Materiały źródłowe

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

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

  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. […] Cognitive behavioral therapy is the main treatment for hoarding disorder. Try to find a therapist or other mental health provider with expertise in treating hoarding disorder. […] Treatment often involves regular help from family, friends and agencies to help remove clutter. […] 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. […] Research continues on the most effective ways to use medicines in the treatment of hoarding disorder.

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

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

  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. […] However, as with many mental health conditions, getting treatment at the first sign of a problem may help prevent hoarding from getting worse.

• #3 The Psychology of Hoarding Disorder: Approaches for Treatment – Psychiatry Advisor

  https://www.psychiatryadvisor.com/features/the-psychology-of-hoarding-disorder-approaches-for-treatment/

  Many people find it difficult to throw items away in case they might need them later or they are more valuable than they realized. […] Although hoarding disorder affects 2% to 6% of the population, many individuals do not seek treatment. […] Treatment ambivalence is the norm, not the exception. […] Even then, nearly half of individuals with hoarding disorder refuse treatment from the outset, drop out of treatment once it is initiated, or have difficulty fully complying with treatment. […] A deeper understanding of the psychology behind hoarding is needed if treatment ambivalence and non-adherence are to be overcome. […] While pharmacotherapy research has revealed some promising findings, cognitive behavioral therapy (CBT) remains the gold standard for hoarding disorder treatment.

• #4 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. […] Randomized controlled trials have established cognitive behavioral therapy (CBT) for hoarding disorder as an effective treatment. During CBT, individuals gradually learn to discard unnecessary items with less distressdiminishing their exaggerated perceived need or desire to save these possessions. They also learn to improve skills such as organization, decision-making, and relaxation. […] Despite the effectiveness of CBT for hoarding disorder, a substantial number of hoarding disorder cases remain clinically impaired by their hoarding symptoms after treatment. […] Regarding medication treatment, studies of hoarding disorder psychopharmacology have been small and open-label, which limit the conclusions that can be drawn from this literature. To date, there are no controlled trials to support efficacy. Despite this, there is some evidence of benefit from paroxetine, venlafaxine extended-release, amphetamine salts, methylphenidate, methylphenidate extended-release, and atomoxetine. […] These drugs should be considered only after better proven treatmentsincluding CBT for hoarding disorderhave been attempted. For some people, medications are helpful and may bring improvement in symptoms.

• #5 Hoarding Disorder: Development in Conceptualization, Intervention, and Evaluation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9063579/

  CBT is manualized, has been extensively tested, and is presently considered the standard evidence-based treatment for hoarding disorder. […] CBT for hoarding provided on an individual basis often includes components of decision-making training, sorting and discarding exercises, organization training, exposure to nonacquiring cognitive restructuring, and motivational interviewing. […] Group CBT is similarly composed of multiweek sessions that provide education about hoarding, decision-making training, organization exercises, and cognitive restructuring in which patients are asked to evaluate their hoarding-related beliefs and are encouraged to take alternative nonhoarding perspectives. […] Peer-facilitated CBT for hoarding is an alternative group treatment that has been found to be as effective as psychologist-led group CBT.

• #6 Treatment of Hoarding Disorder – Hoarding

  https://hoarding.iocdf.org/professionals/treatment-of-hoarding-disorder/

  “Gold standard,” evidence-based treatments for hoarding disorder are still being researched and developed, but several promising elements have emerged as successful practice. […] Often clinicians find the most benefit from using a combination of the types of treatment described below with their clients. […] Cognitive Behavioral Therapy (CBT) is a type of therapy that helps individuals to examine the way they think and behave, and to change the thought processes or behaviors that may be problematic. The specific CBT elements involved in HD treatment include restricting acquiring, practicing sorting and discarding, and cognitive restructuring to challenge thoughts and beliefs about attachment to items. […] Motivational Interviewing (MI) is a technique that seeks to increase the individual’s motivation to make positive change(s) in their behavior. MI increases motivation by helping the individual connect their values and goals with their behaviors, and brainstorming ways to change behaviors that are not in line with their values and goals.

• #7 Hoarding Disorder: Development in Conceptualization, Intervention, and Evaluation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9063579/

  CBT is manualized, has been extensively tested, and is presently considered the standard evidence-based treatment for hoarding disorder. […] CBT for hoarding provided on an individual basis often includes components of decision-making training, sorting and discarding exercises, organization training, exposure to nonacquiring cognitive restructuring, and motivational interviewing. […] Group CBT is similarly composed of multiweek sessions that provide education about hoarding, decision-making training, organization exercises, and cognitive restructuring in which patients are asked to evaluate their hoarding-related beliefs and are encouraged to take alternative nonhoarding perspectives. […] Peer-facilitated CBT for hoarding is an alternative group treatment that has been found to be as effective as psychologist-led group CBT.

