals with hoarding disorder have a concurrent mood or anxiety disorder, most commonly major depression. Hoarding disorder places a heavy burden on communities, thus identification and treatment of affected individuals is urgently needed. Early detection and referral by the primary care team can lead to successful treatment that prevents serious long-term consequences for an individual and his or her community. Current interventions include psychotherapy, pharmacotherapy, and community services; however, other than three randomized controlled trials, a strong evidence base is lacking.

• #21 SciELO Brazil – Prevalence of hoarding disorder among primary care patients Prevalence of hoarding disorder among primary care patients

  https://www.scielo.br/j/rbp/a/bWjCfBs5wQpQXtnmbhfZwfC/

  According to the HRS-I (score of 11 or more), the prevalence of HD among primary health care patients in Kerala, India, is 1.02%. […] Individuals with HD were more likely to be older and not live with their families. […] In the binary logistic regression analysis, after controlling for significant sociodemographic variables, participants with HD had a higher odds of reporting chronic medical illness, depression, anxiety disorder, alcohol abuse, and tobacco dependence. […] Participants with HD also had significantly higher disability scores than participants without it. […] In our study, individuals with HD were older, which is consistent with the findings of previous epidemiological studies. […] In our study, a significant number of people with HD lived alone or in institutions. […] Our finding that more people with HD were living alone may have been a result of a high degree of rejection due to their hoarding behavior.

• #22 How To Help a Loved One Who is Hoarding | Nurse Next Door

  https://www.nursenextdoor.com/blog/hoarding-how-to-help

  Hoarding is a mental health disorder and it is recommended for the individual with hoarding behavior to seek therapy or counselling to alleviate the symptoms. […] Those who suffer from hoarding disorders might have strained and conflicting relationships with their family members, who may live under the same roof as them or when they come to visit. The conflicts may lead to the hoarder to suffer from loneliness isolation and loneliness and reluctance for anyone to enter their home. […] Daily tasks like cooking a meal or taking a bath in the comfort of their own homes will become major struggles, which will take a toll on anyone’s mental and physical well-being. […] Decluttering and getting your space organized can be really stressful (emotionally and physically). Consider hiring a professional organizers, like SpaceAndTimeOrganized. Often times their team works closely with junk removal companies to help people clear out and organize their living spaces. They specialize in hoarding situations and have the equipment, knowledge and compassion to help you and your loved one out.

• #23 Helping Someone with Hoarding Disorder – HelpGuide.org

  https://www.helpguide.org/mental-health/anxiety/helping-someone-with-hoarding-disorder

  People with hoarding disorder have an excessive attachment to their belongings, even seemingly worthless or unusable ones. […] This can lead to a cluttered, unsanitary, and unsafe living environment, and take a heavy toll on their close relationships, especially with family and friends who struggle to help them. […] Hoarding disorder is a complex mental health issue and helping someone goes beyond cleaning out their clutter. […] In fact, if its done without their consent, discarding the hoarders possessions usually does more harm than good. […] While recovery tends to be gradual, with your support, empathy, and patience, your loved one can regain control over their life. […] People with hoarding disorder may feel ashamed about how they live or friends and family may shy away from visiting them at home.

• #24 Hoarding disorder: evidence and best practice in primary care

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10049603/

  Hoarding disorder (HD) only exists as a psychiatric condition with clear diagnostic criteria since 2013, hampering research and treatment. […] Symptoms include difficulty discarding possessions and their excessive accumulation, along with clutter of active living areas to a degree that compromises their intended use. […] Individuals with HD are often characterised by limited insight, which can be exacerbated by stigma, with both substantially inhibiting disclosure and help seeking to healthcare professionals. […] Living conditions can directly impact not only patient wellbeing and safety but also others in the home, visitors, and at times also those living in close physical proximity. […] Current best practice entails close and coordinated engagement with all relevant agencies to facilitate long-term patient-centred support and care. […] GPs and their teams can lead in the identification and long-term care of these patients alongside a coordinated engagement with a wide variety of existing support services.

• #25 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  Monika Eckfield, assistant adjunct professor in the UCSF Department of Physiological Nursing and associate specialist in the UCSF Department of Psychiatry, had heard news reports of pack rats people living with enormous amounts of accumulated material. […] But in the early 2000s, when she became a nurse and a case manager providing services to older people and their families, she was startled to find some of her own clients living in homes so cluttered that it could be difficult to walk in them. […] Eckfield began to realize that this wasnt just a clutter problem, but also a health problem. […] People with hoarding problems are often undertreated for the medical problems that can accompany aging, says Eckfield. […] The crowded physical environment in a home also can contribute to falls, and some older people with hoarding problems cannot use necessary equipment, like walkers or wheelchairs, because there simply isnt room.

• #26 Hoarding disorder | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/hoarding-disorder

  Cognitive behavioral therapy is the first treatment recommended for hoarding disorder. […] In addition to professional treatment, here are some steps you can take to help care for yourself: Follow your treatment plan. […] Accept assistance. […] Reach out to others. […] Do what’s best for your pets.

• #27 Hoarding Disorder – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/obsessive-compulsive-and-related-disorders/hoarding-disorder

  Hoarding disorder is characterized by persistent difficulty discarding or parting with possessions, regardless of their actual value. This difficulty results in the accumulation of possessions that congest and clutter living areas to the point that the intended use of the areas is substantially compromised. […] Patients have a strong need to save items, and they experience significant distress when parting with the items or contemplating parting with them. Patients accumulate a large number of items for which they have inadequate space; the items congest and clutter the living space so much that large areas become unusable, except for storing hoarded items. […] Hoarding symptoms often impair social, occupational, or other areas of functioning. For example, patients may not allow other people, including family members, friends, and repairmen, into the house because they are embarrassed by the clutter.

• #28 Hoarding disorder

  https://www.mymlc.com/health-information/diseases-and-conditions/h/hoarding-disorder/

  Hoarding disorder is a persistent difficulty discarding or parting with possessions because of a perceived need to save them. A person with hoarding disorder experiences distress at the thought of getting rid of the items. Excessive accumulation of items, regardless of actual value, occurs. […] People with hoarding disorder may not see it as a problem, making treatment challenging. But intensive treatment can help people with hoarding disorder understand how their beliefs and behaviors can be changed so that they can live safer, more enjoyable lives. […] Treatment of hoarding disorder can be challenging because many people don’t recognize the negative impact of hoarding on their lives or don’t believe they need treatment. This is especially true if the possessions or animals offer comfort. If these possessions or animals are taken away, people will often react with frustration and anger and quickly collect more to help fulfill emotional needs.

• #29 Ethical Challenges in Treating Hoarding Disorder: Two Primary Care Clinical Case Studies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526966/

  Hoarding disorder, characterized by persistent difficulty discarding or parting with possessions, is newly included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and affects approximately 2%6% of adults. The difficulty in discarding results from both the perceived need to save items as well as the distress experienced at the prospect of discarding them. As a result, individuals accumulate large volumes of clutter that interfere with their ability to use the rooms in their home for their intended purposes. Clutter in the home may create safety risks for the individual or others (e.g., falls, pest infestation, fire) or lead to the threat of eviction. Hoarding disorder can cause clinically significant distress and disrupt family and social relationships and other areas of functioning. Approximately 75% of individuals with hoarding disorder have a concurrent mood or anxiety disorder, most commonly major depression. Hoarding disorder places a heavy burden on communities, thus identification and treatment of affected individuals is urgently needed. Early detection and referral by the primary care team can lead to successful treatment that prevents serious long-term consequences for an individual and his or her community. Current interventions include psychotherapy, pharmacotherapy, and community services; however, other than three randomized controlled trials, a strong evidence base is lacking.

• #30 Psychiatry.org – What is Hoarding Disorder?

  https://www.psychiatry.org/patients-families/hoarding-disorder/what-is-hoarding-disorder

  People with hoarding disorder have persistent difficulty getting rid of or parting with possessions due to a perceived need to save the items. Attempts to part with possessions create considerable distress and lead to decisions to save them. The resulting clutter disrupts the ability to use living spaces (American Psychiatric Association, 2022). […] Hoarding disorder can cause problems in relationships, social and work activities, and other important areas of functioning. Potential consequences of serious hoarding include health and safety concerns, such as fire hazards, tripping hazards, and health code violations. It can also lead to family strain and conflicts, isolation and loneliness, unwillingness to have anyone else enter the home, and an inability to perform daily tasks, such as cooking and bathing in the home.

• #31 Hoarding: Definition, Symptoms, Traits, Causes, Treatment

  https://www.verywellmind.com/what-is-hoarding-disorder-2510602

  Hoarding is a key symptom of a mental illness known as hoarding disorder. It’s characterized by the extreme difficulty of getting rid of possessions even those of little or no value. As items accumulate over time, they clutter a person’s home to the point where living spaces can’t be used as intended. When severe, hoarding can put a person (and others in their home) in danger. […] A person with hoarding disorder is primarily unable to part with objects, items, or possessions, but the disorder can also include what is known as excessive acquisition. With this behavior, a person actively seeks to acquire more unneeded items. […] When extreme, hoarding can put the person and anyone else in their home, including pets, in danger. […] Some other potential consequences of hoarding that are major concerns for people with hoarding disorder and those who live with them include impaired ability to prepare food, inability to maintain personal hygiene, interpersonal conflict, poor sanitation, social isolation, and other health and safety hazards.

• #32 Psychiatry.org – Expert Q&A: Hoarding Disorder

  https://www.psychiatry.org/patients-families/hoarding-disorder/expert-q-and-a

  It is difficult to watch a family member struggle with clutter; especially when they do not see how it is impacting their lives. […] The first step to help a loved one is to get information. The International OCD Foundation (IOCDF) has information about hoarding and practical resources and referrals. […] In the United States, a persons civil liberties are protected; going into someones house (depending on the situation) may be a civil rights violation. […] Because there are strong attachments to the clutter, and the clutter is a result of a disorder which causes excessive acquisition and decisions to save possessions, simply removing the clutter may not help. […] Yes, hoarding disorder is more common among people who have a family member who has hoarding disorder. […] There are multiple types of help for individuals with hoarding disorder, including self-help books, support groups, individual talk therapy, medications and group therapy. […] Hoarding disorder can be treated, and there is hope for returning to a normal life. Typically, individuals will continue to face challenges throughout their lives; staying in treatment may decrease chances that hoarding symptoms and clutter will return.

• #33 Hoarding disorder – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hoarding-disorder/diagnosis-treatment/drc-20356062

  Cognitive behavioral therapy is the main treatment for hoarding disorder. […] Treatment of hoarding disorder can be challenging but effective if you keep working on learning new skills. […] Treatment often involves regular help from family, friends and agencies to help remove clutter. […] For children with hoarding disorder, it’s important to have the parents involved in treatment. […] In addition to therapy for their child, parents may find professional guidance helpful to learn how to respond to and help manage their child’s hoarding behavior. […] Cognitive behavioral therapy is the first treatment recommended for hoarding disorder. […] Medicines are used to treat other conditions such as anxiety and depression that often occur along with hoarding disorder. […] If you or a loved one has symptoms of hoarding disorder, your health care provider may refer you to a mental health provider, such as a psychiatrist or psychologist, with experience diagnosing and treating hoarding disorder. […] To gain an understanding of how hoarding disorder is affecting your life, your provider may ask: What types of things do you tend to get and save? […] Have you tried to reduce the clutter on your own or with the help of friends and family? How successful were those attempts?

• #34 Psychiatry.org – Expert Q&A: Hoarding Disorder

  https://www.psychiatry.org/patients-families/hoarding-disorder/expert-q-and-a

  TV shows have raised awareness of the devastating impact hoarding behaviors can have on the individual and their loved ones. […] Hoarding disorder, which became a new diagnostic entry in the DSM-5 in 2013, affects about 2-3 percent of the population. People with hoarding disorder have difficulty parting with possessions, clutter that interferes with normal functioning and marked distress and impairment. […] The initial start of hoarding symptoms is thought to happen in childhood or adolescence (typical onset is around age 16) and it is chronic and progressive. Hoarding is more common in older age groups than younger age groups. […] Below are some early signs that an individual may have hoarding behaviors. These behaviors are typically mild and progress over years. They may develop into a severe problem in adults around their 50s. However, not every person with hoarding symptoms has hoarding disorder.

• #35 Hoarding disorder – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hoarding-disorder/diagnosis-treatment/drc-20356062

  Cognitive behavioral therapy is the main treatment for hoarding disorder. […] Treatment of hoarding disorder can be challenging but effective if you keep working on learning new skills. […] Treatment often involves regular help from family, friends and agencies to help remove clutter. […] For children with hoarding disorder, it’s important to have the parents involved in treatment. […] In addition to therapy for their child, parents may find professional guidance helpful to learn how to respond to and help manage their child’s hoarding behavior. […] Cognitive behavioral therapy is the first treatment recommended for hoarding disorder. […] Medicines are used to treat other conditions such as anxiety and depression that often occur along with hoarding disorder. […] If you or a loved one has symptoms of hoarding disorder, your health care provider may refer you to a mental health provider, such as a psychiatrist or psychologist, with experience diagnosing and treating hoarding disorder. […] To gain an understanding of how hoarding disorder is affecting your life, your provider may ask: What types of things do you tend to get and save? […] Have you tried to reduce the clutter on your own or with the help of friends and family? How successful were those attempts?

