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Treatment of Hoarding Disorder - International OCD Foundatio

Treatments for Hoarding Hoarding, either alone or in the presence of OCD, usually does not respond well to medical or psychological treatments. 2  A number of studies have examined the effectiveness of selective serotonin reuptake inhibitors (SSRIs), such as Paxil (paroxetine), in the treatment of hoarding Research on medications for hoarding disorder (HD) has focused on serotonin reuptake inhibitors (SRI) because they have proven useful for obsessive compulsive disorder (OCD) which is considered to be a related disorder per the DSM-5. There is some disagreement about whether hoarding behavior improves with serotonergic drugs The main treatment for hoarding disorder is cognitive behavioral therapy. Medications may be added, particularly if you also have anxiety or depression

In fact, approximately 25% of individuals with OCD also exhibit hoarding compulsions. The relationship between the two disorders is not entirely clear, and typical OCD treatments do not always improve hoarding symptoms. Treatment for Hoarding. Therapy. Treatment for Hoarding involves cognitive behavioral therapy (CBT) and/or medication Hoarding is the persistent difficulty discarding or parting with possessions, regardless of their actual value. The behavior usually has deleterious effects—emotional, physical, social, financial, and even legal—for a hoarder and family members. For those who hoard, the quantity of their collected items sets them apart from other people Recognize hoarding as a defined illness. Hoarding used to be viewed as a personality quirk or as a subset of another mental health condition like obsessive compulsive disorder (OCD). However, hoarding is now a specifically defined disorder in the DSM-5, the most recent edition of the essential manual for mental health professionals in the U.S Though the hoarding symptom had been regarded as a subtype of obsessive-compulsive disorder (OCD) to date, recent studies have revealed many differences in clinical characteristics, including onset, course, degree of insight, and treatment responses, between hoarding and other subtypes Scientists continue to research effective medications for treating hoarding disorder. The most commonly used medicines in treating the condition are known as selective serotonin reuptake inhibitors (SSRIs) like paroxetine (Paxil ®). Unfortunately, patient response to this and other SSRIs isn't as positive as when doctors use them to treat OCD

Hoarding Disorder and a Systematic Review of Treatment

Treatment for hoarding disorder requires professional care. Because hoarding often falls under the category of OCD, the best clinically-proven way to address hoarding is with Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP). CBT helps clients to understand the errors in thought that lead to hoarding behaviors Treating obsessive-compulsive disorder and hoarding on their own is hard enough, but treating these co-occurring disorders together requires a truly personalized treatment plan. Without treatment, both disorders can cause severe distress, create an unsafe living environment, and have the potential to completely take over an individuals life The primary treatments for compulsive hoarding include psychotherapy, pharmacotherapy, and a combination of both The best course of treatment for hoarding OCD, like all types of OCD, is exposure and response prevention (ERP) therapy. The idea behind ERP is that repeated exposure to obsessive thoughts without engaging in compulsions is the most effective way to treat OCD

OCD and Hoarding — The OCD Treatment Centr

Background: The value of defining subtypes in obsessive compulsive disorder (OCD) has become an important issue for recent debate. Probably the most robust example of subtyping is the identification of hoarding as being different both in terms of psychopathology and response to treatment Hoarding 101 by Gail Steketee, PhD, LCSW and Randy Frost, PhD. This webinar will cover the symptoms, diagnosis, and treatment of Hoarding Disorder. The lecture includes descriptions of various hoarding behaviors, the underlying emotional dysregulation, and barriers towards treatment

Compulsive Hoarding & Cognitive Behaviour Therapy (CBT) CBT is a highly effective treatment for OCD. More often than not, six sessions of CBT training yield results. Unfortunately, this is not the case with compulsive hoarders. The response rate to CBT is poor among hoarders Children and young people can also suffer from Obsessive-Compulsive Disorder. This section will be updated with information, advice and features for children and young people (up to age 18). Our new pocket sized guide for young people. OCD-UK Young Ambassadors. OCDUKYA Video for the recently diagnosed

