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17 - Cognitive Behavioral Therapy for Hoarding Disorder

from Part Three - Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder and Associated Disorders

Published online by Cambridge University Press:  06 January 2022

By
Caitlin A. Stamatis ,
McKenzie K. Roddy  and
Kiara R. Timpano
Edited by
Gillian Todd  and
Rhena Branch
Gillian Todd
Affiliation:
University of East Anglia
Rhena Branch
Affiliation:
University of East Anglia
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Summary

Patients with hoarding disorder (HD) experience difficulties discarding that result in excess clutter in the home. HD causes distress and impairment for patients and family members and represents a significant public health burden, highlighting a need for treatment research. In this chapter, we provide an overview of cognitive behavioral therapy (CBT) for hoarding, a promising avenue to treat core HD features in a collaborative and time-limited manner. We begin by discussing etiological factors for HD, including familial features, information-processing deficits, and core beliefs about the self and possessions. Next, we describe HD assessment, including standardized measures and case conceptualization considerations. After discussing the research evidence for individual and group CBT for HD, we provide an overview of treatment components, including psychoeducation, motivational enhancement, skills training, behavioral exposures, cognitive techniques, and relapse prevention. Barriers to treatment are also considered. We end with a case vignette illustrating the successful application of CBT for HD in an individual outpatient setting.

Keywords

hoarding disordercognitive behavioral therapydifficulty discardingclutteracquiringexposurecognitive therapyskills trainingtreatment barriers
Type
Chapter
Information
Evidence-Based Treatment for Anxiety Disorders and Depression
A Cognitive Behavioral Therapy Compendium
 , pp. 341 - 364
Publisher: Cambridge University Press
Print publication year: 2022

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