• #36 Hoarding Disorder – Grand Ave Urgent Care

  https://grandaveurgentcare.com/patient-education/health-library/?DOCHWID=abq2245

  Hoarding disorder is a mental health condition that makes a person have a very hard time getting rid of or throwing away items they own. […] The main symptom of hoarding disorder is keeping so many items that they get in the way of everyday life. People with this condition may have so much clutter in their homes that their living conditions are unhealthy. […] The two main types of treatment are counseling and medicine. Counseling involves helping the person gradually learn to get rid of unneeded possessions without feeling anxious or worried about it. Patients may also learn organization, decision-making, and relaxation skills.

• #37 Ethical Challenges in Treating Hoarding Disorder: Two Primary Care Clinical Case Studies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526966/

  Hoarding disorder, characterized by persistent difficulty discarding or parting with possessions, is newly included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and affects approximately 2%6% of adults. The difficulty in discarding results from both the perceived need to save items as well as the distress experienced at the prospect of discarding them. As a result, individuals accumulate large volumes of clutter that interfere with their ability to use the rooms in their home for their intended purposes. Clutter in the home may create safety risks for the individual or others (e.g., falls, pest infestation, fire) or lead to the threat of eviction. Hoarding disorder can cause clinically significant distress and disrupt family and social relationships and other areas of functioning. Approximately 75% of individuals with hoarding disorder have a concurrent mood or anxiety disorder, most commonly major depression. Hoarding disorder places a heavy burden on communities, thus identification and treatment of affected individuals is urgently needed. Early detection and referral by the primary care team can lead to successful treatment that prevents serious long-term consequences for an individual and his or her community. Current interventions include psychotherapy, pharmacotherapy, and community services; however, other than three randomized controlled trials, a strong evidence base is lacking.

• #38 SciELO Brazil – Prevalence of hoarding disorder among primary care patients Prevalence of hoarding disorder among primary care patients

  https://www.scielo.br/j/rbp/a/bWjCfBs5wQpQXtnmbhfZwfC/

  According to the HRS-I (score of 11 or more), the prevalence of HD among primary health care patients in Kerala, India, is 1.02%. […] Individuals with HD were more likely to be older and not live with their families. […] In the binary logistic regression analysis, after controlling for significant sociodemographic variables, participants with HD had a higher odds of reporting chronic medical illness, depression, anxiety disorder, alcohol abuse, and tobacco dependence. […] Participants with HD also had significantly higher disability scores than participants without it. […] In our study, individuals with HD were older, which is consistent with the findings of previous epidemiological studies. […] In our study, a significant number of people with HD lived alone or in institutions. […] Our finding that more people with HD were living alone may have been a result of a high degree of rejection due to their hoarding behavior.

• #39 Hoarding: Definition, Symptoms, Traits, Causes, Treatment

  https://www.verywellmind.com/what-is-hoarding-disorder-2510602

  Treating hoarding disorder is a process. It can take time and may require more than one type of intervention, including a clinical interview and functional assessment of a person’s behavior, psychoeducation to improve the person’s insight and help them better understand the disorder, collaborative goal-setting between the person who hoards and the mental health professionals working with them, cognitive therapy to identify a person’s cognitive distortions and assist them with developing cognitive flexibility and adaptive cognitive restructuring, acquiring organizational and problem-solving skills through training, exposure and response prevention to acquisition opportunities, as well as other types of behavioral experiments, and excavation exposure to guide a person through the process of de-cluttering. […] There are currently no FDA-approved pharmacological treatments for hoarding disorder.

• #40 Home Care Services: Hoarding | Family Resource Home Care

  https://www.familyresourcehomecare.com/home-care-services-hoarding/

  Hoarding is a behavior that affects many people around the world, follow along with us to find out how home care services can help. […] However, when an elderly person hoards, Alzheimer’s or dementia is often the cause. The seniors may begin to save items because they feel confused and overwhelmed. […] Hoarding can also have serious health implications. Piles of items in the home can create tripping hazards and increase the risk of falls, particularly in seniors. […] Hiring a trained caregiver to provide home care services from a licensed home care provider allows families to have regular monitoring of their loved one. […] A trained caregiver can also help with this process by providing emotional support and helping the senior understand the importance of maintaining a clutter-free living environment. […] Hoarding is a challenging behavior that affects many people, particularly seniors with Alzheimer’s or dementia. Hiring a trained caregiver to provide home care services can help families avoid a small problem from growing out of hand, while also mitigating the health implications of hoarding.

• #41 Hoarding disorder – NHS

  https://www.nhs.uk/mental-health/conditions/hoarding-disorder/

  A hoarding disorder is where someone acquires an excessive number of items and stores them in a chaotic manner, usually resulting in unmanageable amounts of clutter. The items can be of little or no monetary value. […] Hoarding disorders are challenging to treat because many people who hoard frequently do not see it as a problem, or have little awareness of how it’s affecting their life or the lives of others. […] It’s really important to encourage a person who is hoarding to seek help, as their difficulties discarding objects can not only cause loneliness and mental health problems but also pose a health and safety risk. […] A hoarding disorder can be a problem for several reasons. It can take over the person’s life, making it very difficult for them to get around their house. It can cause their work performance, personal hygiene and relationships to suffer.

• #42 Hoarding disorder – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hoarding-disorder/diagnosis-treatment/drc-20356062

  Cognitive behavioral therapy is the main treatment for hoarding disorder. […] Treatment of hoarding disorder can be challenging but effective if you keep working on learning new skills. […] Treatment often involves regular help from family, friends and agencies to help remove clutter. […] For children with hoarding disorder, it’s important to have the parents involved in treatment. […] In addition to therapy for their child, parents may find professional guidance helpful to learn how to respond to and help manage their child’s hoarding behavior. […] Cognitive behavioral therapy is the first treatment recommended for hoarding disorder. […] Medicines are used to treat other conditions such as anxiety and depression that often occur along with hoarding disorder. […] If you or a loved one has symptoms of hoarding disorder, your health care provider may refer you to a mental health provider, such as a psychiatrist or psychologist, with experience diagnosing and treating hoarding disorder. […] To gain an understanding of how hoarding disorder is affecting your life, your provider may ask: What types of things do you tend to get and save? […] Have you tried to reduce the clutter on your own or with the help of friends and family? How successful were those attempts?

• #43 Hoarding disorder | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/hoarding-disorder

  Hoarding disorder is an ongoing difficulty throwing away or parting with possessions because you believe that you need to save them. […] People with hoarding disorder may not see it as a problem, so getting them to take part in treatment can be challenging. But intensive treatment can help you understand how your beliefs and behaviors can be changed so that you can live a safer, more enjoyable life. […] Treatment of hoarding disorder can be challenging but effective if you keep working on learning new skills. […] The main treatment for hoarding disorder is cognitive behavioral therapy (CBT), a skills-based approach to therapy. […] Treatment often involves regular help from family, friends and agencies to help remove clutter. […] For children with hoarding disorder, it’s important to have the parents involved in treatment.

• #44 Hoarding: Features, Assessment, and Intervention Strategies | Springer Publishing

  https://connect.springerpub.com/content/book/978-0-8261-4083-8/part/part02/chapter/ch05

  Hoarding disorder is characterized by persistent distress when attempting to discard, recycle, or donate items from or out of the home. […] This chapter provides an overview of the features and complications of hoarding disorder. It explains assessment, including key features used in evaluation and describes evidence-based interventions for hoarding, focusing on cognitive behavioral therapy. […] A strong alliance, based on mutual warmth and respect, can help the client to tolerate and recover from negative emotions and can also help the clinician to maintain a collaborative stance in which the client makes all decisions about his/her own possessions.

• #45 Hoarding Disorder: Diagnosis and Treatment

  https://www.uspharmacist.com/article/hoarding-disorder-diagnosis-and-treatment

  Successful hoarding treatment requires the patient to have a high degree of motivation and commitment. Attempts to clean out the homes of people who hoard without treating the underlying problem usually fail. Families and community agencies may spend many hours clearing a home only to find that the problem recurs, often within just a few months. Hoarders whose homes are cleared without their consent often experience extreme distress and may become further attached to their possessions; this may lead to the refusal of help in the future. The primary treatments for compulsive hoarding include psychotherapy, pharmacotherapy, and a combination of both. […] Strategies to treat hoarding include challenging the hoarders thoughts and beliefs about the need to keep items and about collecting new things; going out without buying or picking up new items; and getting rid of and recycling clutter. The first step is to practice the removal of clutter with the help of a clinician or coach. Second, hoarders may wish to find and join a support group or team up with a coach to sort and reduce clutter. The final step is to understand that relapses can occur and develop a plan to prevent future clutter.

• #46 Hoarding Disorder: What It Is, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17682-hoarding-disorder

  Hoarding disorder is treatable with cognitive behavioral therapy. […] Healthcare providers use two main types of therapies to treat hoarding disorder: Cognitive behavioral therapy, a type of talk therapy (psychotherapy) […] Cognitive behavioral therapy (CBT) is a common treatment for hoarding disorder. With the help of a licensed mental health professional, such as a psychologist, people learn to understand why they hoard and how to feel less anxiety when throwing away items. Specialists also teach organization and decision-making skills. These skills can help you better manage your possessions. […] It’s important to remember that hoarding disorder is a mental health condition it’s not a matter of laziness or willpower. As with all mental health conditions, seeking professional help as soon as symptoms appear can help decrease the disruptions to your life. Mental health professionals can offer treatment plans that can help you manage your thoughts and behaviors related to hoarding.

• #47 Hoarding Disorder – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/obsessive-compulsive-and-related-disorders/hoarding-disorder

  Hoarding can result in unsafe living conditions (eg, by creating a fire hazard or increasing the risk of falls) and may lead to eviction or legal problems. […] Cognitive-behavioral therapy that is tailored to treat the specific hoarding symptoms is usually first-line therapy. However, clinical trials for cognitive-behavioral therapy have shown mixed results. Therapy focuses on helping patients discard items, refrain from acquiring new possessions (if excessive acquisition is a problem), and improve their decision-making abilities. […] Discarding possessions causes patients with hoarding disorder significant distress. […] Treat using cognitive-behavioral therapy that is tailored to treat specific hoarding symptoms. If cognitive-behavioral therapy is not effective, a trial with an SSRI or SNRI can be considered, especially if the patient has potentially responsive comorbidity.

• #48 Hoarding disorder – NHS

  https://www.nhs.uk/mental-health/conditions/hoarding-disorder/

  Regular sessions of CBT over a long period of time are usually necessary and will almost always need to include some home-based sessions, working directly on the clutter. […] The goal is to improve the person’s decision-making and organisational skills, help them overcome urges to save and, ultimately, clear the clutter, room by room.

• #49 Hoarding disorder – NHS

  https://www.nhs.uk/mental-health/conditions/hoarding-disorder/

  Regular sessions of CBT over a long period of time are usually necessary and will almost always need to include some home-based sessions, working directly on the clutter. […] The goal is to improve the person’s decision-making and organisational skills, help them overcome urges to save and, ultimately, clear the clutter, room by room.

• #50 Hoarding disorder

  https://www.mymlc.com/health-information/diseases-and-conditions/h/hoarding-disorder/

  The main treatment for hoarding disorder is cognitive behavioral therapy. Medications may be added, particularly if you also have anxiety or depression. […] Treatment often involves routine assistance from family, friends and agencies to help remove clutter. This is particularly the case for the elderly or those struggling with medical conditions that may make it difficult to maintain effort and motivation. […] For children with hoarding disorder, it’s important to have the parents involved in treatment. Sometimes called „family accommodation,” over the years, some parents may think that allowing their child to get and save countless items may help lower their child’s anxiety. Actually it may do the opposite, increasing anxiety. […] There are currently no medications approved by the Food and Drug Administration (FDA) to treat hoarding disorder. Typically, medications are used to treat other disorders such as anxiety and depression that often occur along with hoarding disorder.

• #51 Hoarding Disorder: Diagnosis and Treatment

  https://www.uspharmacist.com/article/hoarding-disorder-diagnosis-and-treatment

  Attempts by family and friends to help with decluttering may not be well received by a hoarder. It is important to know that until the person is internally motivated to change, he or she may not accept any offer for help. Motivation cannot be forced, and everyone, including people who hoard, has a right to make choices about their objects and how they live. […] The combination of cognitive rehabilitation and exposure therapy is also a promising approach in the treatment of hoarding in older adults. […] Studies have shown that OCD patients will respond well to selective serotonin reuptake inhibitor (SSRI) medications, and some of these drugs have also been found effective in patients with hoarding behavior. Symptom improvement from pharmacotherapy for compulsive hoarding appears to be at least as good as that resulting from CBT. It is now thought that the combination of pharmacotherapy and CBT for compulsive hoarding is likely more effective than either treatment alone. […] The public and personal health consequences of hoarding are substantial, and the disorder is generally considered difficult to treat. However, hoarding disorder in highly motivated patients can be improved by pharmacologic (SSRIs) and psychological therapies or a combination of both.

