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.