Treatment FAQ

what treatment is available for hoarders?

by June Reinger Published 2 years ago Updated 1 year ago
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Treatments for hoarding
Although hoarding task forces aren't focused on mental health treatment, there is evidence that psychotherapy is helpful in treating the disorder. So far, cognitive-behavioral therapy (CBT) is the most well-studied intervention for hoarding.
Apr 1, 2020

Medication

Working with the right therapist can help your loved one to:

  • Challenge the unhelpful thoughts and beliefs that contribute to their hoarding.
  • Resist the urges to acquire more possessions.
  • Improve their decision-making and organizational skills.
  • Bolster their motivation to declutter.
  • Prevent relapse into negative patterns of coping.

Therapy

Why does a person become a hoarder?

  • Having a relative with the disorder.
  • Brain injury that triggers the need to save things.
  • Traumatic life event.
  • Mental disorders such as depression or obsessive-compulsive disorder.
  • Uncontrollable buying habits.
  • Inability to pass up free items such as coupons and flyers.

Self-care

Hoarding disorder, like many other illnesses, can never really be “cured” — but it can be successfully treated with the right mix of treatment methods and an active support network. Steps Part 1

How to help a hoarder stop hoarding?

How To Tell If You Are A Hoarder

  • Parts Of The Home Become Unusable. ...
  • The Clutter Is Unorganized. ...
  • The Possessions Have No Value. ...
  • Collecting Animals. ...
  • Decreased Socialization. ...
  • Unwilling To Part With Items. ...
  • Presence Of Anxiety Or Other Mental Health Conditions. ...
  • Diminished Quality Of Life. ...
  • Risk Factors. ...
  • Treatment Options. ...

Why does a person become a hoarder?

Can a hoarder be cured?

How do you know if you're a hoarder?

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How do you treat a severe hoarder?

How to Help Someone Who HoardsDon't Take Their Possessions. ... Don't Enable the Behavior. ... Educate Yourself. ... Recognize Small Victories. ... Help Them Sort Their Belongings. ... Don't Clean Up for Them. ... Help Your Loved One Find Treatment.

Can a hoarder be cured?

Psychotherapy and cognitive-behavioral therapy are also frequently employed to help patients overcome the disorder. Although neither of these approaches is a sure-fire way to cure hoarding, the biggest hurdle to recovery still seems to be recognizing the problem.

What is the root cause of hoarding?

People hoard because they believe that an item will be useful or valuable in the future. Or they feel it has sentimental value, is unique and irreplaceable, or too big a bargain to throw away.

How do you get rid of hoarders?

Help a Hoarder Clean and Organize Their Home in 4 StepsEase Into Conversation About Decluttering and Cleaning. ... Make a Plan for Managing the Hoarding Location. ... Start Decluttering and Organizing Room-By-Room. ... Develop a Strategy for Waste Removal.

Is hoarder a mental illness?

Hoarding disorder is a mental health problem that a doctor can diagnose. But you might also experience hoarding as part of another mental or physical health problem. If you hoard, you might: Feel the need to get more things, even if you have a lot already.

Do hoarders have a mental illness?

Mental health problems associated with hoarding include: severe depression. psychotic disorders, such as schizophrenia. obsessive compulsive disorder (OCD)

What trauma leads to hoarding?

The experience of two types of childhood trauma (emotional abuse and physical neglect) predicted higher levels of hoarding symptoms. Attachment anxiety and avoidance were positively correlated with hoarding symptoms and with emotional attachment to possessions.

How do you declutter a hoarder's house?

7 Decluttering Tips For HoardersIdentifying Hoarding Disorder. Hpathy. ... Develop an Action Plan. To help a loved one with hoarding disorder, take a slow and steady approach. ... Clean Up First. ... Move on to Paper. ... Don't Delay Donations. ... Secure a Storage Space. ... Reduce the Pile of Clothes. ... Hire a Professional.More items...•

What is a hoarder personality?

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.

What is the fastest way to clean a hoarder's house?

6 Easy Steps For Cleaning A Hoarder HouseSTEP 1: Clear out the Trash. ... STEP 2: Clean and sanitize your floors. ... STEP 3: Disinfect everything. ... STEP 4: Scrub down the bathroom. ... STEP 5: Deodorize. ... STEP 6: Don't forget the small stuff.