• #52 Across NC, Professionals Treat Hoarding as a Distinct, Potentially Deadly Disorder – North Carolina Health News

  http://www.northcarolinahealthnews.org/2018/06/05/across-nc-professionals-treat-hoarding-as-a-distinct-potentially-deadly-disorder/

  Emergency personnel focus on preventing harm and facing risks from hoarding, leaving treatment to professionals such as Annette Perot, a Chapel Hill therapist who has had many patients with hoarding disorder. […] Often, Perot’s treatment involves meeting a client at the scene of the hoarding and introducing new methods of thinking about clutter in a non-threatening way. […] Through cognitive behavioral therapy, hoarders can step out of the rationalizations that have propped up their obsessive collecting habits, Perot said. […] The appearance of hoarding disorder in the DSM-5 means that therapists can be reimbursed for treating it and that researchers are more likely to get funding for a focus on it. […] A 2014 study showed some value the use of Venlafaxine, or extended-release Effexor, in treating hoarding disorder. […] The behavioral piece is helping people, to for example, to be able to be in stores and see things and feel this tug to buy something, but not to purchase it, Perot said. […] For people in their 70s and 80s, therapists can use a method in addition to behavioral therapy.

• #53 Hoarding Disorder: Diagnosis and Treatment

  https://www.uspharmacist.com/article/hoarding-disorder-diagnosis-and-treatment

  Attempts by family and friends to help with decluttering may not be well received by a hoarder. It is important to know that until the person is internally motivated to change, he or she may not accept any offer for help. Motivation cannot be forced, and everyone, including people who hoard, has a right to make choices about their objects and how they live. […] The combination of cognitive rehabilitation and exposure therapy is also a promising approach in the treatment of hoarding in older adults. […] Studies have shown that OCD patients will respond well to selective serotonin reuptake inhibitor (SSRI) medications, and some of these drugs have also been found effective in patients with hoarding behavior. Symptom improvement from pharmacotherapy for compulsive hoarding appears to be at least as good as that resulting from CBT. It is now thought that the combination of pharmacotherapy and CBT for compulsive hoarding is likely more effective than either treatment alone. […] The public and personal health consequences of hoarding are substantial, and the disorder is generally considered difficult to treat. However, hoarding disorder in highly motivated patients can be improved by pharmacologic (SSRIs) and psychological therapies or a combination of both.

• #54 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  San Francisco has also begun to implement several other recommendations of the task force. […] Through its Institute on Compulsive Hoarding and Cluttering (ICHC), the Mental Health Association of San Francisco (MHASF) offers training programs for families affected by hoarding, and it has put together support groups, as well as a peer-response team of recovering hoarders who can offer practical support aimed in part at keeping people in their homes. […] Further research could shed more light on the etiology of the disorder and lead to more effective intervention.

• #55 Hoarding disorder: evidence and best practice in primary care | British Journal of General Practice

  https://bjgp.org/content/73/729/182

  Hoarding disorder (HD) only exists as a psychiatric condition with clear diagnostic criteria since 2013, hampering research and treatment. […] Symptoms include difficulty discarding possessions and their excessive accumulation, along with clutter of active living areas to a degree that compromises their intended use. […] Individuals with HD are often characterised by limited insight, which can be exacerbated by stigma, with both substantially inhibiting disclosure and help seeking to healthcare professionals. […] Living conditions can directly impact not only patient wellbeing and safety but also others in the home, visitors, and at times also those living in close physical proximity. […] A diverse set of front-line providers can often be the first to encounter individuals with HD (for example, housing officers, environmental health, fire, police, and ambulance services), but may not have a long-term relationship with the individual or appropriate clinical training. […] Current best practice entails close and coordinated engagement with all relevant agencies to facilitate long-term patient-centred support and care.

• #56 How To Help a Loved One Who is Hoarding | Nurse Next Door

  https://www.nursenextdoor.com/blog/hoarding-how-to-help

  Hoarding is a mental health disorder and it is recommended for the individual with hoarding behavior to seek therapy or counselling to alleviate the symptoms. […] Those who suffer from hoarding disorders might have strained and conflicting relationships with their family members, who may live under the same roof as them or when they come to visit. The conflicts may lead to the hoarder to suffer from loneliness isolation and loneliness and reluctance for anyone to enter their home. […] Daily tasks like cooking a meal or taking a bath in the comfort of their own homes will become major struggles, which will take a toll on anyone’s mental and physical well-being. […] Decluttering and getting your space organized can be really stressful (emotionally and physically). Consider hiring a professional organizers, like SpaceAndTimeOrganized. Often times their team works closely with junk removal companies to help people clear out and organize their living spaces. They specialize in hoarding situations and have the equipment, knowledge and compassion to help you and your loved one out.

• #57 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  San Francisco has also begun to implement several other recommendations of the task force. […] Through its Institute on Compulsive Hoarding and Cluttering (ICHC), the Mental Health Association of San Francisco (MHASF) offers training programs for families affected by hoarding, and it has put together support groups, as well as a peer-response team of recovering hoarders who can offer practical support aimed in part at keeping people in their homes. […] Further research could shed more light on the etiology of the disorder and lead to more effective intervention.

• #58 Hoarding disorder

  https://www.mymlc.com/health-information/diseases-and-conditions/h/hoarding-disorder/

  The main treatment for hoarding disorder is cognitive behavioral therapy. Medications may be added, particularly if you also have anxiety or depression. […] Treatment often involves routine assistance from family, friends and agencies to help remove clutter. This is particularly the case for the elderly or those struggling with medical conditions that may make it difficult to maintain effort and motivation. […] For children with hoarding disorder, it’s important to have the parents involved in treatment. Sometimes called „family accommodation,” over the years, some parents may think that allowing their child to get and save countless items may help lower their child’s anxiety. Actually it may do the opposite, increasing anxiety. […] There are currently no medications approved by the Food and Drug Administration (FDA) to treat hoarding disorder. Typically, medications are used to treat other disorders such as anxiety and depression that often occur along with hoarding disorder.

• #59

  https://journals.lww.com/nursing/fulltext/2013/10000/shining_a_light_on_hoarding_disorder.11.aspx

  GENERAL PURPOSE: To provide nurses with information about hoarding disorder to guide clinical practice. […] LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Describe the pathophysiology of hoarding disorder. 2. Identify nursing interventions to help patients with hoarding disorder. […] Nurses should assess patients for hoarding symptoms by asking about their most treasured possessions. […] When patients with hoarding disorder are referred for outpatient treatment, the priority nursing intervention is to establish a therapeutic relationship. […] When working with families of those who hoard, the nurse should advise them to learn about hoarding and participate in counseling. […] Besides psychopharmacology, the major outpatient therapy for hoarding disorder is CBT.

• #60

  https://journals.lww.com/nursing/fulltext/2013/10000/shining_a_light_on_hoarding_disorder.11.aspx

  GENERAL PURPOSE: To provide nurses with information about hoarding disorder to guide clinical practice. […] LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Describe the pathophysiology of hoarding disorder. 2. Identify nursing interventions to help patients with hoarding disorder. […] Nurses should assess patients for hoarding symptoms by asking about their most treasured possessions. […] When patients with hoarding disorder are referred for outpatient treatment, the priority nursing intervention is to establish a therapeutic relationship. […] When working with families of those who hoard, the nurse should advise them to learn about hoarding and participate in counseling. […] Besides psychopharmacology, the major outpatient therapy for hoarding disorder is CBT.

• #61 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  Monika Eckfield, assistant adjunct professor in the UCSF Department of Physiological Nursing and associate specialist in the UCSF Department of Psychiatry, had heard news reports of pack rats people living with enormous amounts of accumulated material. […] But in the early 2000s, when she became a nurse and a case manager providing services to older people and their families, she was startled to find some of her own clients living in homes so cluttered that it could be difficult to walk in them. […] Eckfield began to realize that this wasnt just a clutter problem, but also a health problem. […] People with hoarding problems are often undertreated for the medical problems that can accompany aging, says Eckfield. […] The crowded physical environment in a home also can contribute to falls, and some older people with hoarding problems cannot use necessary equipment, like walkers or wheelchairs, because there simply isnt room.

• #62 SciELO Brazil – Prevalence of hoarding disorder among primary care patients Prevalence of hoarding disorder among primary care patients

  https://www.scielo.br/j/rbp/a/bWjCfBs5wQpQXtnmbhfZwfC/

  In our sample, individuals with HD were 2.5-fold more likely to self-report a chronic illness, which is consistent with the findings of a well-conducted community study from London. […] In our study, participants with HD were more likely to have a disability. […] This finding has been consistently reported in both community samples and in people with OCD, which highlights the severe dysfunction involved in HD. […] To conclude, this study suggests that the HD is not uncommon in India. […] There seems to be a lack of awareness of hoarding as an illness among patients, families, and medical professionals. […] Sensitization of health administrators, health care workers, and the community about HD is essential to ensure early recognition and treatment in order to improve outcomes and reduce chronicity.

• #63 Ethical Challenges in Treating Hoarding Disorder: Two Primary Care Clinical Case Studies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526966/

  Numerous challenges may impede prompt assessment and treatment of hoarding disorder. Some of these challenges have important ethical dimensions, such as balancing respect for individual autonomy with minimizing risk to the patients health and well-being. Specifically, individuals with hoarding disorder are often reluctant to seek help; many hide their disorder because of embarrassment and shame about the condition of their homes and are fearful that they will be evicted. Limited insight may also affect initial presentation and ability to engage with treatment recommendations. […] It is important to consider how providers approach talking with their patients about hoarding and the impact of hoarding behaviors. Most people with hoarding disorder are reluctant and embarrassed to disclose hoarding difficulties. One of the most effective ways to address clutter is by talking nonjudgmentally and compassionately with patients to build trust.

• #64 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  Medication errors are also a risk when old medicines are hoarded and confused with current ones. […] Ongoing, targeted case management is essential and should be focused on keeping clients independent and safe at home while helping them make progress at their own pace to improve safety and address their medical needs, says Eckfield. […] The report included a list of recommendations for developing new services and building on existing programs that are potentially effective but lack capacity to serve many people. […] Among them are developing crisis teams to respond to reports of hoarding, increasing access to treatment that can take place in an individuals home and offering training for therapists, families, landlords, agency staff and others involved in remediating hoarding problems.

• #65

  https://journals.lww.com/nursing/fulltext/2013/10000/shining_a_light_on_hoarding_disorder.11.aspx

  GENERAL PURPOSE: To provide nurses with information about hoarding disorder to guide clinical practice. […] LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Describe the pathophysiology of hoarding disorder. 2. Identify nursing interventions to help patients with hoarding disorder. […] Nurses should assess patients for hoarding symptoms by asking about their most treasured possessions. […] When patients with hoarding disorder are referred for outpatient treatment, the priority nursing intervention is to establish a therapeutic relationship. […] When working with families of those who hoard, the nurse should advise them to learn about hoarding and participate in counseling. […] Besides psychopharmacology, the major outpatient therapy for hoarding disorder is CBT.

• #66 Ethical Challenges in Treating Hoarding Disorder: Two Primary Care Clinical Case Studies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526966/

  Numerous challenges may impede prompt assessment and treatment of hoarding disorder. Some of these challenges have important ethical dimensions, such as balancing respect for individual autonomy with minimizing risk to the patients health and well-being. Specifically, individuals with hoarding disorder are often reluctant to seek help; many hide their disorder because of embarrassment and shame about the condition of their homes and are fearful that they will be evicted. Limited insight may also affect initial presentation and ability to engage with treatment recommendations. […] It is important to consider how providers approach talking with their patients about hoarding and the impact of hoarding behaviors. Most people with hoarding disorder are reluctant and embarrassed to disclose hoarding difficulties. One of the most effective ways to address clutter is by talking nonjudgmentally and compassionately with patients to build trust.

• #67 Hoarding: Features, Assessment, and Intervention Strategies | Springer Publishing

  https://connect.springerpub.com/content/book/978-0-8261-4083-8/part/part02/chapter/ch05

  Hoarding disorder is characterized by persistent distress when attempting to discard, recycle, or donate items from or out of the home. […] This chapter provides an overview of the features and complications of hoarding disorder. It explains assessment, including key features used in evaluation and describes evidence-based interventions for hoarding, focusing on cognitive behavioral therapy. […] A strong alliance, based on mutual warmth and respect, can help the client to tolerate and recover from negative emotions and can also help the clinician to maintain a collaborative stance in which the client makes all decisions about his/her own possessions.

• #68 Hoarding Disorder Treatment Plan | Step by Step Guide

  https://cluttertrucker.com/hoarding-disorder-treatment-plan/

  However, in other cases, people can get a complete resolution by seeking help among their family and friends and teaming up with a clutter-removal service whose workers understand, respect, and support clients throughout the entire process of decluttering and minimizing hoarding behavior. […] It’s always smart to get help as soon as possible, as procrastination only allows the situation to become worse. […] After finding a professional partner to help, the next step is to perform a detailed assessment of the situation. […] The goal is to discover the reasons behind the urge to accumulate things. […] After reviewing all the information from the assessment phase, it’s time to create a unique, personalized plan that deals with both the emotional aspects of the situation and the physical process of decluttering.

• #69 Hoarding Disorder: Diagnosis and Treatment

  https://www.uspharmacist.com/article/hoarding-disorder-diagnosis-and-treatment

  Attempts by family and friends to help with decluttering may not be well received by a hoarder. It is important to know that until the person is internally motivated to change, he or she may not accept any offer for help. Motivation cannot be forced, and everyone, including people who hoard, has a right to make choices about their objects and how they live. […] The combination of cognitive rehabilitation and exposure therapy is also a promising approach in the treatment of hoarding in older adults. […] Studies have shown that OCD patients will respond well to selective serotonin reuptake inhibitor (SSRI) medications, and some of these drugs have also been found effective in patients with hoarding behavior. Symptom improvement from pharmacotherapy for compulsive hoarding appears to be at least as good as that resulting from CBT. It is now thought that the combination of pharmacotherapy and CBT for compulsive hoarding is likely more effective than either treatment alone. […] The public and personal health consequences of hoarding are substantial, and the disorder is generally considered difficult to treat. However, hoarding disorder in highly motivated patients can be improved by pharmacologic (SSRIs) and psychological therapies or a combination of both.

