Materiały źródłowe

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

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

  Hoarding disorder is a mental health condition in which you have a strong need to save a large number of items and experience distress when attempting to get rid of them. Hoarding disorder is treatable with cognitive behavioral therapy. […] Theres no known way to prevent hoarding disorder. However, hoarding behaviors appear relatively early in life (usually between the ages of 15 and 19 years) and then follow a chronic course. If you notice signs of hoarding in your child or someone you know, early recognition, diagnosis and treatment are essential to improving outcomes.

• #2 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. […] 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. Some communities have agencies that help with hoarding problems. […] 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. This is especially important because by the time clutter becomes a noticeable problem, hoarding likely has been going on for a while.

• #3 Hoarding Disorder | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.hoarding-disorder.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. […] Catching the disorder early is important. That’s because hoarding often gets worse over time. And the more clutter that collects in the person’s home, the harder it is for the person to do things like stay clean, eat well, and get enough sleep. […] 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.

• #4 Hoarding Behaviours and Treatment Approaches

  https://www.samarpanhealth.com/blog/hoarding-behaviours-and-treatment-approaches

  Hoarding disorder cannot be prevented. Nonetheless, hoarding tendencies manifest relatively early in life (often between the ages of 15 and 19) and last for a long time. If you see hoarding symptoms in your child or someone you love, getting help as soon as possible is critical to improving the situation. […] To treat hoarding disorder, medical professionals employ two primary therapy approaches: One kind of talk therapy (psychotherapy) is cognitive behavioural therapy. […] Cognitive behavioural therapy (CBT) is a popular treatment for hoarding disorder. A qualified mental health practitioner, like a psychologist, can assist individuals in comprehending the reasons behind their hoarding and reducing their fear when discarding goods. […] Samarpan provides complete support through specialised therapy and intervention programs that cater to the requirements of people with hoarding disease, emphasising hoarding behaviours and treatment methods.

• #5 Hoarding disorder | UM Health-Sparrow

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

  Hoarding disorder can cause a variety of complications, including: […] 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. This is especially important because by the time clutter becomes a noticeable problem, hoarding likely has been going on for a while.

• #6 Hoarding Disorder: Symptoms, Levels, Causes & Treatment | The Recovery Village Palm Beach at Baptist Health

  https://www.floridarehab.com/co-occurring-disorders/hoarding/

  Hoarding disorder is characterized by an inability to part with possessions, and it can negatively impact many aspects of a persons life. […] Since hoarding disorder can cause significant distress, it can be helpful to know its signs and symptoms. This can potentially assist with prevention and early treatment. […] The goal of this treatment method is to help the person solve problems and make decisions to remove clutter and keep their environment clean. […] This can be important information to keep in mind when treating HD, as some people might require both mental and physical health care.

• #7 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. […] Hoarding disorder often begins at a mild level during adolescence and gradually worsens with age, causing clinically significant impairment by the mid-30s. […] 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. […] Motivational techniques are often needed to encourage patients to participate and stay in treatment.

• #8 Teen Hoarding Disorder Treatment and Therapy Center in Dallas, Texas

  https://basepointacademy.com/what-we-treat/hoarding-disorder/

  Hoarding disorder often begins in adolescence, around ages 15 to 19, and tends to worsen with age. […] While there is no definitive cure for hoarding disorder, treatment programs can significantly reduce symptoms and help adolescents manage their behaviors. […] Many hoarding treatment centers also engage families in the treatment process, ensuring a supportive environment for long-term success. […] Hoarding intervention programs help teens address the emotional and behavioral challenges tied to excessive clutter. […] Outpatient treatment centers and therapy clinics offer flexible options for teens needing support with hoarding disorder. […] For severe cases of hoarding disorder, a residential treatment facility or inpatient treatment center can provide structured, round-the-clock care.

• #9 A Practical Guide To Overcoming Hoarding Disorders – The Paper Gown

  https://www.zocdoc.com/blog/a-practical-guide-to-overcoming-hoarding-disorders/

  Hoarding disorder is characterized by persistent difficulty getting rid of possessions due to a perceived need to save them. […] You can help protect yourself and your loved ones by learning all you can about how to recognize hoarding disorder and how it is treated. […] Recognizing hoarding disorder is often the first step toward a successful recovery, but this can be difficult, as not everyone who displays hoarding symptoms will meet the criteria for diagnosis. […] This clutter can create health and safety hazards, and prevent people from using the rooms in their home. […] To maximize your chance of long-term success, its also critical to make sure that your living space is a supportive environment for your recovery. […] One effective way to do this is by establishing an organizational and storage system in your home.

