Psychiatry Fast Five Quiz: Test Your Knowledge of Hoarding Disorder

Stephen Soreff, MD


March 10, 2017

CBT, the primary form of psychological therapy for hoarding disorder, typically involves weekly sessions over 20-26 weeks. These sessions often incorporate home visits with a therapist combined with between-session homework. Home visits are particularly valuable for monitoring the patient's progress. A study of persons with hoarding disorder who received 26 individual sessions of CBT, including frequent home visits, over a 7- to 12-month period found that adherence to homework assignments was strongly related to symptom improvement. Online CBT sessions that give patients access to educational resources on hoarding, cognitive strategies, and a chat group have shown promising results.

Selective serotonin reuptake inhibitors (SSRIs) and serotonin/norepinephrine reuptake inhibitors (SNRIs) are most commonly used to treat hoarding disorder. Treatment response to pharmacotherapy is similar to the response in OCD. In addition, pharmacologic treatment of a coexisting anxiety or depressive disorder may be indicated.

For more on the treatment of hoarding disorder, read here.

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