• #70 Hoarding disorder: evidence and best practice in primary care

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10049603/

  Hoarding disorder (HD) only exists as a psychiatric condition with clear diagnostic criteria since 2013, hampering research and treatment. […] Symptoms include difficulty discarding possessions and their excessive accumulation, along with clutter of active living areas to a degree that compromises their intended use. […] Individuals with HD are often characterised by limited insight, which can be exacerbated by stigma, with both substantially inhibiting disclosure and help seeking to healthcare professionals. […] Living conditions can directly impact not only patient wellbeing and safety but also others in the home, visitors, and at times also those living in close physical proximity. […] Current best practice entails close and coordinated engagement with all relevant agencies to facilitate long-term patient-centred support and care. […] GPs and their teams can lead in the identification and long-term care of these patients alongside a coordinated engagement with a wide variety of existing support services.

• #71

  https://journals.lww.com/nursing/fulltext/2013/10000/shining_a_light_on_hoarding_disorder.11.aspx

  GENERAL PURPOSE: To provide nurses with information about hoarding disorder to guide clinical practice. […] LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Describe the pathophysiology of hoarding disorder. 2. Identify nursing interventions to help patients with hoarding disorder. […] Nurses should assess patients for hoarding symptoms by asking about their most treasured possessions. […] When patients with hoarding disorder are referred for outpatient treatment, the priority nursing intervention is to establish a therapeutic relationship. […] When working with families of those who hoard, the nurse should advise them to learn about hoarding and participate in counseling. […] Besides psychopharmacology, the major outpatient therapy for hoarding disorder is CBT.

• #72 Hoarding disorder: evidence and best practice in primary care | British Journal of General Practice

  https://bjgp.org/content/73/729/182

  Hoarding disorder (HD) only exists as a psychiatric condition with clear diagnostic criteria since 2013, hampering research and treatment. […] Symptoms include difficulty discarding possessions and their excessive accumulation, along with clutter of active living areas to a degree that compromises their intended use. […] Individuals with HD are often characterised by limited insight, which can be exacerbated by stigma, with both substantially inhibiting disclosure and help seeking to healthcare professionals. […] Living conditions can directly impact not only patient wellbeing and safety but also others in the home, visitors, and at times also those living in close physical proximity. […] A diverse set of front-line providers can often be the first to encounter individuals with HD (for example, housing officers, environmental health, fire, police, and ambulance services), but may not have a long-term relationship with the individual or appropriate clinical training. […] Current best practice entails close and coordinated engagement with all relevant agencies to facilitate long-term patient-centred support and care.

• #73 Home Care Services: Hoarding | Family Resource Home Care

  https://www.familyresourcehomecare.com/home-care-services-hoarding/

  Hoarding is a behavior that affects many people around the world, follow along with us to find out how home care services can help. […] However, when an elderly person hoards, Alzheimer’s or dementia is often the cause. The seniors may begin to save items because they feel confused and overwhelmed. […] Hoarding can also have serious health implications. Piles of items in the home can create tripping hazards and increase the risk of falls, particularly in seniors. […] Hiring a trained caregiver to provide home care services from a licensed home care provider allows families to have regular monitoring of their loved one. […] A trained caregiver can also help with this process by providing emotional support and helping the senior understand the importance of maintaining a clutter-free living environment. […] Hoarding is a challenging behavior that affects many people, particularly seniors with Alzheimer’s or dementia. Hiring a trained caregiver to provide home care services can help families avoid a small problem from growing out of hand, while also mitigating the health implications of hoarding.

• #74 Hoarding disorder

  https://www.mymlc.com/health-information/diseases-and-conditions/h/hoarding-disorder/

  In addition to professional treatment, here are some steps you can take to help care for yourself: Stick to your treatment plan. It’s hard work, and it’s normal to have some setbacks over time. But treatment can help you feel better about yourself, improve your motivation and reduce your hoarding. […] Accept assistance. Local resources, professional organizers and loved ones can work with you to make decisions about how best to organize and unclutter your home and to stay safe and healthy. […] Reach out to others. Hoarding can lead to isolation and loneliness, which in turn can lead to more hoarding.

• #75 Senior Hoarding: What is it and How Can You Help? – With A Little Help

  https://withalittlehelp.com/hoarding-in-seattle-a-hidden-mental-health-problem/

  In most cases, we advise working with mental health and hoarding professionals to support senior hoarders. However, if your loved one is open to methodically working with you to declutter their home, we recommend reading Helpguide.orgs Helping Someone With Hoarding Disorder. The article provides detailed instructions around conversational tips, what to say/not say, and how to methodically sort through their things. […] Would you like support in maintaining a safe, clean, and accessible home for your senior loved one? Contact With a Little Help In-Home Care, a licensed, senior home care agency. Our team of compassionate caregivers actively supports senior health and wellbeing, customizing our services to meet our clients needs.

• #76 Recognizing and Understanding Hoarding Disorders – Riverside Community Care

  https://www.riversidecc.org/understanding-hoarding-disorders/

  Hoarding disorder happens when a person has persistent difficulty parting with items that are useless and worn. This difficulty causes a significant amount of distress for the individual and therefore their home becomes so cluttered that spaces are not able to be used in the way they are intended. […] Therapists, case managers, in-home coaches, community supports, family, and task forces can all help with individual hoarding cases. Specifically, community-based task forces include support from social workers, police, fire, public health nurses, housing authorities, inspectors, senior service agencies, and mental health professionals. Together, these supports provide education for the community, outreach to those who struggle with a hording disorder, and resources for their family and friends. In many cases, collaboratively supporting the individual can be the best way to achieve success and lasting change. […] If you believe someone you know or care about is suffering from a hoarding disorder you can contact the Riverside Outpatient Center at Newton where individual and group treatment for hoarding disorder is offered.

• #77 How To Help a Loved One Who is Hoarding | Nurse Next Door

  https://www.nursenextdoor.com/blog/hoarding-how-to-help

  Hoarding is a mental health disorder and it is recommended for the individual with hoarding behavior to seek therapy or counselling to alleviate the symptoms. […] Those who suffer from hoarding disorders might have strained and conflicting relationships with their family members, who may live under the same roof as them or when they come to visit. The conflicts may lead to the hoarder to suffer from loneliness isolation and loneliness and reluctance for anyone to enter their home. […] Daily tasks like cooking a meal or taking a bath in the comfort of their own homes will become major struggles, which will take a toll on anyone’s mental and physical well-being. […] Decluttering and getting your space organized can be really stressful (emotionally and physically). Consider hiring a professional organizers, like SpaceAndTimeOrganized. Often times their team works closely with junk removal companies to help people clear out and organize their living spaces. They specialize in hoarding situations and have the equipment, knowledge and compassion to help you and your loved one out.

• #78 How To Help a Loved One Who is Hoarding | Nurse Next Door

  https://www.nursenextdoor.com/blog/hoarding-how-to-help

  Hoarding is a mental health disorder and it is recommended for the individual with hoarding behavior to seek therapy or counselling to alleviate the symptoms. […] Those who suffer from hoarding disorders might have strained and conflicting relationships with their family members, who may live under the same roof as them or when they come to visit. The conflicts may lead to the hoarder to suffer from loneliness isolation and loneliness and reluctance for anyone to enter their home. […] Daily tasks like cooking a meal or taking a bath in the comfort of their own homes will become major struggles, which will take a toll on anyone’s mental and physical well-being. […] Decluttering and getting your space organized can be really stressful (emotionally and physically). Consider hiring a professional organizers, like SpaceAndTimeOrganized. Often times their team works closely with junk removal companies to help people clear out and organize their living spaces. They specialize in hoarding situations and have the equipment, knowledge and compassion to help you and your loved one out.

• #79 Ethical Challenges in Treating Hoarding Disorder: Two Primary Care Clinical Case Studies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526966/

  Individuals with hoarding disorder are considered a vulnerable population because of their risk of eviction and homelessness. Although hoarding disorders impact can be extensive, the shame felt by people who hoard often keeps them from disclosing the behavior to others. Gaining knowledge about hoarding disorder and understanding the ways hoarding can affect an individuals life will aid clinicians in responding effectively. Increased knowledge can also guide the clinicians approach to consultation with colleagues and the patients medical team when discussing cases. […] This scenario highlights the reality that hoarding also affects family members and the community. […] To evaluate and anticipate potential ethical dilemmas for patients who have hoarding disorder, providers should increase their knowledge of hoarding disorder, identify at least one other professional who can serve as a consultant for potential ethical questions, and ensure that the informed consent agreement they have with their patients is both thorough and clearly explained. As the health risks associated with hoarding disorder become better understood, education and dissemination of hoarding disorder knowledge to medical providers is critical.

• #80 Helping Someone with Hoarding Disorder – HelpGuide.org

  https://www.helpguide.org/mental-health/anxiety/helping-someone-with-hoarding-disorder

  This can take a toll on the hoarders social life, causing them to feel isolated and lonely, and making your support even more important. […] Hoarding disorder is most commonly diagnosed in older adults with a family history of hoarding. […] Some display symptoms following a stressful or traumatic life event, such as a divorce, accident, or the death of someone close. […] While medication may help for underlying issues such as anxiety or depression, cognitive behavioral therapy (CBT) is the primary treatment for hoarding disorder. […] Working with the right therapist can help your loved one to challenge the unhelpful thoughts and beliefs that contribute to their hoarding. […] Encourage the hoarder to seek professional help. […] The key is to offer to work together, at your loved ones pace. […] Address any underlying conditions. […] Mental health problems such as depression, anxiety, or OCD may be contributing to your loved ones hoarding.

• #81 Hoarding Disorder: What It Is, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17682-hoarding-disorder

  Hoarding disorder is treatable with cognitive behavioral therapy. […] Healthcare providers use two main types of therapies to treat hoarding disorder: Cognitive behavioral therapy, a type of talk therapy (psychotherapy) […] Cognitive behavioral therapy (CBT) is a common treatment for hoarding disorder. With the help of a licensed mental health professional, such as a psychologist, people learn to understand why they hoard and how to feel less anxiety when throwing away items. Specialists also teach organization and decision-making skills. These skills can help you better manage your possessions. […] It’s important to remember that hoarding disorder is a mental health condition it’s not a matter of laziness or willpower. As with all mental health conditions, seeking professional help as soon as symptoms appear can help decrease the disruptions to your life. Mental health professionals can offer treatment plans that can help you manage your thoughts and behaviors related to hoarding.

• #82 Ethical Challenges in Treating Hoarding Disorder: Two Primary Care Clinical Case Studies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526966/

  Individuals with hoarding disorder are considered a vulnerable population because of their risk of eviction and homelessness. Although hoarding disorders impact can be extensive, the shame felt by people who hoard often keeps them from disclosing the behavior to others. Gaining knowledge about hoarding disorder and understanding the ways hoarding can affect an individuals life will aid clinicians in responding effectively. Increased knowledge can also guide the clinicians approach to consultation with colleagues and the patients medical team when discussing cases. […] This scenario highlights the reality that hoarding also affects family members and the community. […] To evaluate and anticipate potential ethical dilemmas for patients who have hoarding disorder, providers should increase their knowledge of hoarding disorder, identify at least one other professional who can serve as a consultant for potential ethical questions, and ensure that the informed consent agreement they have with their patients is both thorough and clearly explained. As the health risks associated with hoarding disorder become better understood, education and dissemination of hoarding disorder knowledge to medical providers is critical.

• #83 Psychiatry.org – Expert Q&A: Hoarding Disorder

  https://www.psychiatry.org/patients-families/hoarding-disorder/expert-q-and-a

  It is difficult to watch a family member struggle with clutter; especially when they do not see how it is impacting their lives. […] The first step to help a loved one is to get information. The International OCD Foundation (IOCDF) has information about hoarding and practical resources and referrals. […] In the United States, a persons civil liberties are protected; going into someones house (depending on the situation) may be a civil rights violation. […] Because there are strong attachments to the clutter, and the clutter is a result of a disorder which causes excessive acquisition and decisions to save possessions, simply removing the clutter may not help. […] Yes, hoarding disorder is more common among people who have a family member who has hoarding disorder. […] There are multiple types of help for individuals with hoarding disorder, including self-help books, support groups, individual talk therapy, medications and group therapy. […] Hoarding disorder can be treated, and there is hope for returning to a normal life. Typically, individuals will continue to face challenges throughout their lives; staying in treatment may decrease chances that hoarding symptoms and clutter will return.

• #84

  https://journals.lww.com/nursing/fulltext/2013/10000/shining_a_light_on_hoarding_disorder.11.aspx

  GENERAL PURPOSE: To provide nurses with information about hoarding disorder to guide clinical practice. […] LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Describe the pathophysiology of hoarding disorder. 2. Identify nursing interventions to help patients with hoarding disorder. […] Nurses should assess patients for hoarding symptoms by asking about their most treasured possessions. […] When patients with hoarding disorder are referred for outpatient treatment, the priority nursing intervention is to establish a therapeutic relationship. […] When working with families of those who hoard, the nurse should advise them to learn about hoarding and participate in counseling. […] Besides psychopharmacology, the major outpatient therapy for hoarding disorder is CBT.