• #10 A Practical Guide To Overcoming Hoarding Disorders – The Paper Gown

  https://www.zocdoc.com/blog/a-practical-guide-to-overcoming-hoarding-disorders/

  Establishing a regular cleaning routine is an effective way to do this, as it can help you adjust to the discomfort of sorting through your possessions and ensure that new clutter does not accumulate in your home. […] One of the most effective ways to prevent relapses is to identify the factors that trigger hoarding behavior and develop healthier ways to cope with the stress of these triggers, such as using sensory experiences to manage anxiety, rather than acquiring new items. […] Though it may be uncomfortable at first, seeking professional help is often critical for successful hoarding recovery. […] Overcoming hoarding disorder can be very difficult, and healthcare professionals who specialize in hoarding can help by providing accurate assessments of your condition and determining the best course of treatment.

• #11 Teen Hoarding Disorder Treatment and Therapy Center in Dallas, Texas

  https://basepointacademy.com/what-we-treat/hoarding-disorder/

  Online therapy or teletherapy programs don’t require attending a healthcare facility. […] An Intensive Outpatient Program (IOP) can be an excellent option for teens needing structured care while managing their daily responsibilities. […] Partial Hospitalization Programs (PHPs) and day treatment options at a medical treatment center or related healthcare facility offer teens comprehensive care for hoarding disorder without requiring overnight stays. […] Adolescent therapy for hoarding disorder in Dallas, Texas, focuses on addressing emotional triggers, building organizational skills, and creating healthier habits. […] Acceptance and Commitment Therapy (ACT) helps teens with hoarding disorder by encouraging them to accept difficult emotions and thoughts without letting them control their behaviors.

• #12 Hoarding disorder – Hancock Health

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

  Hoarding disorder can cause a variety of complications, including: […] 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. […] 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. […] Cognitive behavioral therapy is the first treatment recommended for hoarding disorder. There are currently no medicines approved by the Food and Drug Administration (FDA) to treat hoarding disorder.

• #13 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. […] 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. […] Motivational Interviewing (MI) is a technique that seeks to increase the individual’s motivation to make positive change(s) in their behavior. […] 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.

• #14 Hoarding – Center for OCD and Related Disorders

  https://mghocd.org/hoarding/

  Hoarding is a psychiatric illness characterized by the following symptoms: […] Treatment for Hoarding involves cognitive behavioral therapy (CBT) and/or medication. […] The goal of CBT is to identify the individual’s attachment to their possessions and modify any distorted thoughts or beliefs they hold in relation to the items. […] Deciding on which treatment strategies one may utilize depends on many factors, including the individual’s motivation and preference, severity of symptoms, and experience with previous treatment approaches. […] Our center specializes in evidence-based treatment for hoarding with cognitive behavioral therapy (CBT) and medication.

• #15 Treatment of an Adult with Hoarding Disorder | SpringerLink

  https://link.springer.com/chapter/10.1007/978-3-319-17139-5_17

  A recent addition to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), hoarding disorder (HD) is characterized by difficulty discarding possessions and associated distress, cluttered living space, and substantial functional impairment. […] The core components of specialized CBT for hoarding (developed by Steketee and Frost, 2007a,b; 2013a,b;) include assessment, psychoeducation and case formulation, motivational enhancement, goal setting, skills training (organizing, problem solving, decision making), behavioral exposure practice for discarding and non-acquisition, cognitive strategies to challenge thoughts and beliefs, and relapse prevention. […] The role of case management and other human service personnel are also discussed.

