J Clin Outcomes Manage
Helping patients with compulsive hoarding
Ayers CR, Espejo EP
Abstract: Objective: To review the application of cognitive behavioral therapy (CBT) for the treatment of compulsive hoarding. Methods: Presentation of treatment model with a case example. Results: Compulsive hoarding is a serious and disabling condition that increases in severity with age. CBT for compulsive hoarding includes components of motivational interviewing, problem solving, organizational skill building, cognitive restructuring, and exposure to discarding and acquiring. Through repeated exposures to discarding and acquiring, habitation occurs and urges to save and obtain items decrease. Directions for future research include combining medication and behaviorally focused or enhanced treatments for compulsive hoarding. Conclusion: CBT for compulsive hoarding may be useful. Patients will need to continue utilizing the skills learned in treatment for the rest of their lives.
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