Compulsive Hoarding Treatment - Verywell Min

  1. Behavioral Treatment for Compulsive Hoarding. Compulsive hoarding is a disorder that is commonly linked with obsessive compulsive disorder (OCD) and can lead to numerous complications in a person's life and even lead to severe health problems.. Dangers of Compulsive Hoarding. Compulsive hoarding can result in other complications to occur in a person's life, for example, a person may.
  2. Hoarding Behavior Therapy Training Institute in Boston. An In-Depth 3-Day Training Program in State-of-the-Art Treatment for Hoarding Disorder. The new Hoarding BTTI is an in-depth three-day intensive training course for mental health professionals who are treating individuals with Hoarding Disorder (HD). The Hoarding BTTI was developed to help address the shortage of therapists properly.
  3. Background: We describe the demographic characteristics, hoarding phenomenology, comorbid disorders, family histories, and treatment response of 20 adult obsessive-compulsive disorder (OCD) patients exhibiting hoarding behavior. Method: We utilized the Structured Clinical Interview for DSM-III-R, the Yale-Brown Obsessive Compulsive Scale, and a semistructured interview to gather data
  4. All hoarding leads to a sad outcome, but the saddest of all is the animals who die in an environment of neglect, filth, and stressful overcrowding as innocent prisoners of well-intentioned but misguided love. These animals are innocent victims, enduring tragic lives with people who are equally trapped. Treatment Option

Treatment of HD - Medication - Hoardin

Compulsive hoarding is a syndrome characterized by excessive collecting and saving behavior that results in a cluttered living space and significant distress or impairment. 1 In the past decade, there has been a notable increase in research on hoarding, including its phenomenology, pathophysiology, and treatment approaches. This surge in interest has been coupled with contention regarding key. Hoarding treatment begins with a person acknowledging the underlying problems that fuel hoarding behavior. The reasons for hoarding differ depending on the person, and treatment is challenging because people who hoard often do not realize their behavior is a problem or they are socially isolated and ashamed due to the condition of their home

Hoarding disorder - Diagnosis and treatment - Mayo Clini

  1. g others, anxiety, and is often combined with hoarding. Take an self-test, find a treatment program, and get online help for hoarding
  2. Treatments for hoarding. Although hoarding task forces aren't focused on mental health treatment, there is evidence that psychotherapy is helpful in treating the disorder. So far, cognitive-behavioral therapy (CBT) is the most well-studied intervention for hoarding
  3. Carol R. Hevia, PsyD, is an assistant psychologist at the Obsessive Compulsive Disorder Institute at McLean Hospital and an instructor in psychology in the Department of Psychiatry at Harvard Medical School. For more information on getting treatment for disorders like hoarding visit our OCD Treatment page
  4. g others, anxiety, and hoarding. Take an self-test for OCD, find a treatment program, and get online help
How to Cure Compulsive Hoarding Disorders at Home - YouTube

Hoarding - Center for OCD and Related Disorder

Hoarding was commonly considered to be a type of OCD. Some estimate that as many as 1 in 4 people with OCD also have hoarding. Recent research suggests that only 1 in 5 individuals who hoard have non-hoarding OCD symptoms, and that hoarding is a distinct disorder The main type of treatment for hoarding is psychotherapy, sometimes combined with medication to help minimize symptoms. Cognitive behavioral therapy is the most effective way to treat hoarding because it helps patients challenge the thoughts and beliefs that cause them anxiety in relation to their possessions Subsequent to this article's publishing hoarding disorder has now been reclassified apart from being a type of OCD. Hoarding Disorder Has Been Reclassified As Separate Illness (sui generis) hoarding disorder is determined to be a separate illness in the DSM-V, and hoarding disorder treatment is likely to change. This particular study that was.

Describe treatment options for hoarding. 9.5.1. OCD 9.5.1.1. Exposure and Response Prevention (ERP). Treatment of OCD has come a long way in recent years. Among the most effective treatment options is exposure and response prevention (March, Frances, Kahn, & Carpenter, 1997). First developed by psychiatrist Victor Meyer (1966), as you might. OCD Program Clinic for OCD, Anxiety and Related Disorders. For more information or to schedule a consultation please call 352.265.HELP(4357) The UF OCD Program is located at the UF Health Springhill 2 | 4197 NW 86th Terrace in Gainesville, FL 32606. The University of Florida Obsessive -Compulsive Disorder (UFOCD) Program is the leading clinical program for the evaluation and treatment in the. Hoarding is a disorder that involves a compulsive need to keep objects, trash or animals. A level 1 hoarder has only small amounts of clutter, while a level 2 hoarder's home has noticeable odors and waste. A level 3 hoarder has visible clutter outside the home, but a level 4 hoarder may have poor hygiene and bathing habits

