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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.
While most people find it relatively easy to manage their
possessions, some find it extremely difficult. If you have a
problem resisting the urge to acquire and you find your home
cluttered and filled to capacity with items many people would find
useless and unnecessary, you may suffer from a condition known as
hoarding disorder. Hoarding is a behavioral problem consisting of
clutter, difficulty discarding items, and excessive buying or
acquiring. Hoarding is often associated with significant reduction
in quality of life, and in extreme cases, it can pose serious
health risks. If you or a loved one has hoarding disorder, this
book can help. This fully updated Second Edition of Buried in
Treasures outlines a scientifically based, effective program for
helping those with hoarding disorder dig their way out of the
clutter and chaos of their homes. Written by scientists and
practioners who are leaders in studying and treating hoarding
disorder, this book outlines a program of skill-building, learning
to think about possessions in a different way, and gradual
challenges to help people manage their clutter and their lives. It
also provides useful information for family and friends of people
who hoard, as they struggle to understand and help. Discover the
reasons for your problems with acquiring, saving, and hoarding, and
learn new ways of thinking about your possessions so you can decide
what you really need and what you can do without. Learn to identify
the "bad guys" that cause and maintain your hoarding behavior and
meet the "good guys" who can help motivate you and put you on the
path to change. Useful self-assessments will help you determine the
severity of your problem. Training exercises, case examples,
organizing tips, and motivation boosters help change the way you
think and behave toward your possessions. This book provides
easy-to-understand strategies and techniques that anyone can use.
Hoarding disorder is the excessive saving of objects and difficulty
parting with them to a point that interferes with one's ability to
properly use rooms and furnishings in the home. Hoarding can become
dangerous, sometimes resulting in structural problems and fires, or
in hazardous sanitary conditions. Studies indicate that around one
in every 25 people suffers from hoarding. This means that almost
all of us know someone who hoards. Hoarding: What Everyone Needs to
Know demystifies this complex problem, what it looks like and why
it may develop, and how it can be treated. With their combined
expertise in psychological treatments for hoarding and community
interventions, Drs. Steketee and Bratiotis explain how to
understand hoarding as a mental illness, describing the disorder in
layman's terms and explaining the various facets and manifestations
of the behavior. Chapters focus on one or more common questions
regarding diagnosis, features, how to assess severity, and
treatment. The book will dispel myths and help readers identify
hoarding that touches their own lives. As such it will be of great
value not only to those who suspect a loved one may be hoarding,
but also to first responders, such as firefighters, public health
officials, and housing and social service personnel, who will find
here an essential resource for use in the field.
Presenting an effective treatment approach specifically tailored to
the unique challenges of body dysmorphic disorder (BDD), this book
is grounded in state-of-the-art research. The authors are experts
on BDD and related conditions. They describe ways to engage
patients who believe they have defects or flaws in their
appearance. Provided are clear-cut strategies for helping patients
overcome the self-defeating thoughts, impairments in functioning,
and sometimes dangerous ritualistic behaviors that characterize
BDD. Clinician-friendly features include step-by-step instructions
for conducting each session and more than 50 reproducible handouts
and forms; the large-size format facilitates photocopying. See also
the related self-help guide by Dr. Wilhelm, Feeling Good about the
Way You Look, an ideal recommendation for clients with BDD or less
severe body image problems.
The Oxford Handbook of Obsessive Compulsive and Spectrum Disorders
reviews current literature on obsessive compulsive disorder and its
associated spectrum conditions -- body dysmorphic disorder,
hoarding, trichotillomania, tic disorders, and Tourette's Syndrome.
Authored by leading experts in these fields, these 27 chapters
summarize and synthesize current findings, providing an
authoritative guide for practice and research in this unique
subject area.
With sections dedicated to phenomenology and epidemiology,
biological features, genetic factors, neurological features, and
cognitive processing models for understanding how people with OCD
and spectrum conditions respond to information. Authors then
examine family and social relationships and personality features,
and how these factors can affect an individual with an OC spectrum
disorder, especially older adults, children, and adolescents.
Theoretical models for understanding these disorders and newer
experimental therapies for treating them are also presented. A
final chapter examines some of the most challenging research issues
and understudied aspects of these psychiatric problems, especially
hoarding, with hopes that this volume will encourage original
research performed by practitioners.
Obsessive compulsive disorder (OCD) has perplexed clinicians and
researchers for many years. Despite recent advances in our
understanding of and ability to treat this debilitating problem,
many people with OCD do not benefit or benefit only marginally from
existing treatments. Newer approaches and a better understanding of
the pathogenesis of OCD are needed. One such approach that has
shown considerable promise in recent years is cognitive therapy.
Recent studies have found cognitive therapy to be an effective
treatment for OCD, and research on cognitive theory for OCD is
rapidly expanding. This volume assembles nearly all of the major
investigators responsible for the development of cognitive therapy
(and theory) for OCD, as well as other major researchers in the
field to write about cognitive phenomenology, assessment,
treatment, and theory related to OCD. Each chapter of the book is
written by an expert in the area. The first section of the book
describes the domains of cognition in OCD and the subsequent
section outlines measurement strategies where the efforts of an
international working group of scholars to develop measures of OCD
cognition are described. Reviews of OCD cognitions in OCD spectrum
disorders and in specific populations (for example, the elderly and
children) are reviewed in following sections. Finally, the role of
these cognitions and cognitive processes in treatment is described.
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: DT receive education about HD and about the CBT
model DT discuss therapy goals and personal values DT practice
motivational enhancement methods including identifying barriers to
progress DT receive training in organizing and problem-solving
about hoarding problems DT learn cognitive therapy strategies to
reduce problematic hoarding beliefs and to replace acquiring with
more adaptive behaviors DT practice sorting, removing clutter, and
not acquiring, beginning with easier tasks DT 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.
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