March 2019 By

Hoarding Disorder

Hoarding Disorder is a mental disorder characterized by excessive acquisition and an inability or unwillingness to discard large quantities of objects that cover the living areas of the home and cause significant distress or impairment.


There is a community prevalence of 2-6%. Prevalence in the OCD population is about 30%. The rate of hoarding disorder increases with age. The mean age of onset of hoarding symptoms is age 13. The course of illness is typically chronic.

Criterion A
Criterion B
Criterion C
Criterion D
Criterion E
Criterion F


Specify if:

Severity Specifier

Specify if:

  • 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.[1] 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.

For Patients

For Providers