• #8

  https://journals.lww.com/hhmi/fulltext/9900/treatment_of_hoarding_disorder_in_a_patient_with.54.aspx

  Hoarding disorder (HD) is characterized by an accumulation of possessions owing to acquisition behaviors or absence of discarding, resulting in clutter severe enough to cause emotional distress, impair functioning, and preclude the use of living spaces for their intended purposes. […] CBT is a frontline treatment for individuals with HD. A previous meta-analysis of 10 studies (and k = 12 unique samples) demonstrated that large effect sizes were seen on HD severity (g = 0.82). […] The CBT treatment for HD includes aspects pertinent to the maintenance of symptoms including decision-making and problem-solving skills, emotional regulation, and cognitive distortions. […] The CBT intervention targeted excessive acquisition, and focused on sorting strategies (rubbish, recycle, donate, sell) as well as grief and loss (18 sessions, delivered every 2 weeks at the domicile).

• #9 Hoarding Disorder: Development in Conceptualization, Intervention, and Evaluation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9063579/

  Virtual and blended therapies have shown numerous benefits in addition to hoarding symptom improvement that include greater treatment completion rates, shorter duration to complete treatments, as well as strong therapeutic alliance and satisfaction ratings. […] CFT has recently been identified as an alternative psychotherapeutic treatment for hoarding disorder. […] Coordinated community interventions are necessary due to the diverse public health and safety concerns associated with severe hoarding behavior. […] Harm reduction is increasingly favored over involuntary cleanouts, focusing on decreasing or mitigating the risks associated with hoarding behavior. […] Overall, studies on pharmacotherapy for hoarding disorder remain limited by small sample sizes, designs including open labels, and little to no replication. […] Future studies that specifically examine participants diagnosed as having hoarding disorder need larger sample sizes that include older adults as well as more robust methodology and replication.

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

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

  Now, a pilot study by Stanford Medicine researchers suggests that a virtual reality therapy that allows those with hoarding disorder to rehearse relinquishing possessions in a simulation of their own home could help them declutter in real life. […] The simulations can help patients practice organizational and decision-making skills learned in cognitive behavioral therapy currently the standard treatment and desensitize them to the distress they feel when discarding. […] All participants attended 16 weeks of online facilitated group therapy that provided peer support and cognitive behavioral skills related to hoarding. […] In weeks 7 to 14, they also received individual VR sessions guided by a clinician. […] The virtual experience can serve as „a kind of stepping stone,” a less intense version of real-life discarding, Rodriguez said.

• #11 Treatment of Hoarding Disorder – Hoarding

  https://hoarding.iocdf.org/professionals/treatment-of-hoarding-disorder/

  Skills Training for HD focuses on helping people learn (1) how to organize their belongings within their homes, (2) how to use problem solving methods to address common problems that arise in working on their clutter, and (3) how to make decisions about keeping needed items and removing unwanted objects that contribute to clutter. […] Medication for HD works to change an individual’s brain chemistry and activity. They can enable the individual be more able to engage in the treatment process, whether by improving their mood or by reducing their severe anxiety.

• #12 Hoarding Disorder Treatment Facility in Fort Lauderdale, Florida

  https://sylviabrafman.com/mental-health-treatments/obsessive-compulsive-disorder/hoarding-disorder/

  Intensive outpatient programs are designed to provide more frequent and intensive care than typical outpatient programs. […] For more severe cases of hoarding disorder, a Partial Hospitalization Program (PHP) or day treatment option may work best. […] Inpatient and residential treatment for hoarding are the most intensive hoarding disorder treatment option. […] An alternative to in-person therapy, these virtual options may appeal to many who suffer from hoarding and anxiety. […] Several comprehensive treatments are commonly used to treat hoarding disorder. The overall aim of treatment is to help you manage your relationship with possessions, improve decision-making, and reduce clutter to improve your quality of life. […] Compassion-Focused Therapy (CFT) helps you build compassion for yourself and your experiences.

