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Nature and Treatment of Hoarding

Presenter: Martin E. Franklin, Ph.D.
Download this webinar’s corresponding slides here.
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Dr. Franklin spoke about when collecting crosses over to clinically significant hoarding and how to approach this common problem. He discussed how to use cognitive behavioral techniques in regards to how to motivate the individual who doesn’t see the collecting as a problem or who is not ready to address the problem directly.

11 Responses to “Nature and Treatment of Hoarding”

At what point is it no longer just a collection of “memories” but becomes hoarding?

We hear of hoarding much more in the elderly, who thus by their age lived through the Depression–an experience which shaped many people to save, save, save. How does hoarding present differently in earlier ages?

All of the photos in your presentation show chaos, stuff plied all over. Most of it looks haphazard. Do hoarders ever store things successfully, put them in bins, stack on shelves? Is that the nature of the disorder that they don’t typically store things the way a collector would?

My daughter is diagnosed with OCD my son Tourettes. She seems to hoard a bit not as the tv shows show but still clothing, magazines are hard for her to give up. It is very neat though. She gets very upset if you move anything. She is 23 and has been through cognitive behavior therapy for the OCD If we try to remove stuff with her it is very hard for her to give it up. Is this the nature of the OCD or hoarding?

I had a patient with ADHD who had difficulty organizing himself to get rid of things. He had multiples and a very full garage that distressed his wife. Do ADHD and hoarding frequently co-exist? What treatment modifications would you suggest?

Can you please tell us which of the hoarding scales you mentioned are in the public domain?

Can it (hoarding) be a passive aggressive way to control environment and family?

Are there indicators in childhood for future hoarding? How do you tell the difference between normal collecting and a budding hoarder? (Child has OCD)

Are there behaviors in children as young as 8 that may be a warning sign for this type of hoarding?

Dear Dr. Franklin,

Which of the scales to assess hoarding behavior that you mentioned in yout talk (other than the YBOCS) are in the public domain such that they can be used by professionals?

Thank you.

It moves from a collection to hoarding when the space can no longer be used for its intended purpose, and when the clutter begins to cause functional impairment.

This discussion has been closed. Thank you to everyone who participated!