Recognizing And Treating Hoarding Disorder How Much Is Too Much

The first clinical guide to this psychiatric illness, officially recognized by the DSM in 2013. Everybody has heard the statements “she’s a pack rat” or “he’s a hoarder,” but how many of us really know what that means? Pathological hoarding was first formally conceptualized as a syndrome separate from OCD in the early 1990s, yet it wasn’t until 2013 that hoarding received formal psychiatric diagnostic criteria in the DSM. How can a mental health professional who sees clients in an office determine if hoarding is a factor in a client’s life? Here, Carol Mathews provides readers with the first-ever comprehensive clinical book on hoarding, covering every aspect of the disorder. Topics include: epidemiology and impact; screening tools and clinical interview tools for assessment; differential diagnosis and co-occurring disorders; when to suspect mild cognitive impairment and dementia; hoarding behaviors in children; how to differentiate normal keeping of items from hoarding; animal hoarding; the neurobiology of hoarding disorder; treatments, both psychopharmacological and otherwise; self-help options; and the impact of hoarding on the family.

The relationship people have with their possessions ranges from purely utilitarian to intensely emotional. For most people, their personal possessions provide them with a sense of security, comfort, and pleasure. However, if someone loses the ability to distinguish useful or important possessions from those that make life overly complicated, the objects can become a prison. For people who suffer from Hoarding Disorder (HD), the process of getting rid of unneeded objects is not easy. For them, possessions never "feel" unneeded and trying to get rid of them is an excruciating emotional ordeal. This Second Edition of Treatment for Hoarding Disorder is the culmination of more than 20 years of research on understanding hoarding and building an effective intervention to address its myriad components. Thoroughly updated and reflective of changes made to the Fifth Edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5), this second edition of the client Workbook and accompanying Therapist Guide outlines an empirically supported and effective CBT program for treating hoarding disorder. This Workbook is meant to guide clients through their treatment for hoarding disorder with their clinician. It includes homework, forms, exercises, and behavioral experiments for clients to test their personal beliefs about possessions, develop an organization plan and filing system, and sort and organize items room by room. A major goal of the treatment is to recapture the positive role of possessions in the lives of people with hoarding problems, and strategies are outlined for sustaining gains and making further progress, as well as for managing stressful life events that can provoke problematic acquiring and difficulty discarding.

For the first time, Hoarding Disorder (HD) is now recognized as a distinct disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), separate from OCD. HD has also received much more attention and exposure in recent years. Consequently, more people will be recommended for treatment, increasing the demand and need for clinicians who deliver this specialized intervention. Group Treatment for Hoarding Disorder: Therapist Guide outlines a cognitive-behavioral therapy program for HD using a group model. Clinicians deliver group therapy over 20 weekly sessions of 1.5 to 2 hours each. A single experienced clinician can lead the group or a co-therapy model can be used with two clinicians, one experienced and one in training. Groups of 6 to 8 participants: · receive education about HD and about the CBT model · discuss therapy goals and personal values · practice motivational enhancement methods including identifying barriers to progress · receive training in organizing and problem-solving about hoarding problems · learn cognitive therapy strategies to reduce problematic hoarding beliefs and to replace acquiring with more adaptive behaviors · practice sorting, removing clutter, and not acquiring, beginning with easier tasks · and identify in-home supports. Final sessions focus on reviewing the most effective therapy methods, coping with change, and highlighting strategies for maintaining gains. Group members use the Treatment for Hoarding Disorder: Workbook, Second Edition to assist with practice exercises. All of the necessary forms and worksheets are provided in the books and online. Treatment proceeds in a flexible session-by-session fashion with attention to group process. Written for psychologists, social workers, psychiatrists, counselors, and psychiatric nurses, this Therapist Guide will promote effective group treatment of people with hoarding disorder.

Hoarding is a condition where a person has a tendency to collect and save things excessively and has difficulty in getting rid of items. This results in a cluttered living space and often causes distress and impairs the person from being able to fully function in their home. It's a common condition that affects 2-5% of the population and has far-reaching consequences for sufferers, family, friends and the wider community, together with potential health and safety implications, with increased risk of injury or vermin. There has been increasing interest in the media which has raised public awareness of this problem, but there has been very little literature aimed at helping hoarders until now. There is no one reason why individuals hoard. For some, the hoarding behaviours are a way of coping with an emotional trauma. For others, there may be a strong attachment to certain objects, or a belief that certain materials have value - such as books, magazines and newspapers. Hoarding behaviour can also be a learnt behaviour from growing up in a cluttered environment. Sometimes unusual items or objects are hoarded including faeces and urine. Hoarding is a common condition but little is known about it. Almost everyone has some hoarding traits but these may not manifest themselves to the extent that it causes disruption to a person's life and space. The true prevalence of hoarding is not clear however it appears to be a growing problem. With the increased attention that hoarding is getting more people are beginning to recognize that they may have a problem. This book fills an important gap for a dedicated book on hoarding disorder, and uses CBT tools to help people recover, and reclaim their space and their life.

Part of a two-component product with a companion client workbook, CBT for Hoarding Disorder: Therapist's Guide guides group leaders through a comprehensive CBT group program for patients struggling with hoarding disorder. Provides step-by-step, evidence-based guidance for treating hoarding disorder (HD) with a focus on proven methods for behavior change rather than complex cognitive interventions Contains the latest research on HD and emphasizes the cognitive, emotional, and motivational factors involved in discarding and decision-making Features an accessible, straightforward client workbook with coping cards that summarize key lessons, homework assignments, motivational tools, and practice exercises for decision-making and emotion regulation skills Easy to implement without home visits for professionals and group leaders of all educational backgrounds across a wide variety of treatment settings and disciplines

Animal abuse as a predictor of abuse against humans has been documented extensively. Societyaâ'¬s ever-rising violence has prompted experts to ask what alternatives are available to identify the early signs and stop the cycle. The International Handbook of Animal Abuse and Cruelty: Theory, Research, and Application is the authoritative, up-to-date compendium covering the historical, legal, research, and applied issues related to animal abuse and cruelty from scholars worldwide.\n

Hoarding is a serious, time-consuming, and expensive problem for virtually every community across the United States. First responders often encounter hoarding unexpectedly and are confused about how to resolve the wide range of problems, from public health and fire safety violations, to housing violations, to concern for the welfare of children, elders and animals. Sometimes solutions must be coordinated across several human service disciplines. The first of its kind, this handy guide is a nuts and bolts resource filled with case studies, tips and strategies, and easy-to-use suggestions for professionals responding to hoarding situations. Organized around the common ways hoarding captures the attention of social service providers, this user-friendly guide provides tools to assess the problem, to coordinate and delegate tasks among helping professionals, and to work directly with reluctant hoarders and those affected by the hoarding. Chapters give hands-on guidance and decision trees for who should be involved and what strategies are needed for each case. This book is compassionate and comprehensive, an invaluable reference for social workers and human service providers in a broad range of fields.

In Digging Out, two psychologists who specialize in compulsive hoarding show readers with a friend or family member who hoards how to use harm reduction, a proven-effective model, to help their loved one live safely and comfortably in his or her own home and improve their relationship with the hoarder.