• #85 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  San Francisco has also begun to implement several other recommendations of the task force. […] Through its Institute on Compulsive Hoarding and Cluttering (ICHC), the Mental Health Association of San Francisco (MHASF) offers training programs for families affected by hoarding, and it has put together support groups, as well as a peer-response team of recovering hoarders who can offer practical support aimed in part at keeping people in their homes. […] Further research could shed more light on the etiology of the disorder and lead to more effective intervention.

• #86 Hoarding | Fact Sheet – ABCT – Association for Behavioral and Cognitive Therapies

  https://www.abct.org/fact-sheets/hoarding/

  Hoarding disorder includes all three of the following: A person collects and keeps a lot of items, even things that appear useless or of little value to most people, and these items clutter the living spaces and keep the person from using their rooms as they were intended, and these items cause distress or problems in day-to-day activities. […] Hoarding can be treated. Unfortunately, it has not responded well to the usual treatments that work for OCD. Some strategies used to treat hoarding include: Challenging the hoarder’s thoughts and beliefs about the need to keep items and about collecting new things, going out without buying or picking up new items, getting rid of and recycling clutter. […] Attempts to clean out the homes of people who hoard without treating the underlying problem usually fail. Families and community agencies may spend many hours and thousands of dollars clearing a home only to find that the problem recurs, often within just a few months. Individuals who hoard often experience extreme distress and may become further attached to their possessions if their homes are cleared without their consent. This may lead to them refuse future help. […] Medicine alone does not appear to reduce hoarding behavior. Medicine may help reduce the symptoms. Medicine can be used to treat conditions, like depression and anxiety, that may make hoarding worse.

• #87 Hoarding disorder – NHS

  https://www.nhs.uk/mental-health/conditions/hoarding-disorder/

  A hoarding disorder is where someone acquires an excessive number of items and stores them in a chaotic manner, usually resulting in unmanageable amounts of clutter. The items can be of little or no monetary value. […] Hoarding disorders are challenging to treat because many people who hoard frequently do not see it as a problem, or have little awareness of how it’s affecting their life or the lives of others. […] It’s really important to encourage a person who is hoarding to seek help, as their difficulties discarding objects can not only cause loneliness and mental health problems but also pose a health and safety risk. […] A hoarding disorder can be a problem for several reasons. It can take over the person’s life, making it very difficult for them to get around their house. It can cause their work performance, personal hygiene and relationships to suffer.

• #88 Hoarding disorder | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/hoarding-disorder

  Hoarding disorder is an ongoing difficulty throwing away or parting with possessions because you believe that you need to save them. […] People with hoarding disorder may not see it as a problem, so getting them to take part in treatment can be challenging. But intensive treatment can help you understand how your beliefs and behaviors can be changed so that you can live a safer, more enjoyable life. […] Treatment of hoarding disorder can be challenging but effective if you keep working on learning new skills. […] The main treatment for hoarding disorder is cognitive behavioral therapy (CBT), a skills-based approach to therapy. […] Treatment often involves regular help from family, friends and agencies to help remove clutter. […] For children with hoarding disorder, it’s important to have the parents involved in treatment.

• #89 How treating hoarding disorder protects community health in PA • Spotlight PA

  https://www.spotlightpa.org/news/2024/11/pennsylvania-hoarding-disorder-cleanup-intervention-blight-housing/

  Supporting organizations like Fight the Blight is an excellent first step in systemically responding to hoarding. […] Helping someone with hoarding disorder can be a complex operation. […] Ultimately, the home of someone with the disorder might always contain clutter, and that’s OK. The goal of treatment is to make their space healthy and safe, Timpano said, not to earn Marie Kondo’s approval. […] Cindy plans to keep working on managing her illness because she doesn’t want to leave a mess for her adult daughters when she dies.

• #90 Helping Someone with Hoarding Disorder – HelpGuide.org

  https://www.helpguide.org/mental-health/anxiety/helping-someone-with-hoarding-disorder

  This can take a toll on the hoarders social life, causing them to feel isolated and lonely, and making your support even more important. […] Hoarding disorder is most commonly diagnosed in older adults with a family history of hoarding. […] Some display symptoms following a stressful or traumatic life event, such as a divorce, accident, or the death of someone close. […] While medication may help for underlying issues such as anxiety or depression, cognitive behavioral therapy (CBT) is the primary treatment for hoarding disorder. […] Working with the right therapist can help your loved one to challenge the unhelpful thoughts and beliefs that contribute to their hoarding. […] Encourage the hoarder to seek professional help. […] The key is to offer to work together, at your loved ones pace. […] Address any underlying conditions. […] Mental health problems such as depression, anxiety, or OCD may be contributing to your loved ones hoarding.

• #91 Hoarding Disorder: Diagnosis and Treatment

  https://www.uspharmacist.com/article/hoarding-disorder-diagnosis-and-treatment

  Attempts by family and friends to help with decluttering may not be well received by a hoarder. It is important to know that until the person is internally motivated to change, he or she may not accept any offer for help. Motivation cannot be forced, and everyone, including people who hoard, has a right to make choices about their objects and how they live. […] The combination of cognitive rehabilitation and exposure therapy is also a promising approach in the treatment of hoarding in older adults. […] Studies have shown that OCD patients will respond well to selective serotonin reuptake inhibitor (SSRI) medications, and some of these drugs have also been found effective in patients with hoarding behavior. Symptom improvement from pharmacotherapy for compulsive hoarding appears to be at least as good as that resulting from CBT. It is now thought that the combination of pharmacotherapy and CBT for compulsive hoarding is likely more effective than either treatment alone. […] The public and personal health consequences of hoarding are substantial, and the disorder is generally considered difficult to treat. However, hoarding disorder in highly motivated patients can be improved by pharmacologic (SSRIs) and psychological therapies or a combination of both.

• #92 Hoarding disorder – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hoarding-disorder/symptoms-causes/syc-20356056

  Hoarding disorder is an ongoing difficulty throwing away or parting with possessions because you believe that you need to save them. […] People with hoarding disorder may not see it as a problem, so getting them to take part in treatment can be challenging. But intensive treatment can help you understand how your beliefs and behaviors can be changed so that you can live a safer, more enjoyable life. […] If you or a loved one has symptoms of hoarding disorder, talk with a health care provider or a mental health provider with expertise in diagnosing and treating hoarding disorder as soon as possible. […] As hard as it might be, if your loved one’s hoarding disorder threatens health or safety, you may need to contact local authorities, such as police, fire, public health, child or elder protective services, or animal welfare agencies. […] Because little is understood about what causes hoarding disorder, there’s no known way to prevent it. However, as with many mental health conditions, getting treatment at the first sign of a problem may help prevent hoarding from getting worse.

• #93 Psychiatry.org – What is Hoarding Disorder?

  https://www.psychiatry.org/patients-families/hoarding-disorder/what-is-hoarding-disorder

  Treatment can help people with hoarding disorder to decrease their saving, acquisition, and clutter, and live safer, more enjoyable lives. […] If you or someone you know is experiencing symptoms of hoarding disorder, contact your doctor or mental health professional. In some communities, public health agencies can assist in addressing problems of hoarding and getting help for individuals affected. In some instances, it may be necessary for public health or animal welfare agencies to intervene.

• #94 Psychiatry.org – Expert Q&A: Hoarding Disorder

  https://www.psychiatry.org/patients-families/hoarding-disorder/expert-q-and-a

  It is difficult to watch a family member struggle with clutter; especially when they do not see how it is impacting their lives. […] The first step to help a loved one is to get information. The International OCD Foundation (IOCDF) has information about hoarding and practical resources and referrals. […] In the United States, a persons civil liberties are protected; going into someones house (depending on the situation) may be a civil rights violation. […] Because there are strong attachments to the clutter, and the clutter is a result of a disorder which causes excessive acquisition and decisions to save possessions, simply removing the clutter may not help. […] Yes, hoarding disorder is more common among people who have a family member who has hoarding disorder. […] There are multiple types of help for individuals with hoarding disorder, including self-help books, support groups, individual talk therapy, medications and group therapy. […] Hoarding disorder can be treated, and there is hope for returning to a normal life. Typically, individuals will continue to face challenges throughout their lives; staying in treatment may decrease chances that hoarding symptoms and clutter will return.

• #95 Helping Someone with Hoarding Disorder – HelpGuide.org

  https://www.helpguide.org/mental-health/anxiety/helping-someone-with-hoarding-disorder

  This can take a toll on the hoarders social life, causing them to feel isolated and lonely, and making your support even more important. […] Hoarding disorder is most commonly diagnosed in older adults with a family history of hoarding. […] Some display symptoms following a stressful or traumatic life event, such as a divorce, accident, or the death of someone close. […] While medication may help for underlying issues such as anxiety or depression, cognitive behavioral therapy (CBT) is the primary treatment for hoarding disorder. […] Working with the right therapist can help your loved one to challenge the unhelpful thoughts and beliefs that contribute to their hoarding. […] Encourage the hoarder to seek professional help. […] The key is to offer to work together, at your loved ones pace. […] Address any underlying conditions. […] Mental health problems such as depression, anxiety, or OCD may be contributing to your loved ones hoarding.

• #96 Ethical Challenges in Treating Hoarding Disorder: Two Primary Care Clinical Case Studies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526966/

  Numerous challenges may impede prompt assessment and treatment of hoarding disorder. Some of these challenges have important ethical dimensions, such as balancing respect for individual autonomy with minimizing risk to the patients health and well-being. Specifically, individuals with hoarding disorder are often reluctant to seek help; many hide their disorder because of embarrassment and shame about the condition of their homes and are fearful that they will be evicted. Limited insight may also affect initial presentation and ability to engage with treatment recommendations. […] It is important to consider how providers approach talking with their patients about hoarding and the impact of hoarding behaviors. Most people with hoarding disorder are reluctant and embarrassed to disclose hoarding difficulties. One of the most effective ways to address clutter is by talking nonjudgmentally and compassionately with patients to build trust.

• #97 Hoarding Disorder in Older Adults: Challenges and Resources – Law Office of Edwin E. Lee

  https://lexmedica.net/hoarding-disorder-in-older-adults-challenges-and-resources/

  Hoarding disorder disproportionately affects older adults, according to the United States Senate Special Committee on Aging. While about 2 percent of the general population struggles with accumulating too many objects, hoarding impacts over 6 percent of people aged 65 and older. […] A 2024 Aging Committee report sheds light on hoarding’s negative effects on elders, as older adults who hoard can experience a worsened quality of life. […] Older community members who experience hoarding can face significant challenges. In addition to worsening a person’s quality of life, hoarding can lead to isolation, loneliness, and housing problems. […] When objects crowd a home, living conditions can become unusable and unsafe. […] Aging exacerbates the dangers of hoarding. Changes with vision, cognitive abilities, and energy levels, as well as chronic health problems, can make hoarding more hazardous.

• #98 SciELO Brazil – Prevalence of hoarding disorder among primary care patients Prevalence of hoarding disorder among primary care patients

  https://www.scielo.br/j/rbp/a/bWjCfBs5wQpQXtnmbhfZwfC/

  According to the HRS-I (score of 11 or more), the prevalence of HD among primary health care patients in Kerala, India, is 1.02%. […] Individuals with HD were more likely to be older and not live with their families. […] In the binary logistic regression analysis, after controlling for significant sociodemographic variables, participants with HD had a higher odds of reporting chronic medical illness, depression, anxiety disorder, alcohol abuse, and tobacco dependence. […] Participants with HD also had significantly higher disability scores than participants without it. […] In our study, individuals with HD were older, which is consistent with the findings of previous epidemiological studies. […] In our study, a significant number of people with HD lived alone or in institutions. […] Our finding that more people with HD were living alone may have been a result of a high degree of rejection due to their hoarding behavior.

• #99 Across NC, Professionals Treat Hoarding as a Distinct, Potentially Deadly Disorder – North Carolina Health News

  http://www.northcarolinahealthnews.org/2018/06/05/across-nc-professionals-treat-hoarding-as-a-distinct-potentially-deadly-disorder/

  Emergency personnel focus on preventing harm and facing risks from hoarding, leaving treatment to professionals such as Annette Perot, a Chapel Hill therapist who has had many patients with hoarding disorder. […] Often, Perot’s treatment involves meeting a client at the scene of the hoarding and introducing new methods of thinking about clutter in a non-threatening way. […] Through cognitive behavioral therapy, hoarders can step out of the rationalizations that have propped up their obsessive collecting habits, Perot said. […] The appearance of hoarding disorder in the DSM-5 means that therapists can be reimbursed for treating it and that researchers are more likely to get funding for a focus on it. […] A 2014 study showed some value the use of Venlafaxine, or extended-release Effexor, in treating hoarding disorder. […] The behavioral piece is helping people, to for example, to be able to be in stores and see things and feel this tug to buy something, but not to purchase it, Perot said. […] For people in their 70s and 80s, therapists can use a method in addition to behavioral therapy.