• #16 Hoarding Disorder: Definition, Symptoms, Causes & Treatment

  https://www.brightpathbh.com/hoarding-disorder/

  According to a 2023 article, Hoarding Disorder, from the Mayo Clinic, there is no known way to prevent hoarding disorder, but early intervention and treatment can help manage symptoms and prevent worsening. […] Treatment for hoarding disorder includes psychotherapy( cognitive behavioral therapy, motivational interviewing, skills training), medication (selective serotonin reuptake inhibitors), and support systems. […] Psychotherapy, especially cognitive behavioral therapy, is beneficial in treating hoarding disorder. […] Skills training is critical in the treatment of hoarding disorder, as many individuals with this condition struggle with organizational skills, problem-solving, and decision-making. […] Support groups are a valuable resource for individuals with hoarding disorder. They offer a safe and non-judgmental environment where individuals share their experiences and receive encouragement from others facing similar challenges.

• #17 Hoarding disorder: 'Sensory CBT’ treatment strategy shows promise | ScienceDaily

  https://www.sciencedaily.com/releases/2024/10/241003221635.htm

  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. […] „In this preliminary study, imagery rescripting seems to reduce some of that reactivity. Rather than a direct approach — [asking] what’s keeping you from throwing this away and exploring and challenging those beliefs — it has more of a creative, emotional style that has a lot of potential for hoarding clients.” […] Imagery rescripting is particularly exciting because of its potential to address both the foundational traumas that inform our future-focused narratives — an area of research interest for the lab — as well as tackling intrusive distressing mental images that interfere with discarding in the present, she says. […] „Images can link our past, present and future. Rescripting memories that may have triggered hoarding — going back and meeting those needs — may open up the doorway for greater treatment outcomes and greater positive impact on clients’ lives.”

• #18 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. […] Imagery rescripting is particularly exciting because of its potential to address both the foundational traumas that inform our future-focused narratives an area of research interest for the lab as well as tackling intrusive distressing mental images that interfere with discarding in the present, she says. […] Rescripting memories that may have triggered hoarding going back and meeting those needs may open up the doorway for greater treatment outcomes and greater positive impact on clients lives.

• #19 Compulsive Hoarding: How to Know When Enough is Enough – Lindner Center of HOPE

  https://lindnercenterofhope.org/blog/compulsive-hoarding-how-to-know-when-enough-is-enough/

  Hoarding Disorder is a psychiatric illness and is considered to be a subtype of Obsessive-Compulsive and Related Disorders. […] The hoarding causes clinically significant distress or impairment in social, occupational, or other important areas of functioning (including maintaining a safe environment for self and others). […] Hoarding Disorder is treated using Cognitive-Behavioral Therapy (CBT), a type of therapy that allows someone to work with a therapist to shift their thinking patterns and change their behavioral patterns to healthier ones. […] For those hoarders who have limited insight, a Motivational Interviewing (MI) approach can help to foster their motivation and confidence. […] Instead, it is recommended that friends and family talk to their loved ones about their concerns and help them to seek professional treatment.

• #20 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.

• #21 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. […] It is clear that more research is needed to determine what medications may be effective for HD and its specific symptoms of difficulty discarding, acquiring, and clutter. […] A recent meta-analysis included 21 studies involving over 300 patients with OCD who also had HD symptoms. […] 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.

• #22 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.

• #23 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.

• #24 EENet | What are effective interventions for hoarding?

  https://kmb.camh.ca/eenet/resources/what-are-effective-interventions-hoarding-0

  Little research exists on the efficacy of interventions specifically designed to treat hoarding disorder, but a number of approaches are demonstrating successful outcomes. […] Many jurisdictions have formed community hoarding taskforces made up of professionals from a broad range of disciplines and are showing particularly promising results. […] A form of cognitive behavioural therapy designed specifically to treat hoarding has proven effective, and adapted versions are being tested for use with specific populations, in groups, in home settings, and via the web, as well as for use with other forms of treatment. […] The complex nature of hoarding disorder calls for dynamic treatment approaches, with the precise services required being determined on a case-by-case basis. […] Ultimately, the best evidence-informed approach is to use a collaborative, multi-disciplinary, community hoarding taskforce that includes mental health support.

• #25 EENet | What are effective interventions for hoarding?

  https://kmb.camh.ca/eenet/resources/what-are-effective-interventions-hoarding-0

  Such multifaceted, multi-organizational approaches, designed to address the unique circumstances of each case, are considered the most promising practice for communities to deal with hoarding. […] A critical element of the intervention is building trust between the taskforce members (especially mental health service providers) and the client. […] It is also helpful to take the time to build a therapeutic alliance and use a strengths-based, incremental approach to assessment, followed by positive reinforcement for each small gain that is made. […] The general recommendation is that taskforce composition be based on the needs of the individual hoarder. […] Although the literature does not suggest a specific type of taskforce approach or exactly who should be on a taskforce, possibly owing to the dynamic nature of the condition, certain services or organizations should be involved.

