Hoarding disorder is a persistent difficulty discarding or parting with possessions because of a perceived need to save them. A person with hoarding disorder experiences distress at the thought of getting rid of the items. Excessive accumulation of items, regardless of actual value, occurs.
Hoarding often creates such cramped living conditions that homes may be filled to capacity, with only narrow pathways winding through stacks of clutter. Some people also collect animals, keeping dozens or hundreds of pets in unsanitary conditions because they can't care for them properly.
Hoarding ranges from mild to severe. In some cases, hoarding may not have much impact on your life, while in other cases it seriously affects your functioning on a daily basis.
People with hoarding disorder often don't see it as a problem, making treatment challenging. But intensive treatment can help people with hoarding disorder understand their compulsions and live safer, more enjoyable lives.
May. 08, 2014
- Hoarding disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed Feb. 12, 2014.
- Highlights of changes from DSM-IV-TR to DSM-5. American Psychiatric Association. http://www.dsm5.org/Documents/changes%20from%20dsm-iv-tr%20to%20dsm-5.pdf. Accessed Feb. 12, 2014.
- Obsessive compulsive and related disorders. American Psychiatric Association. http://www.dsm5.org/Pages/Default.aspx. Accessed Feb. 12, 2014.
- Hoarding fact sheet. International OCD Foundation. http://www.ocfoundation.org/hoarding/fact_sheet.aspx. Accessed Feb. 12, 2014.
- Hoarding: The basics. Anxiety and Depression Association of America. http://www.adaa.org/understanding-anxiety/obsessive-compulsive-disorder-ocd/hoarding-basics. Accessed Feb. 12, 2014.
- Ale CM, et al. Family-based behavioral treatment of pediatric compulsive hoarding: A case example. Clinical Case Studies. 2014;13:9.
- Symonds A, et al. Shining a light on hoarding disorder. Nursing. 2013;43:22.
- Murroff J, et al. Cognitive behavior therapy for hoarding disorder: Follow-up findings and predictors of outcome. Depression and Anxiety. In press. Accessed Feb. 14, 2014.
- Pallanti S, et al. Pharmacological, experimental therapeutic, and transcranial magnetic stimulation treatments for compulsivity and impulsivity. CNS Spectrums. 2014;19:50.
- Whiteside SP (expert opinion). Mayo Clinic, Rochester, Minn. March 3, 2014.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. March 4, 2014.
You Are ... The Campaign for Mayo Clinic
Mayo Clinic is a not-for-profit organization. Make a difference today.