• #100 Hoarding Disorder: Diagnosis and Treatment

  https://www.uspharmacist.com/article/hoarding-disorder-diagnosis-and-treatment

  Attempts by family and friends to help with decluttering may not be well received by a hoarder. It is important to know that until the person is internally motivated to change, he or she may not accept any offer for help. Motivation cannot be forced, and everyone, including people who hoard, has a right to make choices about their objects and how they live. […] The combination of cognitive rehabilitation and exposure therapy is also a promising approach in the treatment of hoarding in older adults. […] Studies have shown that OCD patients will respond well to selective serotonin reuptake inhibitor (SSRI) medications, and some of these drugs have also been found effective in patients with hoarding behavior. Symptom improvement from pharmacotherapy for compulsive hoarding appears to be at least as good as that resulting from CBT. It is now thought that the combination of pharmacotherapy and CBT for compulsive hoarding is likely more effective than either treatment alone. […] The public and personal health consequences of hoarding are substantial, and the disorder is generally considered difficult to treat. However, hoarding disorder in highly motivated patients can be improved by pharmacologic (SSRIs) and psychological therapies or a combination of both.

• #101 Report Shows What Hoarding Disorder Looks Like in Older Adults—And What Care They Actually Need

  https://www.verywellhealth.com/hoarding-disorder-resources-needed-8676238

  Hoarding disorder is a mental health condition that causes people to accumulate excessive items, which can lead to unsafe living conditions, social isolation, and other health problems. […] Experts say the disorder is under-studied and emphasize the need to develop better treatments. […] A report published in July by the Senate Committee on Aging highlights the challenges faced by older adults with hoarding disorder and the need for better resources to support those individuals, their families, and their communities. […] The newness of diagnostic criteria and lack of research on the topic means few providers are equipped to properly help individuals with hoarding disorder. […] This is a real problem for elderly folks, because the risk of falling and the inability to manage their medication, for instance, with the chaos involved in having so many possessions, becomes exacerbated.

• #102 Hoarding Disorder: Diagnosis and Treatment

  https://www.uspharmacist.com/article/hoarding-disorder-diagnosis-and-treatment

  Attempts by family and friends to help with decluttering may not be well received by a hoarder. It is important to know that until the person is internally motivated to change, he or she may not accept any offer for help. Motivation cannot be forced, and everyone, including people who hoard, has a right to make choices about their objects and how they live. […] The combination of cognitive rehabilitation and exposure therapy is also a promising approach in the treatment of hoarding in older adults. […] Studies have shown that OCD patients will respond well to selective serotonin reuptake inhibitor (SSRI) medications, and some of these drugs have also been found effective in patients with hoarding behavior. Symptom improvement from pharmacotherapy for compulsive hoarding appears to be at least as good as that resulting from CBT. It is now thought that the combination of pharmacotherapy and CBT for compulsive hoarding is likely more effective than either treatment alone. […] The public and personal health consequences of hoarding are substantial, and the disorder is generally considered difficult to treat. However, hoarding disorder in highly motivated patients can be improved by pharmacologic (SSRIs) and psychological therapies or a combination of both.

• #103 Across NC, Professionals Treat Hoarding as a Distinct, Potentially Deadly Disorder – North Carolina Health News

  http://www.northcarolinahealthnews.org/2018/06/05/across-nc-professionals-treat-hoarding-as-a-distinct-potentially-deadly-disorder/

  Emergency personnel focus on preventing harm and facing risks from hoarding, leaving treatment to professionals such as Annette Perot, a Chapel Hill therapist who has had many patients with hoarding disorder. […] Often, Perot’s treatment involves meeting a client at the scene of the hoarding and introducing new methods of thinking about clutter in a non-threatening way. […] Through cognitive behavioral therapy, hoarders can step out of the rationalizations that have propped up their obsessive collecting habits, Perot said. […] The appearance of hoarding disorder in the DSM-5 means that therapists can be reimbursed for treating it and that researchers are more likely to get funding for a focus on it. […] A 2014 study showed some value the use of Venlafaxine, or extended-release Effexor, in treating hoarding disorder. […] The behavioral piece is helping people, to for example, to be able to be in stores and see things and feel this tug to buy something, but not to purchase it, Perot said. […] For people in their 70s and 80s, therapists can use a method in addition to behavioral therapy.

• #104 Hoarding disorder

  https://www.mymlc.com/health-information/diseases-and-conditions/h/hoarding-disorder/

  The main treatment for hoarding disorder is cognitive behavioral therapy. Medications may be added, particularly if you also have anxiety or depression. […] Treatment often involves routine assistance from family, friends and agencies to help remove clutter. This is particularly the case for the elderly or those struggling with medical conditions that may make it difficult to maintain effort and motivation. […] For children with hoarding disorder, it’s important to have the parents involved in treatment. Sometimes called „family accommodation,” over the years, some parents may think that allowing their child to get and save countless items may help lower their child’s anxiety. Actually it may do the opposite, increasing anxiety. […] There are currently no medications approved by the Food and Drug Administration (FDA) to treat hoarding disorder. Typically, medications are used to treat other disorders such as anxiety and depression that often occur along with hoarding disorder.

• #105 Hoarding disorder | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/hoarding-disorder

  Hoarding disorder is an ongoing difficulty throwing away or parting with possessions because you believe that you need to save them. […] People with hoarding disorder may not see it as a problem, so getting them to take part in treatment can be challenging. But intensive treatment can help you understand how your beliefs and behaviors can be changed so that you can live a safer, more enjoyable life. […] Treatment of hoarding disorder can be challenging but effective if you keep working on learning new skills. […] The main treatment for hoarding disorder is cognitive behavioral therapy (CBT), a skills-based approach to therapy. […] Treatment often involves regular help from family, friends and agencies to help remove clutter. […] For children with hoarding disorder, it’s important to have the parents involved in treatment.

• #106 Recognizing and Understanding Hoarding Disorders – Riverside Community Care

  https://www.riversidecc.org/understanding-hoarding-disorders/

  Hoarding disorder happens when a person has persistent difficulty parting with items that are useless and worn. This difficulty causes a significant amount of distress for the individual and therefore their home becomes so cluttered that spaces are not able to be used in the way they are intended. […] Therapists, case managers, in-home coaches, community supports, family, and task forces can all help with individual hoarding cases. Specifically, community-based task forces include support from social workers, police, fire, public health nurses, housing authorities, inspectors, senior service agencies, and mental health professionals. Together, these supports provide education for the community, outreach to those who struggle with a hording disorder, and resources for their family and friends. In many cases, collaboratively supporting the individual can be the best way to achieve success and lasting change. […] If you believe someone you know or care about is suffering from a hoarding disorder you can contact the Riverside Outpatient Center at Newton where individual and group treatment for hoarding disorder is offered.

• #107 Hoarding disorder: evidence and best practice in primary care | British Journal of General Practice

  https://bjgp.org/content/73/729/182

  Hoarding disorder (HD) only exists as a psychiatric condition with clear diagnostic criteria since 2013, hampering research and treatment. […] Symptoms include difficulty discarding possessions and their excessive accumulation, along with clutter of active living areas to a degree that compromises their intended use. […] Individuals with HD are often characterised by limited insight, which can be exacerbated by stigma, with both substantially inhibiting disclosure and help seeking to healthcare professionals. […] Living conditions can directly impact not only patient wellbeing and safety but also others in the home, visitors, and at times also those living in close physical proximity. […] A diverse set of front-line providers can often be the first to encounter individuals with HD (for example, housing officers, environmental health, fire, police, and ambulance services), but may not have a long-term relationship with the individual or appropriate clinical training. […] Current best practice entails close and coordinated engagement with all relevant agencies to facilitate long-term patient-centred support and care.

• #108 Hoarding disorder: evidence and best practice in primary care

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10049603/

  Hoarding disorder (HD) only exists as a psychiatric condition with clear diagnostic criteria since 2013, hampering research and treatment. […] Symptoms include difficulty discarding possessions and their excessive accumulation, along with clutter of active living areas to a degree that compromises their intended use. […] Individuals with HD are often characterised by limited insight, which can be exacerbated by stigma, with both substantially inhibiting disclosure and help seeking to healthcare professionals. […] Living conditions can directly impact not only patient wellbeing and safety but also others in the home, visitors, and at times also those living in close physical proximity. […] Current best practice entails close and coordinated engagement with all relevant agencies to facilitate long-term patient-centred support and care. […] GPs and their teams can lead in the identification and long-term care of these patients alongside a coordinated engagement with a wide variety of existing support services.

• #109 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  Medication errors are also a risk when old medicines are hoarded and confused with current ones. […] Ongoing, targeted case management is essential and should be focused on keeping clients independent and safe at home while helping them make progress at their own pace to improve safety and address their medical needs, says Eckfield. […] The report included a list of recommendations for developing new services and building on existing programs that are potentially effective but lack capacity to serve many people. […] Among them are developing crisis teams to respond to reports of hoarding, increasing access to treatment that can take place in an individuals home and offering training for therapists, families, landlords, agency staff and others involved in remediating hoarding problems.

• #110

  https://www.ccmke.org/Catholic-Charities/Get-Help/Hoarding-Intervention–Treatment-Program.htm

  We have recognized an unmet need of assistance for those facing the Hoarding Disorder in southeastern Wisconsin. Our goal is to shape the community’s response to hoarding. Catholic Charities has developed a holistic model of intervention for improving the lives of individuals with the Hoarding Disorder. […] The program uses a team approach. This starts assigning a Case Manager, Home Coach and Therapist that perform a comprehensive assessment at the persons or family’s residence. […] She met with our therapist to process her grief, understand the cause of her hoarding, and find healthier ways to cope. A case manager also helped to assess her needs and coordinate additional resources. Today, Kathy is managing life and her home much better with occasional follow up visits from her home coach.

• #111 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  Medication errors are also a risk when old medicines are hoarded and confused with current ones. […] Ongoing, targeted case management is essential and should be focused on keeping clients independent and safe at home while helping them make progress at their own pace to improve safety and address their medical needs, says Eckfield. […] The report included a list of recommendations for developing new services and building on existing programs that are potentially effective but lack capacity to serve many people. […] Among them are developing crisis teams to respond to reports of hoarding, increasing access to treatment that can take place in an individuals home and offering training for therapists, families, landlords, agency staff and others involved in remediating hoarding problems.

• #112 Hoarding Disorder in Older Adults: Challenges and Resources – Law Office of Edwin E. Lee

  https://lexmedica.net/hoarding-disorder-in-older-adults-challenges-and-resources/

  Senior renters evicted for hoarding behaviors can experience homelessness or unwanted transfers to long-term care facilities. […] Further heightening the risks of adverse effects, hoarding can also make seniors more isolated. Older adults experiencing hoarding report more loneliness. […] Today, treatment plan options for hoarding disorder include cognitive behavioral therapy (CBT), exposure therapy, support groups, workshops, and, in concert with therapy programs, medication. […] The following resources can provide support for older people who hoard and their family members. By accessing resources, individuals and their loved ones can combat stigma and take steps to improve quality of life.

• #113 How treating hoarding disorder protects community health in PA • Spotlight PA

  https://www.spotlightpa.org/news/2024/11/pennsylvania-hoarding-disorder-cleanup-intervention-blight-housing/

  Hoarding disorder is a psychiatric illness that causes people to accumulate an excessive amount of things that create clutter. […] Individuals with the disorder also have a hard time parting with their objects, often due to emotional attachments. […] Some people with hoarding disorder struggle to keep their homes sanitary, which can affect community health. […] As outlined in a July report on the disorder from a congressional committee that Casey chairs, people with this disorder can also have strained family relationships. This has implications for caregiving. Adults whose parents have the disorder might distance themselves out of frustration leaving the person further isolated. […] Unfortunately, hoarding disorder tends to be treatment-resistant. […] But progress is possible, as Cindy’s home shows.

• #114 Understanding the 5 Stages of Hoarding and Supporting Senior Health

  https://conciergecareadvisors.com/words-from-an-individual-who-suffers-from-hoarding-disorder/

  This powerful testimony highlights the emotional and practical struggles of individuals dealing with hoarding disorder. […] For seniors with severe hoarding disorder, transitioning to a safer living environment may be necessary. Senior placement agencies can assist in finding suitable options, such as adult family homes or assisted living facilities, where the individual can receive the care and support they need. […] Hoarding disorder is a complex condition that requires patience, understanding, and tailored support. Recognizing the 5 stages of hoarding can help families and caregivers approach the situation effectively and compassionately.

• #115 Report Shows What Hoarding Disorder Looks Like in Older Adults—And What Care They Actually Need

  https://www.verywellhealth.com/hoarding-disorder-resources-needed-8676238

  The investigation outlines how the disorder can affect the health and happiness of older adults as well as the communities they live in. […] The report lays out several federal policy recommendations to support older adults living with hoarding disorder. Those include offering local officials training on how to support people with hoarding disorder, improving the collection of data on how the disorder affects individuals, and expanding access to treatment. […] Cognitive behavioral therapy is the current best treatment for hoarding disorder. […] There are simply not enough clinicians who know how to treat hoarding disorder. […] Supporting people with hoarding disorder frequently requires a host of agencies and organizations. […] Instead of immediately moving to clean out a loved ones possessions, Rodriguez recommends calling in an expert to support you. […] If you or a loved one is living with hoarding disorder, a good first step is to learn more about the condition before taking action.

• #116 Hoarding Disorder in Older Adults: Challenges and Resources – Law Office of Edwin E. Lee

  https://lexmedica.net/hoarding-disorder-in-older-adults-challenges-and-resources/

  Senior renters evicted for hoarding behaviors can experience homelessness or unwanted transfers to long-term care facilities. […] Further heightening the risks of adverse effects, hoarding can also make seniors more isolated. Older adults experiencing hoarding report more loneliness. […] Today, treatment plan options for hoarding disorder include cognitive behavioral therapy (CBT), exposure therapy, support groups, workshops, and, in concert with therapy programs, medication. […] The following resources can provide support for older people who hoard and their family members. By accessing resources, individuals and their loved ones can combat stigma and take steps to improve quality of life.