Hoarding: The Basics Anxiety and Depression Association

Hoarding: Treatment, symptoms, and personal impact/costs Exposure Therapy's Most Common Mistake: All Eggs in the Habituation Basket Does Non-Avoidance = Exposure? No! Anxiety Disorder Treatment Principles for OCD, Panic, Social Anxiety, & Phobias. OCD perfectionism & social anxiety treatment: Tweet your way to greater health Therapy as Science: You + Your Therapist + Scientific Method Fear. OCD intensive treatment/therapy is also ideal for out-of-town patients who wish to work with Dr. Seay. Our intensive treatment programs are evidence-based, time-limited, and designed to help you quickly manage your symptoms. Specific programs exist for obsessive-compulsive disorder (OCD), panic, hoarding, phobias, and other anxiety disorders.

PPT - Definition of Hoarding* PowerPoint Presentation

How to Treat Hoarding Disorder: 11 Steps (with Pictures

Hoarding may persist for a lifetime, but effective treatment can help reduce the need to hold on to unnecessary items; it can also improve decision-making, stress-reducing, and organizational skills OCD Treatment at UCLA. The UCLA Obsessive-Compulsive Disorder (OCD) Intensive Treatment Program is designed for people who have moderate to severe OCD and/or Hoarding Disorder. For OCD, our approach integrates cognitive-behavior therapy, and specifically exposure and response prevention (ERP) As the childhood hoarding literature is scant, the prevalence, trajectory and prognosis of the behavior are unknown. To date, research regarding hoarding in children is primarily focused on obsessive compulsive disorder (OCD) populations, where hoarding behavior is a symptom presentation of OCD (Storch et al., 2007). However a case series. Hoarding Treatment Group: We are pleased to be offering The Buried in Treasures Workshop, led by Julieanne Pojas, PsyD,. This is a therapist-led, CBT-based Workshop that teaches skills to help people overcome the clutter in their lives. The group will meet for 16 weeks in evenings. Please contact The Buried in Treasures Workshop at 847-559-0001.

Pathophysiology and treatment of hoarding disorde

Hoarding disorder is a persistent difficulty discarding or parting with possessions because of a perceived need to save them. A person with hoarding disorder experiences distress at the thought of getting rid of the items. Excessive accumulation of items, regardless of actual value, occurs. Hoarding often creates such cramped living conditions. The Anxiety Treatment Center is the first & only treatment program in California and the U.S. that offers Partial Hospitalization, Intensive Outpatient Treatment, a Hoarding Disorder Program. New research shows that cognitive-behavioral therapy (CBT) is helpful in treating OCD in children who also have hoarding symptoms. 1 In a study at the UCLA Child OCD, Anxiety, and Tic Disorders Program directed by John Piacentini, PhD, a total of 215 patients whose ages ranged from 7 to 17 years with primary OCD diagnoses. A subset of 134 youth took part in clinical trials where they received.

Hoarding Treatment: Help for Hoarding HealthyPlac

OCD and Hoarding - Separated at DSM-V. OCD and hoarding aren't as closely related as experts once believed. The Diagnostic and Statistical Manual, Fourth Edition - TR (DSM-IV-TR) classifies hoarding as a possible symptom of obsessive-compulsive disorder. But the new DSM-V separates the two, classifying hoarding disorder as a separate diagnosis However, a recent prospective trial of paroxetine did not find any difference between patients with hoarding OCD versus non-hoarding OCD. 20 Hoarding has consistently been associated with poor response to cognitive-behavioral therapy (CBT). 18 Multimodal treatment combining pharmacotherapy, including SRI-antipsychotic combination, intensive. Antidepressant medications (including SSRIs and SNRIs) may have limited potential as a treatment for hoarding, particularly when a person has another mental health condition such as obsessive-compulsive disorder (OCD). Psychostimulants and cognitive enhancers are also being investigated as possible treatments.  The Center for OCD and Related Disorders at the Massachusetts General Hospital/Harvard Medical School is one of the oldest and largest psychiatric specialty clinics in the world. LEARN MORE We specialize in the treatment and research of obsessive compulsive (OC) and related disorders

