Descripción general

Perspectiva general

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. Countertops, sinks, stoves, desks, stairways and virtually all other surfaces are usually piled with stuff. And when there's no more room inside, the clutter may spread to the garage, vehicles, yard and other storage facilities.

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 may not see it as a problem, making treatment challenging. But intensive treatment can help people with hoarding disorder understand how their beliefs and behaviors can be changed so that they can live safer, more enjoyable lives.

May 04, 2017
References
  1. 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. 16, 2017.
  2. Help with hoarding disorder. American Psychiatric Association. https://www.psychiatry.org/patients-families/hoarding-disorder. Accessed Feb. 16, 2017.
  3. Mataix-Cols D. Hoarding disorder. New England Journal of Medicine. 2014;370:2023.
  4. Mataix-Cols D, et al. Hoarding disorder in adults: Epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis. http://www.uptodate.com/home. Accessed Feb. 16, 2017.
  5. Mataix-Cols D, et al. Treatment of hoarding disorder in adults. http://www.uptodate.com/home. Accessed Feb. 16, 2017.
  6. Phillips KA, et al. Hoarding disorder. Merck Manual Professional Version. http://www.merckmanuals.com/professional/psychiatric-disorders/obsessive-compulsive-and-related-disorders/hoarding-disorder. Accessed Feb. 16, 2017.
  7. Brakoulias V, et al. A meta-analysis of the response of pathological hoarding to pharmacotherapy. Psychiatry Research. 2015;229:272.
  8. Tolin DF, et al. Cognitive behavioral therapy for hoarding disorder: A meta-analysis. Depression and Anxiety. 2015;32:158.
  9. Ale CM, et al. Family-based behavioral treatment of pediatric compulsive hoarding: A case example. Clinical Case Studies. 2014;13:9.
  10. Morris SH, et al. Hoarding in children and adolescents: A review. Child Psychiatry and Human Development. 2016;47:740.
  11. Sawchuk CN (expert opinion). Mayo Clinic, Rochester, Minn. March 1, 2017.