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Case 28 - “My Whole Life Is in There!”

Hoarding Disorder

from Section 4 - Anxiety and Related Disorders

Published online by Cambridge University Press:  31 October 2024

Matthew Gibfried
Affiliation:
Saint Louis University School of Medicine, Missouri
George T. Grossberg
Affiliation:
Saint Louis University School of Medicine, Missouri
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Summary

Hoarding disorder is now considered one of the obsessive-compulsive and related disorders. It is thought to affect about 6% of those over the age of 70. Symptoms of hoarding disorder are thought to begin in young adulthood and increase in severity with age. Sufferers are likely to be diagnosed late in the course of their disease due to prominent lack of insight, shame, and social stigma. Complications of hoarding disorder include food contamination, malnutrition, medication mismanagement, falls, and eviction from the home. The best treatment outcomes have been shown with cognitive rehabilitation and exposure/sorting therapy. This treatment can be limited by availability of appropriately trained professionals and lack of insight by patients.

Type
Chapter
Information
Clinical Case Studies in Long-Term Care Psychiatry
Navigating Common Mental Health Challenges in Geriatric Care
, pp. 135 - 139
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

Davidson, E. J., Dozier, M. E., Pittman, J. O. E., Mayes, T. L., Blanco, B. H., Gault, J. D., Schwarz, L. J., & Ayers, C. R. (2019). Recent advances in research on hoarding. Current Psychiatry Reports, 21 (9), 91. www.ncbi.nlm.nih.gov/pmc/articles/PMC7294597/CrossRefGoogle Scholar
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Further Reading

Ayers, C. R., Saxena, S., Espejo, E., Twamley, E. W., Granholm, E., & Wetherell, J. L. (2014). Novel treatment for geriatric hoarding disorder: An open trial of cognitive rehabilitation paired with behavior therapy. The American Journal of Geriatric Psychiatry, 22 (3), 248252.CrossRefGoogle ScholarPubMed

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