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Accounts of hoarding behaviors have appeared in literature, as far
back as 319 B.C.E. in the writings of Aristotle's student
Theophrastus; in the news, like New York's infamous Collyer
brothers in the 1940s; and more recently in popular reality
television series. But it wasn't until the publication of DSM-5 in
2013 that hoarding was classified as a disorder in its own right
rather than as a symptom of obsessive-compulsive disorder or
obsessive-compulsive personality disorder. In this single source,
readers can access the most up-to-date comprehensive information on
what is known about the disorder. Drawing on the authors' own
clinical experiences as well as the latest published research,
Hoarding Disorder: A Comprehensive Clinical Guide examines key
features of the disorder and treatment approaches, such as: *
Phenomenology, including diagnosis, comorbidities, and assessment*
Etiology, from both a cognitive-behavioral and a neurobiological
perspective* Psychotherapeutic and pharmacological treatments, from
cognitive-behavioral therapy, harm reduction strategies, and
community approaches to the efficacy of specific drugs* Challenges,
including working with elderly patients, managing cases of animal
hoarding, and distinguishing and addressing squalor Key points for
each chapter and numerous case studies will help readers easily
reference and retain information, and the appendices feature useful
symptom rating scales that can be applied to practice. For
psychiatrists, psychologists, human service and other mental health
professionals, peer support counselors, community advocates, and
professionals in training, this invaluable book will improve the
reader's knowledge and skill in treating patients with hoarding
disorder, both those with straightforward presentations and those
with complicated ones.
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.
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.
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