• #13 Hoarding Disorder Treatment Facility in Fort Lauderdale, Florida

  https://sylviabrafman.com/mental-health-treatments/obsessive-compulsive-disorder/hoarding-disorder/

  ACT focuses on developing psychological flexibility, accepting difficult emotions, and committing to actions to improve your life. […] Cognitive behavioral therapy for hoarding is the most used form of hoarding disorder therapy. […] Motivational Interviewing (MI) is a collaborative, empathetic approach to hoarding disorder treatment. […] Hoarding disorder support groups can be vital to create a community. […] Many insurance plans offer some level of coverage for hoarding disorder treatment, especially since hoarding disorder can frequently be interconnected to other anxiety disorders. […] The Sylvia Brafman admissions process for hoarding disorder treatment is built to put you at ease and provide an environment where you are supported through your treatment plan. […] Hoarding treatment centers provide a safe, structured environment to address compulsive hoarding behaviors and create lasting change. […] The cost of hoarding disorder treatment can vary based on a number of factors. Diagnosis type, insurance coverage, and location of treatment are just a few components of what can dictate the overall cost of therapy.

• #14 Hoarding Disorder Treatment In Los Angeles

  https://laopcenter.com/treatment/hoarding-disorder-los-angeles/

  The IOP is designed for individuals who need significant support but have responsibilities such as work or family. It includes structured therapy sessions, group therapy, and skill-building activities focused on managing hoarding behaviors. […] Evening sessions offer flexibility for those who cannot attend daytime programs. These sessions provide therapy and support during the evening, accommodating your daily commitments. […] Cognitive Behavioral Therapy (CBT) helps manage hoarding behaviors by identifying and challenging negative thought patterns and developing healthier coping mechanisms. […] Exposure and Response Prevention (ERP) is a type of CBT specifically for Hoarding Disorder, it involves gradual exposure to discarding items and managing the anxiety associated with it. […] Dialectical Behavior Therapy (DBT) focuses on emotional regulation and mindfulness techniques to manage intense emotions and improve decision-making.

• #15 Hoarding Disorder Treatment In Los Angeles

  https://laopcenter.com/treatment/hoarding-disorder-los-angeles/

  Eye Movement Desensitization and Reprocessing (EMDR) addresses trauma-related triggers that may influence hoarding behaviors. […] Transcranial Magnetic Stimulation (TMS) uses magnetic fields to stimulate nerve cells in the brain, helping to alleviate certain symptoms of Hoarding Disorder. […] Yoga and Movement Therapy incorporates physical movement and mindfulness to reduce stress and promote relaxation. […] Psychiatric Care provides medication management and evaluations to support your treatment plan and manage symptoms effectively. […] Customized treatment plans based on your specific needs, ensuring effective interventions for managing hoarding behaviors. […] Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) are considered highly effective for treating Hoarding Disorder. These therapies help you manage hoarding behaviors by identifying and changing negative thought patterns and developing healthier coping mechanisms.

• #16 Hoarding disorder: ‘sensory CBT’ treatment strategy shows promise

  https://www.unsw.edu.au/newsroom/news/2024/10/hoarding-disorder-sensory-cbt-treatment-strategy-shows-promise

  A novel treatment strategy for hoarding disorder has demonstrated its potential in a pre-clinical study. […] Rehearsing alternative outcomes of discarding through imagery rescripting shows promise as a treatment strategy for people who hoard, a study by UNSW psychology researchers has shown. […] Imagery rescripting is an experiential technique, often used in cognitive behavioural therapy (CBT), where participants introduce positive or benign information to rescript the outcomes of negative mental imagery, in this instance worst-case scenarios of discarding. […] The study found that participants who engaged in imagery rescripting were happier, more motivated and more likely to discard their items. […] Imagery rescripting was also more effective at reducing anxiety, sadness and anger and increasing feelings of happiness and relaxation around discarding, relative to imaginal exposure and cognitive restructuring.

• #17 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. […] Some providers prescribe medications called antidepressants to help treat hoarding disorder. These medicines can improve the symptoms of the condition for some people. […] Its important to remember that hoarding disorder is a mental health condition its 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.