• #26 Implementation and evaluation of a community-based treatment for late-life hoarding

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7483985/

  The objective of this paper was to examine the implementation and effectiveness of a community-based intervention for hoarding disorder (HD) using Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST). […] Preliminary data suggest that the CREST intervention can be successfully implemented in a community setting with positive results for older adults with HD. […] Although treatment studies for HD show promising results, including for older adults, there has been little focus on the implementation and dissemination of evidence-based treatment for hoarding in community settings. […] Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) is the most efficacious intervention for older adults with HD. […] The CREST protocol is comprised of compensatory cognitive training (CCT) modules designed to target cognitive impairments common in people with HD.

• #27 Implementation and evaluation of a community-based treatment for late-life hoarding

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7483985/

  The overall goal of this study was to implement and evaluate the CREST intervention using a multidisciplinary team approach that included individual therapy, care management, peer support, family psychoeducation, and after-care groups. […] To ensure the best possible outcomes, contextual elements of the PRISM model were used to inform implementation of the CREST intervention. […] Planning for sustainability was a goal from the start of the program. […] The CCP was designed to serve those with a high disease burden, with significant health and community consequences, low insight, ambivalence, fear of treatment, and conflicting priorities given the length and intensity of treatment. […] This project provides an example of a strong public sector-academic relationship in that a community need was identified, stakeholders were engaged, and a partnership was formed to provide evidence-based services for an underserved population. […] These results highlight how the PRISM contextual elements can be used to inform implementation of an evidence-based intervention from a randomized control trial to a community-based setting; they also demonstrate the use of the RE-AIM elements of PRISM.

• #28 Hoarding Treatment in Boston, MA | Resilience BH

  https://www.resiliencebehavioralhealthcenters.com/mental-health-treatment-programs-massachusetts/hoarding/

  Recovery from hoarding disorder is a continuous journey that requires ongoing support. At Resilience Behavioral Health, we emphasize the importance of continued coping strategies to equip clients with the tools they need to maintain their progress after treatment for hoarding in Massachusetts. Our program includes aftercare services such as continued therapy, support groups, and check-in sessions to help clients transition back to daily life successfully. We believe that ongoing support is crucial in preventing relapse of the behaviors and fostering long-term recovery.

• #29 EMDR Therapy and Hoarding: The Hoarding Protocol | Springer Publishing

  https://connect.springerpub.com/content/book/978-0-8261-3168-3/part/part02/chapter/ch06

  Compulsive hoarding is described as acquiring a large number of possessions and failing to discard them. […] The treatment of hoarding disorder with Eye Movement Desensitization and Reprocessing (EMDR) therapy is a comprehensive protocol that involves decreasing acquisition behaviors and increasing discarding behaviors. […] It is important to conceptualize the EMDR treatment for Adaptive Information Processing (AIP) framework.

• #30 Teen Hoarding Disorder Treatment and Therapy Center in Dallas, Texas

  https://basepointacademy.com/what-we-treat/hoarding-disorder/

  Group and family therapy can be invaluable, providing a supportive environment for the teen and their loved ones. […] Cognitive behavioral therapy for hoarding is an effective, first-line approach that helps teens recognize and change the thought patterns contributing to compulsive hoarding behaviors. […] Compassion-Focused Therapy (CFT) helps teens with hoarding disorder by addressing feelings of shame and self-criticism often tied to their behavior. […] A teen hoarding disorder treatment program focuses on addressing the underlying causes of hoarding behaviors and equipping teens with healthier coping skills.

• #31 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.

• #32 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. […] 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.

• #33 EENet | What are effective interventions for hoarding?

  https://kmb.camh.ca/eenet/resources/what-are-effective-interventions-hoarding-0

  Instances of hoarding must be assessed on a case-by-case basis to determine the severity of the situation, the willingness and capacity of the individual to receive help, and the composition of the taskforce or the services required to intervene successfully. […] The complex nature of the disorder calls for a dynamic approach to treatment, and warrants further study.

Zobacz więcej