People with hoarding disorder have persistent difficulty getting rid of or parting with possessions due to a perceived need to save the items. Attempts to part with possessions create considerable distress and lead to decisions to save them.
Personality. Many people who have hoarding disorder have a behavior style that includes trouble making decisions and problems with attention, organization and problem-solving. Family history. There is a strong association between having a family member who has hoarding disorder and having the disorder yourself.
Some researchers believe hoarding can relate to childhood experiences of losing things, not owning things, or people not caring for you. This might include experiences like: Money worries or living in poverty in childhood. Having your belongings taken or thrown away by someone.
Touching Items Without Permission: Hoarders have an unnatural attachment to the things that they have gathered. If a person tries to move the possessions without the hoarder's consent, the hoarder can become emotionally upset or angry.
Conclusions: Hoarding symptoms are associated with increased emotional contagion and decreased cognitive empathy. Empathy may be an avenue for understanding and treating interpersonal difficulties in hoarding disorder.
Mental health conditions most often associated with hoarding disorder include: Obsessive-compulsive personality disorder (OCPD). Obsessive-compulsive disorder (OCD). Attention-deficit/hyperactivity disorder (ADHD).
Don't refer to their possessions as 'junk' or 'rubbish'. This shows that you don't understand their connection to the objects or why they want to keep them. They will be less likely to open up to you if you talk about their things this way. Don't focus on a total clean-up.
Hoarding gets worse with age, which is why it's often associated with older adults, but it usually starts in childhood.
In addition to the core features of difficulty discarding and clutter, many people with hoarding disorder also have associated problems such as indecisiveness, perfectionism, procrastination, disorganization and distractibility.
Selective serotonin reuptake inhibitors (SSRIs) and serotonin/norepinephrine reuptake inhibitors (SNRIs) are most commonly used to treat hoarding disorder. A recent meta-analysis shows that treatment response to pharmacotherapy is similar to the response in obsessive-compulsive disorder (OCD).
Hoarding disorder is a mental health problem that a doctor can diagnose. But you might also experience hoarding as part of another mental or physical health problem. If you hoard, you might: Feel the need to get more things, even if you have a lot already.
As with most mental health disorders, hoarding disorder is a lifelong condition. However, the hoarding outlook doesn't have to be daunting. With treatment and the incorporation of coping mechanisms, someone with hoarding disorder can remain in recovery and feel comfortable in their home.
Hoarding behaviors can begin as early as the teenage years, although the average age of a person seeking treatment for hoarding is about 50. Hoarders often endure a lifelong struggle with hoarding. They tend to live alone and may have a family member with the problem.
The initial start of hoarding symptoms is thought to happen in childhood or adolescence (typical onset is around age 16) and it is chronic and progressive. Hoarding is more common in older than younger age groups. Below are some early signs that an individual may have hoarding behaviors.
Symptoms of hoarding include a focus on collecting goods, moodiness, aggression, and a desire to live alone.
Being the family member of a person with hoarding disorder (HD) can be very stressful. For those family members who live with the person with HD, such as a partner, child, sibling or dependent parent, living among the extreme clutter can cause a lot of physical and emotional difficulties.
Cognitive behavioral therapy is the first treatment recommended for hoarding disorder.
Two of the most common forms are cat hoarding and dog hoarding. However, a person can hoard any animal.
Hoarders generally experience embarrassment about their possessions and feel uncomfortable when others see them. Their clutter often takes over functional living space, and they feel sad or ashamed after acquiring additional items.
These results suggest that hoarders' decisions about possessions are hampered by abnormal activity in brain regions used to identify the emotional significance of things. “They lose the ability to make relative judgments, so the decision becomes absolutely overwhelming and aversive to them,” Tolin says.
Hoarding often runs in families and can frequently accompany other mental health disorders, like depression, social anxiety, bipolar disorder, and impulse control problems.
More than 70% of hoarders are women, many are elderly, and recidivism is nearly universal. Some hoarders are sociopaths indifferent to the concerns or needs of either people or animals, driven by a need to accumulate and control animals. Sometimes the hoarder calls her collection a shelter or animal refuge.