How far will 'Hoarders' go for our entertainment

Traditionally, hoarding has been associated with a mental health condition called obsessive-compulsive disorder (OCD). OCD is a condition characterized by obsessions that lead to compulsive behaviors Results: Of the participants, 54 patients were found to have compulsive hoarding. Hoarders were significantly more likely than non-hoarding patients to have more severe psychopathology including elevated severity of OCD symptoms, poorer insight, higher prevalence of comorbid schizotypal or obsessive-compulsive personality disorder, closer association with symmetry dimension, and poorer. The onset of hoarding usually occurs between ages 11 and 15 and in most cases progressively worsens as a person ages. Research has shown that difficult life experiences, like the death of a loved one, disability or illness, trigger or worsen hoarding behaviors. The average age of an individual pursuing treatment for a hoarding disorder is about 50 Hoarding disorder, the excessive collection of items and difficulty parting with them, is another behavioral pattern that is closely associated with anxiety and OCD. Hoarding often creates such cramped, dangerous and unsanitary living conditions that homes may be filled to capacity, with only narrow pathways winding through stacks of clutter

Hoarding Disorder Causes, Symptoms, Diagnosis and

OCD and ADHD are distinct but also comorbid disorders that can share similar symptoms, behaviors, and outcomes - for opposing reasons. This overlap can complicate diagnosis and treatment for patients with both conditions. It's essential for clinicians to understand the OCD-ADHD interplay, as well as treatment considerations when the two disorders are present Intensive Treatment. Our evidence-based intensive treatment programs are designed to quickly address your symptoms. We offer specific programs for obsessive-compulsive disorder (OCD), panic, hoarding, & other anxiety disorders. Treatments are developmentally-tailored for all ages, including kids, teens, & adults

Hoarding and Obsessive Compulsive Disorder - PCH Treatmen

Compulsive hoarding, also known as hoarding disorder, is a behavioral pattern characterized by excessive acquisition of 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. Compulsive hoarding behavior has been associated with health risks, impaired functioning, workplace impairment. Treatment of Karron M. Maidment Compulsive Hoarding Compulsive hoarding and saving symptoms, found in many patients who have obsessive-compulsive disorder (OCD), are part of a clinical syndrome that has been associated with poor response to antiobsessional medications and cogni-tive-behavioral therapy (CBT) Afrikaner OCD patients with hoarding symptoms than Afrikaner non-hoarding OCD patients or con-trols.23 Strong linkage of compulsive hoarding to a marker on chromosome 14 was found in families with early-onset OCD.24 These findings suggest that compulsive hoarding is a genetically discrete phe-notype.17 Hoarding Secondary to Brain Lesion

CBT techniques for OCD hoarding include making a schedule to structure each day, and each week. The schedule should include many of the chores and activities that hoarders tend to push off, such as folding laundry, sorting through junk mail, and taking out the garbage. Therapists also encourage former hoarders to develop interests and hobbies. ofobsessive-compulsivedisorder(OCD),muchoftheresearch on hoarding has used samples drawn from patients seeking treatment at OCD specialty clinics. However, reviews of ac-cumulating evidence have led to conclusions that the two are distinct disorders.[1,7] As most large sample studies are of hoarding within the context of OCD, our. Hoarding is a unique compulsion, so different from others that the DSM 5 now designates it as a separate disorder rather than a specific form of obsessive-compulsive disorder, as it was covered in earlier editions. Heather M. Chik, Ph.D., who gave a presentation at the Indiana Psychological Association's Fall Conference, said hoarding is so different [

It is important to know that once the treatment team was able to help this woman give up her hoarding symptoms through the use of behavior modification, she still had to face the even bigger challenge of finding meaning in her life. In my opinion, the search for meaning is a part of each person's quest in this life The chemical serotonin has been found to play a key role in disorders such as obsessive-compulsive disorder, depression, anxiety and other mental illnesses. These are all connected to hoarding. The brain, if damaged in development or through an injury, can create hoarding behaviors Unlike hoarding, which was officially a professor of psychiatry at Harvard Medical School and the founder of the OCD treatment program at Massachusetts General Hospital. So you do it again. When it comes to anxiety, sometimes a higher level of care is needed. Typically, individuals may do 2-4 sessions a week. I have created a more intensive protocol for those who suffer with OCD, PANDAS/PANS, social anxiety, generalized anxiety disorder and hoarding disorder

