Understanding Hoarding Disorder and Available Treatments

Hoarding disorder is a mental condition characterized by the accumulation of an excessive amount of goods or possessions, an inability to discard them, and the resulting clutter that interferes with the intended use of living spaces. The disorder can manifest in the hoarding of items such as newspapers, magazines, books, clothing, food, trash, and other objects that most people consider worthless. It can happen to anyone, regardless of age, gender, or socio-economic status, and it can have a significant impact on a hoarder’s quality of life.

Understanding the Causes of Hoarding Disorder

The causes of hoarding disorder are still not fully understood. However, research indicates that hoarding disorder is likely caused by a combination of genetic and environmental factors. Some of the factors that have been shown to contribute to hoarding disorder include:

  • Stressful life events, such as the death of a loved one or a divorce
  • Traumatic experiences, such as physical or emotional abuse
  • Genetic predisposition to certain mental health disorders
  • Brain abnormalities, including differences in brain structure and activity
  • Personality traits, such as perfectionism or indecisiveness

Hoarding disorder often begins in childhood or adolescence and tends to worsen over time. It can be difficult to recognize the symptoms of hoarding disorder, as many people with the condition may not see their behavior as problematic or harmful.

Symptoms of Hoarding Disorder

The symptoms of hoarding disorder can vary from person to person, but common signs and symptoms include:

  • The inability to throw away or part with items, regardless of their value or usefulness
  • The accumulation of an excessive amount of items that clutter living spaces
  • The inability to use living spaces for their intended purpose
  • Giving up social activities, hobbies, or friendships due to hoarding behavior
  • Anxiety or distress when attempting to discard objects
  • Strong emotional attachments to possessions, even if they have no practical value

People with hoarding disorder may also experience depression, anxiety, and other mental health disorders as a result of their behavior. They may also struggle with social isolation and other negative consequences.

Treatment Options for Hoarding Disorder

Hoarding disorder can be challenging to treat, and it often requires a multi-faceted approach that addresses the underlying causes of the behavior. Some common treatment options for hoarding disorder include:

Cognitive Behavioral Therapy (CBT)

Cognitive-behavioral therapy (CBT) is a type of treatment that aims to help the person understand the thoughts and beliefs that underlie their hoarding behavior. CBT can help the person learn to develop more realistic beliefs about possessions and their value, and to develop new skills for managing their possessions in a more organized and efficient manner.

Exposure Therapy

Exposure therapy is a type of behavior therapy that involves gradually exposing the person to situations that trigger their anxiety about discarding possessions. Through exposure therapy, the person can learn to tolerate the feelings of distress and anxiety that arise when they are asked to discard items that they hoard.


Antidepressant medication may be prescribed to people with hoarding disorder to help alleviate some of the symptoms of depression and anxiety that are associated with the condition. However, medication alone is not an effective treatment for hoarding disorder.

Support Groups

Support groups can provide a safe and supportive environment for people with hoarding disorder to discuss their experiences and challenges with others who are going through similar struggles. Support groups can also offer practical tips and strategies for managing clutter and organizing possessions more effectively.

Professional Clutter Clean-Up Services

Professional clutter clean-up services can help people with hoarding disorder to clear out their living spaces and create a more organized and functional home environment. These services are typically provided by professionals who are trained in working with people who hoard, and who understand the unique challenges associated with the disorder.


Hoarding disorder is a complex and challenging condition that can have a significant impact on a person’s quality of life. However, with the right treatment and support, it is possible for people with hoarding disorder to regain control over their possessions and create a more comfortable and functional living space.

If you suspect that you or someone you know may have hoarding disorder, it is important to seek help from a mental health professional who is experienced in working with people who hoard. With the right support and treatment, it is possible to overcome hoarding disorder and achieve a better quality of life.


What is Hoarding Disorder Treatment?

Hoarding Disorder Treatment is a form of therapy designed to help people suffering from hoarding disorder. It involves a combination of cognitive-behavioral therapy, specialized support, and medication to help those with a hoarding disorder develop new behavior patterns and coping mechanisms.

What Are the Goals of Hoarding Disorder Treatment?

The primary goals of Hoarding Disorder Treatment are to reduce a person’s clutter, improve social relationships, and help them to live a functional life. The focus of the treatment is to change the thinking patterns and behaviors that lead to hoarding, improve decision-making skills, and reduce anxiety related to discarding items.

Who Can Benefit from Hoarding Disorder Treatment?

Hoarding Disorder Treatment is designed for people who have a persistent difficulty disposing of possessions, leading to clutter which can significantly impact their daily life. Treatment can be beneficial to anyone who is suffering from hoarding disorder, including people with other mental health disorders or physical health problems. It can also be useful for family members who are trying to support someone with hoarding disorder.


1. Tolin, D. F., Frost, R. O., Steketee, G., & Fitch, K. E. (2015). Family informants’ perception of insight in hoarding disorder: A preliminary investigation. Journal of Obsessive-Compulsive and Related Disorders, 7, 70-73. doi: 10.1016/j.jocrd.2015.06.002

2. Mataix-Cols, D., Frost, R. O., Pertusa, A., Clark, L. A., Saxena, S., Leckman, J. F., & Stein, D. J. (2010). Hoarding disorder: a new diagnosis for DSM-V? Depression and Anxiety, 27(6), 556-572. doi: 10.1002/da.20697

3. Steketee, G., Frost, R. O., & Kyrios, M. (2003). Cognitive aspects of compulsive hoarding. Journal of Cognitive Psychotherapy, 17(4), 389-403. doi: 10.1891/jcop.17.4.389.55567