• #18 Treatment of HD – Medication – Hoarding

  https://hoarding.iocdf.org/professionals/treatment-of-hoarding-disorder/treatment-of-hd-medication/

  Research on medications for hoarding disorder (HD) has focused on serotonin reuptake inhibitors (SRI) because they have proven useful for obsessive compulsive disorder (OCD) which is considered to be a related disorder per the DSM-5. […] A recent meta-analysis included 21 studies involving over 300 patients with OCD who also had HD symptoms. This study examined the response to pharmacotherapy, behavior therapy, and the combination. […] Seven of the studies showed that people with HD consistently responded poorly to serotonergic medication treatments compared with patients with OCD but no HD. […] Overall, the degree of benefit of pharmacotherapy, behavior therapy, or the combination for patients with HD symptoms was about half the benefit to patients with OCD without HD. […] A second open trial examined the effects of extended-release venlafaxine (a common name brand is Effexor) which is a serotonin-norepinephrine reuptake inhibitor (SNRI) for 24 patients with HD. This study showed that HD symptoms decreased by 32%, and 70% of those who completed the trial were considered “responders” – a very good response rate.

• #19 Treatment of HD – Medication – Hoarding

  https://hoarding.iocdf.org/professionals/treatment-of-hoarding-disorder/treatment-of-hd-medication/

  These medicines might make it easier for patients to discard items, and organize their time and living space. […] Finally, stimulants that are often used to treat attention deficit hyperactivity disorder (ADHD) may also be helpful since they improve attention, alertness, and how fast information is processed.

• #20 Treatment of HD – Medication – Hoarding

  https://hoarding.iocdf.org/professionals/treatment-of-hoarding-disorder/treatment-of-hd-medication/

  These studies indicate that serotonergic medications may be useful for patients with HD, but unfortunately the controlled trials needed to establish the true efficacy of these medications for HD have not yet been done. […] According to a meta-analysis of research on HD treatments, medications might improve the specific symptom of difficulty discarding, but not other types of HD symptoms such as excessive acquiring or clutter. […] Because there is very limited research on medications for HD and no general consensus about which medications may be the most effective, the typical approach to treating HD with medications is to start with selective serotonin reuptake inhibitors (SSRIs) that are commonly used to treat OCD. […] Almost no information is available about the use of non-serotonergic medications for HD.

• #21 Hoarding Disorder: Diagnosis and Treatment

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

  Time-limited group cognitive-behavioral therapy (GCBT), which has demonstrated improvement for people with OCD, has also shown benefits for hoarders. […] 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. […] 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. […] Hoarding disorder in highly motivated patients can be improved by pharmacologic (SSRIs) and psychological therapies or a combination of both.

• #22 Treating People Who Hoard — What Works for Clients and Families

  https://www.socialworktoday.com/archive/051711p14.shtml

  Recently, researchers and psychologists have suggested using harm-reduction methods in family therapy to address hoarding behavior. […] People who hoard are most likely to improve when family therapy is combined with individual CBT and other interventions, such as medications to treat comorbid conditions (e.g., depression) or working with a professional organizer in the home. […] Ultimately, success depends on how supportive, compassionate, and patient the family members are with the hoarder and on the level of motivation and commitment from the hoarder, Placzek says.

• #23 Hoarding & Mental Health | Sierra Vista Hospital

  https://sierravistahospital.com/blog/the-connections-between-hoarding-mental-health/

  Support groups, such as Clutterers Anonymous, can provide a sense of community and understanding for people with hoarding disorder. […] If you or a loved one is struggling with hoarding disorder, it is important to seek help from a licensed mental health professional as soon as possible. […] Hoarding disorder can be a difficult and overwhelming disorder to manage, but with the right support and treatment, recovery is possible.

• #24 What is Hoarding Disorder: Understanding Symptoms & TreatmentsExpandExpandExpandExpandToggle MenuLinkedinPreviousContinueContinueContinueContinueContinueContinueContinueFacebookTwitterInstagramLinkedinTikTokExpandExpandExpandExpand

  https://healtreatmentcenters.com/mental-health/what-is-hoarding-disorder/

  In some cases, medications, particularly those that address anxiety and depression, can be beneficial. They primarily work by making it easier to engage in therapy and lifestyle changes by managing related symptoms. However, medication is generally most effective when combined with psychotherapy. […] Joining support groups where experiences and coping strategies are shared can be extremely validating and encouraging. Often, the journey to recovery can feel isolating, but it doesn’t have to be. Alongside support groups, consulting with professional organizers who specialize in hoarding can provide necessary guidance and motivate individuals towards reclaiming their living spaces. […] Family can play a crucial role in treatment, providing emotional support and helping implement organizational strategies at home. It’s essential, though, to approach this support with sensitivity and without judgment, to foster a positive environment conducive to healing.

