Hoarding Disorder

Hoarding Disorder is a mental disorder characterized by persistent difficulty discarding or parting with possessions (regardless of their actual value) due to a strong perceived need to save the items. There is also associated distress associated with discarding these items.

Epidemiology

There is a community prevalence of 2-6%.[1] Prevalence in the OCD population is about 30%. The rate of hoarding disorder increases with age. The mean age of emergence of hoarding symptoms is age 13, but the average age of treatment is at age 50.[2] The course of illness is typically chronic. Individuals typically have a low marriage rate and high divorce rate.

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Specifiers

Specifiers

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Severity Specifier

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Hoarding vs. Collecting

Hoarding disorder differs from the normal collecting of items. In hoarding disorder, there is a large number of possessions that clutter active living areas to the point that the area is substantially compromised (and often poses a fire or safety risk).
  • Clutter Image Rating Scale
  • Savings Inventory-Revised
  • HOMES Scale

There is inconsistent evidence for the role of medications, particularly SSRIs in the treatment of hoarding.[3] In general, for people who do respond, the responses to SSRIs are poorer than those with OCD alone. The current approach is to attempt a trial of SSRIs or CBT, which can be helpful for hoarding.

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Research