What happens when you throw away a hoarders stuff?

"The hoarded stuff doesn't die, and it will never leave you," says McGrath. "So hoarders are connected to their stuff by memories. It's an emotional connection. Everything has meaning, so by tossing it out you're disrespecting it and the person connected to it."

What is the best treatment for hoarding?

Cognitive Behavioral Therapy (CBT) Cognitive behavioral therapy (C BT) is the go-to form of treatment for hoarding disorder, particularly a form of CBT that has been tailored to hoarding disorder.

What is the treatment for hoarding disorder?

The most common approaches to treatment for hoarding disorder are cognitive behavioral therapy (CBT), medication, and in-house decluttering.

What is decluttering training?

Researchers are studying the implementation of decluttering training in treatment, including working with “clutter interns” —students who both work with psychotherapists and visit people with hoarding disorder at home to help them manage their belongings.

What is hoarding disorder?

Hoarding disorder is a mental health condition marked by excessively saving items and having extreme difficulty discarding things that aren't needed or are not objectively valuable. Hoarding disorder used to be considered a subtype of obsessive-compulsive disorder (OCD) and was treated using methods designed for OCD. 1.

Is hoarding disorder a unique condition?

While it is now classified and treated as a unique condition, it is still not well understood and can be difficult to treat, particularly as many people with hoarding disorder do not recognize that they have a problem.

Can hoarding be treated?

While hoarding disorder tends to be treatment-resistant, symptoms can be managed with therapy , medications, and/or lifestyle changes. Even if a full recovery from hoarding disorder isn't achieved, these treatments can greatly improve quality of life, health, and safety.

Is CBT good for hoarding?

Even with these promising results in symptom improvement, most people in the studies still had hoarding disorder at the end of treatment, showing CBT to be less helpful for hoarding disorder than for other disorders such as depression or anxiety.

Cognitive behavioral therapy

CBT is the best-studied therapeutic intervention for hoarding disorder.

Cognitive rehabilitation

Cognitive rehabilitation and exposure/sorting therapy (CREST) is modeled on interventions for people with traumatic brain injury. It was developed by Catherine Ayers, PhD, ABPP, a professor of psychiatry at the University of California, San Diego.

Medication

There are no specific medications approved or marketed for treating hoarding disorder. But some individuals may improve with selective serotonin reuptake inhibitors (SSRIs), medications that can help with comorbid conditions that include anxiety, depression, and insomnia.

What is the best medicine for hoarding?

Medications For Hoarding. The popular medication that is being offered to patients with hoarding is Paxil. Paxil is used as the first line of medications to attempt to treat the hoarding illness. Sadly this medicine has not been the magic bullet that most hoped it would be.

Why is hoarding not effective?

There are many reasons why treatment of any kind has not been effective, including the fact that hoarding is still a new illness and that patients do not believe they have an issue or problem.

Is there a study on hoarding?

The hoarding clean up industry as well as hoarding mental health professional are hoping that an official hoarding research study will be performed. As of yet no study has been performed.

What is the best treatment for hoarding?

Without resolving underlying issues, hoarding counseling might be ineffective. Cognitive behavioral therapy (C BT) is the most common approach for treating a hoarding disorder. During CBT a person might identify faulty or unhelpful beliefs that cause hoarding, challenge them and then replace them with new ideas.

How to treat hoarding and co-occurring disorders?

It is important to treat both disorders simultaneously to avoid any setbacks with either disorder. Treatment for a hoarding and co-occurring disorder will typically involve psychotherapy and medication.

What is the goal of a treatment provider?

The goal of a treatment provider is to establish a treatment plan that is individualized for a specific patient so that co-occurring disorders can be addressed and treated. Research shows that hoarding frequently co-occurs with substance use disorders. Some researchers estimate that more than half of people with a hoarding disorder meet ...

Can hoarding be a problem?

People with a hoarding disorder do not always view their hoarding as a problem. They may refuse help and scoff at the idea of treatment for their disorder. Removing the excess items rather than providing hoarding disorder treatment may cause the person to experience setbacks and they may quickly replace the items.

Is there a medication for hoarding?

There is no single medication for hoarding. Instead, medication is used to treat co-occurring depression and anxiety. These conditions may have developed before the hoarding disorder did and caused the hoarding disorder to be exacerbated, or they may have developed as a result of the hoarding.