• #25 Hoarding Disorder Treatment and Therapy Center Near Me- A Mission For Michael

  https://amfmtreatment.com/what-we-treat/reactive-attachment-disorder-2/

  Hoarding disorder treatment is available in some mental health treatment centers. Treatment centers that do offer therapy for hoarding disorder can use a range of evidence-based and holistic therapies to provide you with whole-person care. This also allows therapists to customize your treatment to your needs, and the severity of your symptoms. […] Hoarding disorder treatment programs can include a combination of group therapy, individual therapy, educational sessions, skills groups, and family therapy. These components can help you receive the care you need, and help your loved ones gain the knowledge they need to support you in your recovery. […] Without a cure for hoarding disorder, treatment programs focus on helping you change your relationships with your belongings. This can help reduce the excessive clutter in your home, and make your living space safer and more comfortable. This often includes therapy, skills training, and decluttering support.

• #26 Hoarding Disorder Treatment and Therapy Center Near Me- A Mission For Michael

  https://amfmtreatment.com/what-we-treat/reactive-attachment-disorder-2/

  Therapy clinics treating hoarding disorder can use approaches like CBT to help you learn to challenge unhelpful thoughts. Group therapy and individual therapy can both be used to provide you with social support and personalized strategies for coping with your hoarding disorder symptoms. If you would like to learn more about how a hoarding disorder treatment program can support you, we encourage you to contact AMFM Mental Health Treatment Center by calling us today. […] There are various hoarding disorder treatments available, each of which has their own focuses and benefits. Treatment centers often personalize your treatment plan to ensure that your specific challenges and concerns are properly addressed. […] Hoarding intervention programs can provide immediate assistance for those who are struggling with a severe, or obsessive accumulation of items. This is most often used in situations where in-home support is needed to address safety concerns. Interventions can include organizing and decluttering help with the support of trained mental health professionals.

• #27 Hoarding Disorder Treatment and Therapy Center Near Me- A Mission For Michael

  https://amfmtreatment.com/what-we-treat/reactive-attachment-disorder-2/

  Intensive Outpatient Programming (IOP) provides you with several hours of treatment, multiple times per day. This allows you to manage your responsibilities, and live at home. Your treatment will likely include hoarding disorder therapy sessions focused on managing attachment to items, and overcoming excessive clutter habits. […] An inpatient treatment center can provide you with around-the-clock care in the safety of a live-in treatment facility. These structured environments can provide you with psychotherapy, life skill development, group therapy. This can help you address the root cause for your hoarding and mental health concerns so that you can return home with better overall functioning. […] Partial Hospitalization Programs, or day treatment, provide you with intensive psychological help for hoarding while allowing you to return home in the evenings. These programs generally combine psychotherapy, skills training, and educational sessions to address home clutter and hoarding disorder behaviors. This allows you to then focus on building healthy habits.

• #28 Hoarding Disorder Treatment and Therapy Center Near Me- A Mission For Michael

  https://amfmtreatment.com/what-we-treat/reactive-attachment-disorder-2/

  You may find a healthcare facility that offers remote hoarding disorder therapy, such as individual and group therapy. This can be helpful for those who are unable to attend treatment in person. You can receive ongoing support and learn practical strategies and coping skills to address living in hoarded spaces. […] A Mission For Michael is a leading mental health treatment provider for various mental health conditions. Those who are experiencing mild hoarding disorder symptoms may benefit from our holistic treatment centers. We encourage you to dial (866)478-4383 to review your current symptoms, and ideal treatment programs.

• #29 Stacks in the Corner: One-of-a-Kind Clinic Provides Hope for Treatment of Hoarding Disorder

  https://today.ucsd.edu/story/stacks-in-the-corner

  Stacks in the Corner: One-of-a-Kind Clinic Provides Hope for Treatment of Hoarding Disorder […] Catherine Ayers is a professor in the Department of Psychiatry at UC San Diego School of Medicine and director of the CREST program, where she leads a team of clinicians providing in-home care to local seniors struggling with hoarding disorder. […] Parrish has been diagnosed with hoarding disorder, and she is in the process of learning how to physically and emotionally let go of those stacks in the corner, which have grown unabated over the years. […] Experts consider hoarding to be a lifelong, chronic condition that gets worse over time without treatment. […] The CREST Program at UC San Diego Health is the only one of its kind in the nation: an innovative care center dedicated to providing comprehensive treatment to individuals struggling with hoarding disorder, working with people in their homes to help them overcome the challenges associated with the condition.

