The cat lady. The couple who won't let anyone in their apartment. The old man with all that junk in his yard. Their severe hoarding puts them, and often others, at risk for injury, disease, and even death. Most deny needing help, and for this reason, professionals are desperate to find more effective ways to offer and provide assistance to them. In response to this growing public health problem, Clinician's Guide to Severe Hoarding refines our understanding and presents in depth and innovative alternative to traditional interventions. Arguing that although treatment for hoarding can be effective for those who are open to help, people with severe hoarding are not. The Clinician’s Guide to Severe Hoarding describes an alternative strategy to help those who adamantly refuse help and yet face significant health and safety risks due to the hoarding problem – harm reduction. This client-centered approach takes readers through harm reduction plan development, team building, goal setting, client collaboration, and progress assessment. The Clinician’s Guide also explains that a successful harm reduction plan may encourage clients to seek further help, and offers insights into working with special populations such as people who hoard animals and children who exhibit hoarding behavior. The Clinician's Guide describes in detail a range of strategies for assisting people with severe hoarding: Strategies for engaging with clients who hoard. Guidelines for assessing harm potential. Guidelines for creating a harm reduction plan, building a harm reduction team, and conducting and evaluating home visits. Skills for client self-help: decision making, time management, and more. Guidelines for navigating the ethical and legal issues that arise in assisting people who hoard. Readings, links, and other resources. With its practical common-sense approach to a complex problem, Clinician's Guide to Severe Hoarding is a unique volume not only for mental health practitioners, but also other professionals who assist people who hoard, such as home health aides, social workers, and professional organizers.

Accounts of hoarding behaviors stretch back thousands of years--most recently depicted in popular reality television series--but it wasn't until the publication of DSM-5 in 2013 that hoarding was classified as a disorder in its own right rather than as a symptom of obsessive-compulsive disorder or obsessive-compulsive personality disorder. In this single source, readers can access the most up-to-date comprehensive information on what is known about the disorder. Drawing on both the authors' own clinical experience and published research, Hoarding Disorder: A Comprehensive Clinical Guide examines the phenomenology and etiology of the disorder, as well as psychotherapeutic and pharmacological treatments, challenges, and future directions. Appendices feature useful symptom rating scales that can be applied to practice. Whether readers are practicing psychiatrists, psychologists, or other mental health professionals; professionals in training; or peer support counselors and community advocates; all will benefit from the wealth of information in this volume--made more easily accessible through key points in each chapter--and find the guidance they need to effectively and compassionately treat patients with hoarding disorder.

The relationship people have with their possessions ranges from purely utilitarian to intensely emotional. For most people, their personal possessions provide them with a sense of security, comfort, and pleasure. However, if someone loses the ability to distinguish useful or important possessions from those that make life overly complicated, the objects can become a prison. For people who suffer from Hoarding Disorder (HD), the process of getting rid of unneeded objects is not easy. For them, possessions never "feel" unneeded and trying to get rid of them is an excruciating emotional ordeal. This Second Edition of Treatment for Hoarding Disorder is the culmination of more than 20 years of research on understanding hoarding and building an effective intervention to address its myriad components. Thoroughly updated and reflective of changes made to the Fifth Edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5), this second edition of the Therapist Guide and accompanying client Workbook outlines an empirically supported and effective CBT program for treating hoarding disorder. This Therapist Guide is written for mental health clinicians-psychologists, social workers, psychiatrists, counselors, and psychiatric nurses-to guide effective treatment of people with hoarding disorder. It provides numerous assessment and intervention forms to help clients use the methods described in the intervention. A major goal of the treatment is to recapture the positive role of possessions in the lives of people with hoarding problems, and strategies are outlined for sustaining gains and making further progress, as well as for managing stressful life events that can provoke problematic acquiring and difficulty discarding.

The problem of compulsive hoarding and acquiring is more widespread than commonly believed. It often goes undiagnosed, either because sufferers are ashamed of their compulsions or because they dont believe it is a problem that merits professional attention. As much as two percent of the U.S. population suffers secretly from this condition. However, compulsive hoarding can be an emotionally exhausting, uncontrollable, and sometimes dangerous problem. Written by the developers of this groundbreaking treatment, this manual is the first to present an empirically supported and effective CBT program for treating compulsive hoarding and acquiring. This guide gives clinicians the information to understand hoarding and proven tools to help clients overcome their compulsive behaviors. It teaches individuals how to recognize errors in thinking and uses both imagined and real exposures to teach them the skills they need to manage their problem. Home visits by the clinician are a part of the treatment, as well as consultations with other professionals who might assist if necessary. Homework exercises include behavioral experiments to test personal beliefs about possessions, developing an organization plan and filing system, and sorting and organizing items room-by-room. Designed to be used in conjunction with the corresponding workbook, this therapist guide provides numerous assessment and intervention forms to help clients use the methods described in this program. Complete with case examples and strategies for dealing with problems, this user-friendly guide is a dependable resource that no clinician can do without. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

This text is a complete, comprehensive overview of OCD and related disorders (trichotillomania, excoriation disorder, hoarding disorder, body dysmorphic disorder, and tic disorders). Based on the DSM-5, the book uses the latest evidence-based information regarding treatments including medication options, behavioral therapies, alternative treatments, and developments in surgical treatment.

This Therapist Guide describes an evidence-based group treatment for hoarding disorder (HD), which is a new DSM-5 diagnosis in 2013. This session-by-session group therapy guide is intended for mental health clinicians and students in professional training programs who are providing treatment to people with HD. Following a summary of recent clinical research on hoarding and acquiring and on the efficacy of group intervention, the book presents assessment and treatment-planning strategies, along with specific information on how to improve client motivation when insight wanes.

The first clinical guide to this psychiatric illness, officially recognized by the DSM in 2013. Everybody has heard the statements “she’s a pack rat” or “he’s a hoarder,” but how many of us really know what that means? Pathological hoarding was first formally conceptualized as a syndrome separate from OCD in the early 1990s, yet it wasn’t until 2013 that hoarding received formal psychiatric diagnostic criteria in the DSM. How can a mental health professional who sees clients in an office determine if hoarding is a factor in a client’s life? Here, Carol Mathews provides readers with the first-ever comprehensive clinical book on hoarding, covering every aspect of the disorder. Topics include: epidemiology and impact; screening tools and clinical interview tools for assessment; differential diagnosis and co-occurring disorders; when to suspect mild cognitive impairment and dementia; hoarding behaviors in children; how to differentiate normal keeping of items from hoarding; animal hoarding; the neurobiology of hoarding disorder; treatments, both psychopharmacological and otherwise; self-help options; and the impact of hoarding on the family.