Intensive Treatment While more mild cases of OCD can be treated via outpatient visits with doctors, sometimes more severe cases are best treated with intensive inpatient/outpatient treatment. Find an intensive treatment program at. Collecting/Hoarding. Repeated Cleaning Hoarding disorder is also associated with distinct abnormalities of brain function and neuropsychological performance, distinct from those seen in people with OCD or other disorders. Symptoms of hoarding, such as difficulty discarding items, usually start during the teen years. The average age at onset of first symptoms is 13 Hoarding disorder was newly included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) , replacing the conceptualization of extreme hoarding in DSM-IV as a form of obsessive-compulsive disorder (OCD) . As a more recently specified mental disorder, there is less research available on hoarding disorder and. While the media has created more visibility for mental health issues, it also tends to create and maintain harmful stereotypes that misinterpret actual behaviors, specifically hoarding, a type of obsessive compulsive disorder (OCD), to extremes. Movies and TV present OCD as quirky or fun Until recently, compulsive hoarding was believed to be a subtype of OCD. However, recent research suggests that although OCD and hoarding share some traits, they are in fact separate problems. Hoarding disorder involves considerable difficulties with getting rid of possessions due to beliefs about needing to save them and/or the distress that.

How Obsessive Compulsive Disorder and Hoarding Are Related

Hoarding has not yet been identified to be an official, distinct disorder. However, it has been diagnosed as a possible subtype or symptom of obsessive compulsive disorder (OCD). Therefore, the treatment most commonly used in treating OCD, cognitive behavior therapy, is used as a treatment of hoarding Hoarders are often less responsive to treatment than non-hoarding OCD patients. Dr. Nestadt offers six anti-clutter strategies for compulsive hoarders: Make immediate decisions about mail and. A combination of medication and CBT appears to be the most effective treatment regimen for most people with the compulsive hoarding syndrome. By the end of the therapy sessions the sufferer may. Youth with obsessive-compulsive disorder and hoarding symptoms do not have worse severity, impairment, or treatment outcome; however, they may have greater rates of diagnostic comorbidity

Hoarding Disorder: Diagnosis and Treatmen

The National Institute for Health and Care Excellence (NICE) - the organisation that produces guidelines on best practice in health care - hasn't issued treatment guidelines for hoarding disorder. However, the guidelines for treating OCD also mention hoarding because they used to be grouped together.. They say: You should be offered evidence-based treatments such as cognitive behavioural. Special. OCD behavior is a way of further distinguishing an NPD from the pack and placing them in special status. Knows the OCD behavior isolates them; doesn't like being thought of as special. Detaching excessive (compulsive) hoarding would ensure that RCT's of treatment for OCD routinely exclude cases in which hoarding is a significant problem. It would ultimately discourage the use of psychometric tools that were designed to assess obsessive-compulsive disorder, when addressing hoarding For a subset of 25 patients (19 compulsive hoarders and 6 non-hoarding OCD patients), the severity of compulsive hoarding symptoms was specifically quantified before and after treatment, using the UCLA Hoarding Severity Scale (UHSS - unpublished), a 10-item, clinician-administered scale that assesses the presence and severity of various components of the compulsive hoarding syndrome. Compulsive hoarding, or pathological hoarding or disposophobia, is the excessive acquisition of possessions and failure to use or discard them, even if the items are worthless, hazardous, or unsanitary. Compulsive hoarding impairs mobility and interferes with basic activities, including cooking, cleaning, showering, and sleeping. Hoarding can be a symptom of obsessive-compulsive disorder (OCD.

What Is Hoarding OCD? NOC

Pharmacotherapy of OCD. Clomipramine, the tricyclic antidepressant that is the most specific inhibitor of serotonin reuptake, was first shown to be efficacious in the treatment of obsessive compulsive symptoms in uncontrolled trials in the 1960s. 34,35 Controlled trials later clearly established the efficacy of clomipramine. 36,37 The introduction of selective serotonin reuptake inhibitors. The Pediatric Psychiatry Obsessive-Compulsive Disorder (OCD) and Tic Disorders Program is a specialized program within the OCD and Related Disorders Program that provides evaluation and, when deemed appropriate, pharmacological treatment options for children and adolescents with obsessive-compulsive disorder, tic disorders and associated co.