• #30 Stacks in the Corner: One-of-a-Kind Clinic Provides Hope for Treatment of Hoarding Disorder

  https://today.ucsd.edu/story/stacks-in-the-corner

  The in-home care and multifaceted approach to therapy, including exposure therapy and executive functioning training, is what makes the CREST program so unique. […] We find that people with hoarding disorder have lower scores on executive functioning measures, so they have problems with problem-solving, planning and prospective memoryrecalling planned actions in the future. […] Then we start the process that actually treats the hoarding, which is exposure to discarding. […] Clients go through their possessions one by one, and they learn over time that they can tolerate the distress from discarding possessions. […] This is a mental health disorder that requires treatment and it’s not going to get better on its own. […] Over the last several months, Parrish has made notable progress, both in discarding items and in developing new habits and skills to prevent future clutter.

• #31 Predictors of treatment outcome and attrition in adults with hoarding disorder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7362989/

  While a number of hoarding disorder-specific therapeutic interventions have been developed over recent years, hoarding disorder (HD) remains difficult to treat. […] The purpose of this investigation is to inform HD treatment efforts by examining factors that influence treatment attrition and treatment response. […] Higher levels of avoidant coping (i.e., self-distraction combined with behavioral disengagement) significantly predicted symptom improvement. […] The maintenance stage of change along with high readiness for change also significantly predicted symptom improvement. […] Participants who dropped from treatment had significantly higher baseline levels of denial and clutter, both of which independently predicted treatment attrition. […] The findings from this study suggest that emotion-related constructs, such as managing stress and motivation for change, may play an important role in patients response to and participation in HD treatment.

• #32 Predictors of treatment outcome and attrition in adults with hoarding disorder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7362989/

  Motivation and readiness for change are considered important factors influencing success of treatment in individuals with HD. […] Low motivation can impede successful treatment by leading to early dropout, inconsistent attendance, and poor treatment compliance, particularly with regards to homework adherence. […] Limited insight may contribute to low treatment seeking, treatment engagement, and poor treatment outcomes in HD. […] Higher levels of avoidant coping (i.e., self-distraction and behavioral disengagement) significantly predicted symptom improvement. […] The maintenance stage of change along with elevated readiness for change significantly predicted symptom improvement. […] Higher baseline levels of denial and clutter independently predicted treatment attrition. […] These findings have important implications for HD treatment.

• #33 Predictors of treatment outcome and attrition in adults with hoarding disorder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7362989/

  Incorporating psychoeducation around adaptive emotion regulation strategies including awareness and acceptance may also be indicated for individuals with HD who rely on maladaptive coping strategies. […] MI and problem solving could improve initial engagement as well as treatment retention for those with low motivation and insight. […] Ultimately, an evidence-based means of tailoring HD treatment for the individual could improve modest outcomes. […] The findings from this study suggest that emotion-related constructs, such as managing stress and motivation for change, may play an important role in patients responses to and participation in HD treatment. […] Additional work, including large randomized-controlled trials, is needed to further inform and improve treatment for HD.

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

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

  People with hoarding disorder may feel ashamed about how they live or friends and family may shy away from visiting them at home. […] 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. […] Help your loved one to research therapy options, make and keep appointments, and stay on schedule. […] In addition to therapy, talking regularly to others facing the same challenges can help your loved one to feel less isolated and alone. […] Joining a support group for family members of hoarders can also help you find support, discover local resources, and learn new coping tips.

• #35 Find Hoarding Therapists and Psychologists in New York, NY – Psychology Today

  https://www.psychologytoday.com/us/therapists/ny/new-york?category=hoarding

  Cognitive behavior therapy (CBT) has been well-studied in the treatment of hoarding. This type of therapy includes changing beliefs surrounding possessions, as well as learning how to discard items and reduce acquisitions. The hoarder may also gain much-needed organizational skills. Another useful therapy may be compassion-focused therapy, which can address emotion regulation and negative self-perception. […] Although treatment can vary, most people demonstrate improvement after 23 sessions, with some showing improvement after just a few sessions. Researchers have developed a 26-session cognitive behavioral program. People who hoard may need maintenance sessions over the years if the problem arises repeatedly. […] The more commonly-prescribed medications for hoarding are including antidepressants, including selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs). This can include drugs such as venlafaxine and paroxetine. And because hoarding disorder is related to obsessive-compulsive disorder, medications for OCD, such as clomipramine, may be effective for hoarding as well.

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

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

  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.”

Zobacz więcej