• #117 Understanding the 5 Stages of Hoarding and Supporting Senior Health

  https://conciergecareadvisors.com/words-from-an-individual-who-suffers-from-hoarding-disorder/

  This powerful testimony highlights the emotional and practical struggles of individuals dealing with hoarding disorder. […] For seniors with severe hoarding disorder, transitioning to a safer living environment may be necessary. Senior placement agencies can assist in finding suitable options, such as adult family homes or assisted living facilities, where the individual can receive the care and support they need. […] Hoarding disorder is a complex condition that requires patience, understanding, and tailored support. Recognizing the 5 stages of hoarding can help families and caregivers approach the situation effectively and compassionately.

• #118 Report Shows What Hoarding Disorder Looks Like in Older Adults—And What Care They Actually Need

  https://www.verywellhealth.com/hoarding-disorder-resources-needed-8676238

  Hoarding disorder is a mental health condition that causes people to accumulate excessive items, which can lead to unsafe living conditions, social isolation, and other health problems. […] Experts say the disorder is under-studied and emphasize the need to develop better treatments. […] A report published in July by the Senate Committee on Aging highlights the challenges faced by older adults with hoarding disorder and the need for better resources to support those individuals, their families, and their communities. […] The newness of diagnostic criteria and lack of research on the topic means few providers are equipped to properly help individuals with hoarding disorder. […] This is a real problem for elderly folks, because the risk of falling and the inability to manage their medication, for instance, with the chaos involved in having so many possessions, becomes exacerbated.

• #119 Virtual reality helps people with hoarding disorder practice decluttering | News Center

  https://med.stanford.edu/news/all-news/2023/10/vr-hoarding-disorder.html

  Hoarding disorder is an under-recognized and under-treated condition that has been included in the Diagnostic and Statistical Manual of Mental Disorders referred to as the DSM-5 as a formal diagnosis only since 2013. […] People with the disorder, who tend to be older, have persistent difficulty parting with possessions, resulting in an accumulation of clutter that impairs their relationships, their work and even their safety. […] Clinicians like Rodriguez occasionally make home visits to help patients practice parting with possessions, but some homes are off limits. […] „Some people are in such dire need, but we can’t go into their homes. The clutter is stacked so high that it’s dangerous for our team to go inside,” Rodriguez said. „Yet, practicing letting go of items is such a useful skill that we wanted to create a virtual and safe environment.”

• #120 Virtual reality helps people with hoarding disorder practice decluttering | News Center

  https://med.stanford.edu/news/all-news/2023/10/vr-hoarding-disorder.html

  Hoarding disorder is an under-recognized and under-treated condition that has been included in the Diagnostic and Statistical Manual of Mental Disorders referred to as the DSM-5 as a formal diagnosis only since 2013. […] People with the disorder, who tend to be older, have persistent difficulty parting with possessions, resulting in an accumulation of clutter that impairs their relationships, their work and even their safety. […] Clinicians like Rodriguez occasionally make home visits to help patients practice parting with possessions, but some homes are off limits. […] „Some people are in such dire need, but we can’t go into their homes. The clutter is stacked so high that it’s dangerous for our team to go inside,” Rodriguez said. „Yet, practicing letting go of items is such a useful skill that we wanted to create a virtual and safe environment.”

• #121 Virtual reality helps people with hoarding disorder practice decluttering | News Center

  https://med.stanford.edu/news/all-news/2023/10/vr-hoarding-disorder.html

  The virtual experience can serve as „a kind of stepping stone,” a less intense version of real-life discarding, Rodriguez said. „It’s nice to be able to titrate in a virtual space for people who experience considerable distress even attempting to part with possessions.” […] Seven of the nine participants improved in self-reported hoarding symptoms, with an average decrease of 25%. […] Eight of nine participants also had less clutter in their homes based on visual assessment by clinicians, with an average decrease of 15%. […] But importantly, this small initial trial demonstrated that VR therapy for hoarding disorder is feasible and well-tolerated, even in older patients. […] Most participants said VR decluttering helped them part with possessions in real life, though some found the VR experience unrealistic. […] „People tend to have a lot of biases against hoarding disorder and see it as a personal limitation instead of a neurobiological entity,” Rodriguez said. „We just really want to get the word out that there’s hope and treatment for people who suffer from this. They don’t have to go it alone.”

• #122 Virtual reality helps people with hoarding disorder practice decluttering | News Center

  https://med.stanford.edu/news/all-news/2023/10/vr-hoarding-disorder.html

  The virtual experience can serve as „a kind of stepping stone,” a less intense version of real-life discarding, Rodriguez said. „It’s nice to be able to titrate in a virtual space for people who experience considerable distress even attempting to part with possessions.” […] Seven of the nine participants improved in self-reported hoarding symptoms, with an average decrease of 25%. […] Eight of nine participants also had less clutter in their homes based on visual assessment by clinicians, with an average decrease of 15%. […] But importantly, this small initial trial demonstrated that VR therapy for hoarding disorder is feasible and well-tolerated, even in older patients. […] Most participants said VR decluttering helped them part with possessions in real life, though some found the VR experience unrealistic. […] „People tend to have a lot of biases against hoarding disorder and see it as a personal limitation instead of a neurobiological entity,” Rodriguez said. „We just really want to get the word out that there’s hope and treatment for people who suffer from this. They don’t have to go it alone.”

• #123 Virtual reality helps people with hoarding disorder practice decluttering | News Center

  https://med.stanford.edu/news/all-news/2023/10/vr-hoarding-disorder.html

  Hoarding disorder is an under-recognized and under-treated condition that has been included in the Diagnostic and Statistical Manual of Mental Disorders referred to as the DSM-5 as a formal diagnosis only since 2013. […] People with the disorder, who tend to be older, have persistent difficulty parting with possessions, resulting in an accumulation of clutter that impairs their relationships, their work and even their safety. […] Clinicians like Rodriguez occasionally make home visits to help patients practice parting with possessions, but some homes are off limits. […] „Some people are in such dire need, but we can’t go into their homes. The clutter is stacked so high that it’s dangerous for our team to go inside,” Rodriguez said. „Yet, practicing letting go of items is such a useful skill that we wanted to create a virtual and safe environment.”

• #124 Virtual reality helps people with hoarding disorder practice decluttering | News Center

  https://med.stanford.edu/news/all-news/2023/10/vr-hoarding-disorder.html

  The virtual experience can serve as „a kind of stepping stone,” a less intense version of real-life discarding, Rodriguez said. „It’s nice to be able to titrate in a virtual space for people who experience considerable distress even attempting to part with possessions.” […] Seven of the nine participants improved in self-reported hoarding symptoms, with an average decrease of 25%. […] Eight of nine participants also had less clutter in their homes based on visual assessment by clinicians, with an average decrease of 15%. […] But importantly, this small initial trial demonstrated that VR therapy for hoarding disorder is feasible and well-tolerated, even in older patients. […] Most participants said VR decluttering helped them part with possessions in real life, though some found the VR experience unrealistic. […] „People tend to have a lot of biases against hoarding disorder and see it as a personal limitation instead of a neurobiological entity,” Rodriguez said. „We just really want to get the word out that there’s hope and treatment for people who suffer from this. They don’t have to go it alone.”

• #125 Report Shows What Hoarding Disorder Looks Like in Older Adults—And What Care They Actually Need

  https://www.verywellhealth.com/hoarding-disorder-resources-needed-8676238

  The investigation outlines how the disorder can affect the health and happiness of older adults as well as the communities they live in. […] The report lays out several federal policy recommendations to support older adults living with hoarding disorder. Those include offering local officials training on how to support people with hoarding disorder, improving the collection of data on how the disorder affects individuals, and expanding access to treatment. […] Cognitive behavioral therapy is the current best treatment for hoarding disorder. […] There are simply not enough clinicians who know how to treat hoarding disorder. […] Supporting people with hoarding disorder frequently requires a host of agencies and organizations. […] Instead of immediately moving to clean out a loved ones possessions, Rodriguez recommends calling in an expert to support you. […] If you or a loved one is living with hoarding disorder, a good first step is to learn more about the condition before taking action.

• #126 Cognitive-Behavioral Therapy for Hoarding Disorder – Massachusetts General Hospital Psychiatry Academy

  https://mghcme.org/events/cognitive-behavioral-therapy-for-hoarding-disorder/

  This multi-week course will focus on cognitive-behavioral therapy for hoarding disorder. Participants will be provided with information on the most recent hoarding psychopathology research that informs treatment. The course will subsequently break down the various therapeutic techniques used in CBT for hoarding into weekly modules. Each module will impart the use of techniques through description, visuals, case examples and video vignettes. Modules will include but will not necessarily be limited to, assessment/psychoeducation, motivational interviewing, skills building, cognitive restructuring and exposure and response prevention. […] 8 Nursing Contact Hours

• #127 Hoarding disorder: evidence and best practice in primary care | British Journal of General Practice

  https://bjgp.org/content/73/729/182

  Hoarding disorder (HD) only exists as a psychiatric condition with clear diagnostic criteria since 2013, hampering research and treatment. […] Symptoms include difficulty discarding possessions and their excessive accumulation, along with clutter of active living areas to a degree that compromises their intended use. […] Individuals with HD are often characterised by limited insight, which can be exacerbated by stigma, with both substantially inhibiting disclosure and help seeking to healthcare professionals. […] Living conditions can directly impact not only patient wellbeing and safety but also others in the home, visitors, and at times also those living in close physical proximity. […] A diverse set of front-line providers can often be the first to encounter individuals with HD (for example, housing officers, environmental health, fire, police, and ambulance services), but may not have a long-term relationship with the individual or appropriate clinical training. […] Current best practice entails close and coordinated engagement with all relevant agencies to facilitate long-term patient-centred support and care.

• #128 Recognizing and Addressing Hoarding as a Significant Senior Health Concern | UCSF School of Nursing

  https://nursing.ucsf.edu/scienceofcaring/news/recognizing-and-addressing-hoarding-significant-senior-health-concern

  San Francisco has also begun to implement several other recommendations of the task force. […] Through its Institute on Compulsive Hoarding and Cluttering (ICHC), the Mental Health Association of San Francisco (MHASF) offers training programs for families affected by hoarding, and it has put together support groups, as well as a peer-response team of recovering hoarders who can offer practical support aimed in part at keeping people in their homes. […] Further research could shed more light on the etiology of the disorder and lead to more effective intervention.

• #129 free hoarding training for healthcare professionals

  https://www.nocdacademy.com/courses/hoarding-cbtherapy-HS

  This course will prepare clinicians to offer comprehensive cognitive-behavioral treatment (CBT) for hoarding disorder. […] Participants are then guided through the cognitive-behavioral treatment of hoarding disorder. […] Create and implement a comprehensive cognitive-behavioral treatment plan for hoarding disorder. […] Dr. McGrath has extensive clinical experience working with and providing supervision for complex hoarding cases. […] He currently provides weekly supervision at NOCD for all hoarding-related cases to a national network of clinicians.

• #130 SciELO Brazil – Prevalence of hoarding disorder among primary care patients Prevalence of hoarding disorder among primary care patients

  https://www.scielo.br/j/rbp/a/bWjCfBs5wQpQXtnmbhfZwfC/

  In our sample, individuals with HD were 2.5-fold more likely to self-report a chronic illness, which is consistent with the findings of a well-conducted community study from London. […] In our study, participants with HD were more likely to have a disability. […] This finding has been consistently reported in both community samples and in people with OCD, which highlights the severe dysfunction involved in HD. […] To conclude, this study suggests that the HD is not uncommon in India. […] There seems to be a lack of awareness of hoarding as an illness among patients, families, and medical professionals. […] Sensitization of health administrators, health care workers, and the community about HD is essential to ensure early recognition and treatment in order to improve outcomes and reduce chronicity.

• #131 Hoarding Disorder Therapy in Atlanta and North Georgia

  https://seachangepsychotherapy.com/services/hoarding-disorder/

  Hoarding disorder is a serious mental health condition that affects countless individuals and families, leading to significant distress, safety concerns, and impaired daily functioning. […] At Sea Change Psychotherapy, we understand the profound impact that hoarding disorder can have on your life. […] We provide a comprehensive, trauma-informed approach to treatment, recognizing that many who struggle with hoarding have experienced significant trauma or have underlying mental health conditions that need to be addressed in tandem with hoarding behaviors. […] Our treatment plans are personalized to meet your unique needs, focusing on both the behavioral aspects of hoarding and the underlying psychological factors that contribute to the disorder. […] We utilize a range of evidence-based therapies, including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Integrative Cognitive Behavioral Therapy (I-CBT), and Dialectical Behavior Therapy (DBT), all designed to help you make meaningful and lasting changes.

• #132 My question is about hoarding. That was an excellent article I read here this morning on that very subject. What is the best way to help? – AgingCare.com

  https://www.agingcare.com/questions/my-question-is-about-hoarding-that-was-an-excellent-article-i-read-here-this-morning-on-that-very-su-490220.htm

  Hoarding is a mental disorder that is usually rooted in extreme loss, grief, or early abuse. […] Hoarding creates a very unhealthy living environment – fire risks, falling risks, dust allergens, rodent and insect infestations, and appliances that don’t work. […] Hoarding is now, I believe a newly recognized mental disorder in the DSM-5. […] The fact that it is a disorder, however, can get you coverage for treatment. […] There are many good books on the subject. Start with the book STUFF by Gail Steketee and Randy Frost. Another good one is Digging Out and is about cleanup. That one is by Michael Tompkins.