The hoarding behavior cannot be better explained by some other mental health disorder (e.g., obsessive-compulsive disorder, a psychotic disorder, some type of cognitive problem, autism spectrum disorder, etc.), a medical condition (e.g., a brain injury), or simple decreased energy as a result of some other mental health disorder or physical. Hoarding is no longer considered a type of obsessive compulsive disorder (OCD), but 20 percent of people with hoarding disorder also have OCD, and are likely to collect strange objects like trash, feaces urine, nails, hair and rotten food (DSM-5) Dr. Robin Zasio, Psy. D., LCSW has been specializing in treating OCD, anxiety disorders, and related conditions for the past 20 years utilizing Cognitive Behavioral Therapy and Exposure and Response Prevention techniques.After developing a thriving private practice, she developed The Anxiety Treatment Center in 2005, and later, The Cognitive Behavior Therapy Center and The Compulsive Hoarding. Hoarding disorder is a mental health disorder in which people save a large number of items whether they have worth or not. Typical hoarded items include newspapers, magazines, paper products, household goods, and clothing. Sometimes people with hoarding disorder collect a large number of animals. Hoarding disorder can lead to dangerous clutter

CBT is a problem focused treatment which utilizes research proven techniques. CBT has been at the forefront of the treatment of anxiety, OCD, hoarding, and related disorders. There is an art as well as a science to treatment, and Dr. Schwalberg incorporates deeper issues and works on multiple levels as appropriate. Ohi Different responses to treatment; OCD rates tend to be stable at about 2% in all age groups, with severity staying relatively static over time, while hoarding disorder appears to be progressive with the overall prevalence between 2 to 4%, increasing to over 6% in individuals age 55 or older and severity worsening over time Hoarding Help. Australians are able to receive psychological treatment subsidised by Medicare if they are assessed by their doctor as eligible for a Mental Health Care Plan. You can have phone counselling and/or online video consultations from wherever you live in Australia, so you can access treatment with Catherine without leaving your home Compulsive hoarding can begin as early as a person's teenage years, but usually doesn't become severe until adulthood. Adults between the ages of 55 and 94 are three times more likely to have a diagnosable hoarding disorder than adults between 34 and 44 years old.. Types of Hoarding. While there are many types of hoarding, the most easily recognized form of hoarding is the hoarding of. OCPD vs. OCD. by MedCircle | Sep 22, 2020 | OCD & Hoarding, Personality Disorders. Although the terms are often used interchangeably, OCPD and OCD are two dramatically different mental health conditions. OCPD is a personality disorder characterized by rigid adherence to rules and order. OCD is an anxiety disorder defined by the desire to.

5 Diagnostic Updates to Obsessive-Compulsive DisorderHoarding PresentationEffects of Compulsive Skin Picking, Chronic Skin PickingSymptoms of Trichotillomania DisorderParaphilias

Hoarding Disorder. Feb 19 • 2019. Hoarding Disorder is new to the most recent edition of the clinician's diagnostic manual (DSM-5), with hoarding previously categorized as a subtype of obsessive-compulsive disorder (OCD). Although approximately 30% of individuals with OCD report hoarding behaviors 1, fewer than 20% of people with HD have OCD 2 Obsessive-compulsive Disorder. Obsessive-compulsive disorder (OCD) is characterized by repetitive, unwanted, intrusive thoughts (obsessions) and irrational, excessive urges to do certain actions (compulsions). Although people with OCD may know that their thoughts and behavior don't make sense, they are often unable to stop them Focusing on OCD compulsive behaviors, ABAs can identify an antecedent stimulus, a behavior, and a consequence (ABC) to develop a treatment plan for specific compulsive behaviors. Using behavioral activation (BA), applied behavioral analysts can assist people with OCD to set goals to moderate their compulsive behaviors Treatment usually involves psychological therapy in the form of cognitive-behavioral therapy (CBT) with weekly sessions over 20 to 26 weeks. [] Often these sessions incorporate home visits with a therapist [] combined with between-session homework. A study of persons with hoarding disorder who received 26 individual sessions of CBT, including frequent home visits, over a 7-12 month period. In DSM-IV, extreme hoarding was described as a manifestation of obsessive-compulsive disorder (OCD), leading to the widespread conceptualization of hoarding as a symptom dimension of OCD. Research, however, has found that most individuals who show hoarding behavior do not endorse other symptoms of OCD and has further delineated the. Dr. Steketee has published over 200 articles and chapters, as well as 12 books, including therapist guides for treating OCD and compulsive hoarding. Her book, Stuff: Compulsive Hoarding and the Meaning of Things , co-authored with Randy Frost is a New York Times non-fiction best seller