What is the best medication for hoarding?

A number of studies have examined the effectiveness of selective serotonin reuptake inhibitors (SSRIs), such as Paxil (paroxetine), in the treatment of hoarding. Most investigations have found that only a third of patients who hoard show an adequate response to these medications.

Who developed the CBT protocol for hoarding?

4 . Subsequently Frost worked with Dr. Gail Steketee to develop a CBT protocol designed specifically for hoarding.

Is hoarding a behavior?

Getty Images. Compulsive hoarding is more than really having lots of things. It's a specific type of behavior that can have a severe impact on a person's life. Although hoarding treatment is often very difficult to undertake, new types of cognitive-behavior therapy offer hope. Let's explore more about hoarding treatment.

Does hoarding destroy relationships?

Behavioral Avoidance: Although hoarding can destroy a person’s home and relationships, this behavior does have the advantage of allowing the person to avoid making decisions, making mistakes, interacting with others, and facing the unpleasant task of organizing one’s possessions.

What is SRI in hoarding?

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.

How many studies have been done on OCD?

A recent meta-analysis included 21 studies involving over 300 patients with OCD who also had HD symptoms.

What medications are used to treat Alzheimer's disease?

These include donepezil (Aricept ®) and galantamine (Reminyl ® ). These medicines might make it easier for patients to discard items, and organize their time and living space.

Can SRIs help with hoarding?

Recent studies [1] have suggested that SRIs may be as effective for HD symptoms as they are for non-hoarding OCD. But, other reviews of the literature have reached different conclusions.

Does behavior therapy help with HD?

Similarly, when medications were combined with behavior therapy, patients with HD did not respond well, although two studies did show a better response. 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.

Can medication help with HD?

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 [5].

Can serotonin be used for HD?

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. Another question is whether adding medications to cognitive-behavioral treatments for HD is beneficial.

Treatment Options for Hoarders

Psychotherapy: therapy can, and should be, an intricate part of treatment. Therapy will include exploring why the client has the compulsion to hoard, organizational skills, decluttering the home, relaxation techniques, group sessions, occasional check-ups with the therapist, and treatment at an institution if necessary (Mayo Clinic, 2009).

Prognosis

When exploring what help is available for hoarders, you will see that there is a growing number of support groups and organizations that cater specifically to hoarding. The medical community now realizes the importance of treatment options for hoarders.

About Hoarders.com

Hoarding Cleanup is not something any cleaning company can do. Yes, anyone can carry an object out of a home and take it away. But, how many companies are trained in the psychology behind hoarding? Working alongside our customers, Steri-Clean builds trust, shows empathy, and delivers on our promises.

SERVICES WE OFFER

Our mission is to help those afflicted with this disorder and to provide them with the tools and skills needed to live a clutter free life. We offer understanding, trust and hope in a caring, compassionate and discreet environment, while providing the quality of care our clients expect and deserve.

TESTIMONIALS

What a wonderful experience. My dad needed a lot of help cleaning up his house. Steri-Clean to the rescue. Stephanie is such a delight, thank you for being so understanding in the process. Steve and the crew were very patient, efficient and amazingly quick. Thanks so much! You are all amazing.

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Therapies

Prescription Medications

Alternative Treatments

Lifestyle

Medically reviewed by
Dr. Abhimanyu Chandak
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment of hoarding disorder is difficult because it is mostly unrecognizable and best methods of treatment is behavioral therapy.
Medication

Antidepressants: To manage depression.

Citalopram


Anti anxiety drugs: To manage anxiety.

Clonazepam . Diazepam

Therapy

Psychotherapy:A psychotherapist treats the condition by talk therapy and one may learn to identify thoughts that relate to saving items.

Self-care

Always talk to your provider before starting anything.

  • Stick to the treatment plan
  • Maintain personal hygiene
  • Get proper nutrition

Specialist to consult

Psychologist
Specializes in diagnosing and treating diseases of the brain, emotional disturbance, and behaviour problems.
Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.

Summary

  • People often don't seek treatment for hoarding disorder, but rather for other issues, such as depression or anxiety. To help diagnose hoarding disorder, a mental health professional performs a psychological evaluation. In addition to questions about emotional well-being, you may be ask…
See more on mayoclinic.org

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