• #133 Hoarding Disorder Therapy in Atlanta and North Georgia

  https://seachangepsychotherapy.com/services/hoarding-disorder/

  Hoarding disorder is a serious mental health condition that affects countless individuals and families, leading to significant distress, safety concerns, and impaired daily functioning. […] At Sea Change Psychotherapy, we understand the profound impact that hoarding disorder can have on your life. […] We provide a comprehensive, trauma-informed approach to treatment, recognizing that many who struggle with hoarding have experienced significant trauma or have underlying mental health conditions that need to be addressed in tandem with hoarding behaviors. […] Our treatment plans are personalized to meet your unique needs, focusing on both the behavioral aspects of hoarding and the underlying psychological factors that contribute to the disorder. […] We utilize a range of evidence-based therapies, including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Integrative Cognitive Behavioral Therapy (I-CBT), and Dialectical Behavior Therapy (DBT), all designed to help you make meaningful and lasting changes.

• #134 Ethical Challenges in Treating Hoarding Disorder: Two Primary Care Clinical Case Studies

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526966/

  Individuals with hoarding disorder are considered a vulnerable population because of their risk of eviction and homelessness. Although hoarding disorders impact can be extensive, the shame felt by people who hoard often keeps them from disclosing the behavior to others. Gaining knowledge about hoarding disorder and understanding the ways hoarding can affect an individuals life will aid clinicians in responding effectively. Increased knowledge can also guide the clinicians approach to consultation with colleagues and the patients medical team when discussing cases. […] This scenario highlights the reality that hoarding also affects family members and the community. […] To evaluate and anticipate potential ethical dilemmas for patients who have hoarding disorder, providers should increase their knowledge of hoarding disorder, identify at least one other professional who can serve as a consultant for potential ethical questions, and ensure that the informed consent agreement they have with their patients is both thorough and clearly explained. As the health risks associated with hoarding disorder become better understood, education and dissemination of hoarding disorder knowledge to medical providers is critical.

• #135 Is Hoarding a Mental Illness? | OCD Treatment Program

  https://www.promises.com/addiction-blog/hoarding-a-compulsive-mental-disorder/

  Dialectical behavior therapy can also help treat hoarding disorder by assisting patients in regulating intense emotions and increasing problem-solving skills when dealing with clutter. […] Certain medications may treat underlying mental health conditions such as depression or anxiety, which often accompany hoarding disorder. […] Our expert team of mental health professionals guides and supports those dealing with compulsive hoarding behavior. […] The counselors in our OCD treatment center address the underlying causes of hoarding behavior and provide meaningful strategies for overcoming it.

• #136 My question is about hoarding. That was an excellent article I read here this morning on that very subject. What is the best way to help? – AgingCare.com

  https://www.agingcare.com/questions/my-question-is-about-hoarding-that-was-an-excellent-article-i-read-here-this-morning-on-that-very-su-490220.htm

  Hoarding is a mental disorder that is usually rooted in extreme loss, grief, or early abuse. […] Hoarding creates a very unhealthy living environment – fire risks, falling risks, dust allergens, rodent and insect infestations, and appliances that don’t work. […] Hoarding is now, I believe a newly recognized mental disorder in the DSM-5. […] The fact that it is a disorder, however, can get you coverage for treatment. […] There are many good books on the subject. Start with the book STUFF by Gail Steketee and Randy Frost. Another good one is Digging Out and is about cleanup. That one is by Michael Tompkins.

• #137 Hoarding disorder // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/hoarding-disorder

  Hoarding disorder is an ongoing difficulty throwing away or parting with possessions because you believe that you need to save them. […] People with hoarding disorder may not see it as a problem, so getting them to take part in treatment can be challenging. But intensive treatment can help you understand how your beliefs and behaviors can be changed so that you can live a safer, more enjoyable life. […] If you or a loved one has symptoms of hoarding disorder, talk with a health care provider or a mental health provider with expertise in diagnosing and treating hoarding disorder as soon as possible. […] Treatment of hoarding disorder can be challenging but effective if you keep working on learning new skills. […] The main treatment for hoarding disorder is cognitive behavioral therapy (CBT), a skills-based approach to therapy.

• #138

  https://journals.lww.com/nursing/fulltext/2013/10000/shining_a_light_on_hoarding_disorder.11.aspx

  GENERAL PURPOSE: To provide nurses with information about hoarding disorder to guide clinical practice. […] LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Describe the pathophysiology of hoarding disorder. 2. Identify nursing interventions to help patients with hoarding disorder. […] Nurses should assess patients for hoarding symptoms by asking about their most treasured possessions. […] When patients with hoarding disorder are referred for outpatient treatment, the priority nursing intervention is to establish a therapeutic relationship. […] When working with families of those who hoard, the nurse should advise them to learn about hoarding and participate in counseling. […] Besides psychopharmacology, the major outpatient therapy for hoarding disorder is CBT.

• #139 Hoarding: Features, Assessment, and Intervention Strategies | Springer Publishing

  https://connect.springerpub.com/content/book/978-0-8261-4083-8/part/part02/chapter/ch05

  Hoarding disorder is characterized by persistent distress when attempting to discard, recycle, or donate items from or out of the home. […] This chapter provides an overview of the features and complications of hoarding disorder. It explains assessment, including key features used in evaluation and describes evidence-based interventions for hoarding, focusing on cognitive behavioral therapy. […] A strong alliance, based on mutual warmth and respect, can help the client to tolerate and recover from negative emotions and can also help the clinician to maintain a collaborative stance in which the client makes all decisions about his/her own possessions.

• #140 Hoarding Disorder: What It Is, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17682-hoarding-disorder

  Hoarding disorder is treatable with cognitive behavioral therapy. […] Healthcare providers use two main types of therapies to treat hoarding disorder: Cognitive behavioral therapy, a type of talk therapy (psychotherapy) […] Cognitive behavioral therapy (CBT) is a common treatment for hoarding disorder. With the help of a licensed mental health professional, such as a psychologist, people learn to understand why they hoard and how to feel less anxiety when throwing away items. Specialists also teach organization and decision-making skills. These skills can help you better manage your possessions. […] It’s important to remember that hoarding disorder is a mental health condition it’s not a matter of laziness or willpower. As with all mental health conditions, seeking professional help as soon as symptoms appear can help decrease the disruptions to your life. Mental health professionals can offer treatment plans that can help you manage your thoughts and behaviors related to hoarding.

• #141 Recognizing and Understanding Hoarding Disorders – Riverside Community Care

  https://www.riversidecc.org/understanding-hoarding-disorders/

  Hoarding disorder happens when a person has persistent difficulty parting with items that are useless and worn. This difficulty causes a significant amount of distress for the individual and therefore their home becomes so cluttered that spaces are not able to be used in the way they are intended. […] Therapists, case managers, in-home coaches, community supports, family, and task forces can all help with individual hoarding cases. Specifically, community-based task forces include support from social workers, police, fire, public health nurses, housing authorities, inspectors, senior service agencies, and mental health professionals. Together, these supports provide education for the community, outreach to those who struggle with a hording disorder, and resources for their family and friends. In many cases, collaboratively supporting the individual can be the best way to achieve success and lasting change. […] If you believe someone you know or care about is suffering from a hoarding disorder you can contact the Riverside Outpatient Center at Newton where individual and group treatment for hoarding disorder is offered.

• #142 Hoarding disorder | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/hoarding-disorder

  Hoarding disorder is an ongoing difficulty throwing away or parting with possessions because you believe that you need to save them. […] People with hoarding disorder may not see it as a problem, so getting them to take part in treatment can be challenging. But intensive treatment can help you understand how your beliefs and behaviors can be changed so that you can live a safer, more enjoyable life. […] Treatment of hoarding disorder can be challenging but effective if you keep working on learning new skills. […] The main treatment for hoarding disorder is cognitive behavioral therapy (CBT), a skills-based approach to therapy. […] Treatment often involves regular help from family, friends and agencies to help remove clutter. […] For children with hoarding disorder, it’s important to have the parents involved in treatment.

• #143 Report Shows What Hoarding Disorder Looks Like in Older Adults—And What Care They Actually Need

  https://www.verywellhealth.com/hoarding-disorder-resources-needed-8676238

  Hoarding disorder is a mental health condition that causes people to accumulate excessive items, which can lead to unsafe living conditions, social isolation, and other health problems. […] Experts say the disorder is under-studied and emphasize the need to develop better treatments. […] A report published in July by the Senate Committee on Aging highlights the challenges faced by older adults with hoarding disorder and the need for better resources to support those individuals, their families, and their communities. […] The newness of diagnostic criteria and lack of research on the topic means few providers are equipped to properly help individuals with hoarding disorder. […] This is a real problem for elderly folks, because the risk of falling and the inability to manage their medication, for instance, with the chaos involved in having so many possessions, becomes exacerbated.

• #144 Hoarding disorder

  https://www.mymlc.com/health-information/diseases-and-conditions/h/hoarding-disorder/

  The main treatment for hoarding disorder is cognitive behavioral therapy. Medications may be added, particularly if you also have anxiety or depression. […] Treatment often involves routine assistance from family, friends and agencies to help remove clutter. This is particularly the case for the elderly or those struggling with medical conditions that may make it difficult to maintain effort and motivation. […] For children with hoarding disorder, it’s important to have the parents involved in treatment. Sometimes called „family accommodation,” over the years, some parents may think that allowing their child to get and save countless items may help lower their child’s anxiety. Actually it may do the opposite, increasing anxiety. […] There are currently no medications approved by the Food and Drug Administration (FDA) to treat hoarding disorder. Typically, medications are used to treat other disorders such as anxiety and depression that often occur along with hoarding disorder.

• #145 Hoarding disorder – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/hoarding-disorder/

  Hoarding disorder is an ongoing difficulty throwing away or parting with possessions because you believe that you need to save them. […] People with hoarding disorder may not see it as a problem, so getting them to take part in treatment can be challenging. But intensive treatment can help you understand how your beliefs and behaviors can be changed so that you can live a safer, more enjoyable life. […] Treatment of hoarding disorder can be challenging but effective if you keep working on learning new skills. Some people dont recognize the negative impact of hoarding on their lives or dont believe they need treatment. This is especially true if the possessions or animals offer comfort. […] The main treatment for hoarding disorder is cognitive behavioral therapy (CBT), a skills-based approach to therapy.

• #146 How treating hoarding disorder protects community health in PA • Spotlight PA

  https://www.spotlightpa.org/news/2024/11/pennsylvania-hoarding-disorder-cleanup-intervention-blight-housing/

  Supporting organizations like Fight the Blight is an excellent first step in systemically responding to hoarding. […] Helping someone with hoarding disorder can be a complex operation. […] Ultimately, the home of someone with the disorder might always contain clutter, and that’s OK. The goal of treatment is to make their space healthy and safe, Timpano said, not to earn Marie Kondo’s approval. […] Cindy plans to keep working on managing her illness because she doesn’t want to leave a mess for her adult daughters when she dies.

• #147

  https://www.rula.com/blog/hoarding-disorder/

  Hoarding disorder can impact a persons mental health, relationships, and ability to function. It may also lead to unsafe or unsanitary living conditions due to clutter in the home. […] While theres no cure for hoarding disorder, it can be managed with the right support. The most effective form of care for hoarding disorder is cognitive behavioral therapy (CBT). […] Hoarding is a chronic mental health condition that, without support, tends to get worse with age. […] Your hoarding disorder treatment experience will be based on your unique needs and preferences. But its likely to include a form of talk therapy called cognitive behavioral therapy (CBT). Its considered the most effective form of care for hoarding disorder. […] Currently, no medications are approved to treat hoarding disorder on its own. However, medications are sometimes used to treat co-occurring conditions, like anxiety or depression.

• #148 SciELO Brazil – Prevalence of hoarding disorder among primary care patients Prevalence of hoarding disorder among primary care patients

  https://www.scielo.br/j/rbp/a/bWjCfBs5wQpQXtnmbhfZwfC/

  In our sample, individuals with HD were 2.5-fold more likely to self-report a chronic illness, which is consistent with the findings of a well-conducted community study from London. […] In our study, participants with HD were more likely to have a disability. […] This finding has been consistently reported in both community samples and in people with OCD, which highlights the severe dysfunction involved in HD. […] To conclude, this study suggests that the HD is not uncommon in India. […] There seems to be a lack of awareness of hoarding as an illness among patients, families, and medical professionals. […] Sensitization of health administrators, health care workers, and the community about HD is essential to ensure early recognition and treatment in order to improve outcomes and reduce chronicity.

• #149

  https://journals.lww.com/nursing/fulltext/2013/10000/shining_a_light_on_hoarding_disorder.11.aspx

  GENERAL PURPOSE: To provide nurses with information about hoarding disorder to guide clinical practice. […] LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Describe the pathophysiology of hoarding disorder. 2. Identify nursing interventions to help patients with hoarding disorder. […] Nurses should assess patients for hoarding symptoms by asking about their most treasured possessions. […] When patients with hoarding disorder are referred for outpatient treatment, the priority nursing intervention is to establish a therapeutic relationship. […] When working with families of those who hoard, the nurse should advise them to learn about hoarding and participate in counseling. […] Besides psychopharmacology, the major outpatient therapy for hoarding disorder is CBT.

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