Although the much-satirized image of a house overflowing with National Geographics and infested with cats may make us chuckle, the reality of compulsive hoarding is no laughing matter. The most common reason for evictions in the US and a significant risk factor for fatal house fires, compulsive hoarding is a treatable condition related to obsessive-compulsive disorder. It is characterized by the acquisition of possessions that have little or no value, which the sufferer, often referred to as the saver, has great difficulty discarding. This book, the first ever written for savers and their families, provides an overview of compulsive hoarding and how it relates to obsessive-compulsive disorder. It discusses hoarding broadly, offering readers perspectives on the physical, behavioral, and value-oriented aspects of the condition. You can use its assessment tools to help decide why you or your loved one hoards. Skill-building exercises help you determine how to beat the hoarding problem by addressing issues that often underlie compulsive saving. Even though this is fundamentally a self-help book, it contains a frank discussion about the need for professional help in some hoarding cases, how to find it, and what medications have been proven effective for savers.
For the first time, Hoarding Disorder (HD) is now recognized as a distinct disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), separate from OCD. HD has also received much more attention and exposure in recent years. Consequently, more people will be recommended for treatment, increasing the demand and need for clinicians who deliver this specialized intervention. Group Treatment for Hoarding Disorder: Therapist Guide outlines a cognitive-behavioral therapy program for HD using a group model. Clinicians deliver group therapy over 20 weekly sessions of 1.5 to 2 hours each. A single experienced clinician can lead the group or a co-therapy model can be used with two clinicians, one experienced and one in training. Groups of 6 to 8 participants: · receive education about HD and about the CBT model · discuss therapy goals and personal values · practice motivational enhancement methods including identifying barriers to progress · receive training in organizing and problem-solving about hoarding problems · learn cognitive therapy strategies to reduce problematic hoarding beliefs and to replace acquiring with more adaptive behaviors · practice sorting, removing clutter, and not acquiring, beginning with easier tasks · and identify in-home supports. Final sessions focus on reviewing the most effective therapy methods, coping with change, and highlighting strategies for maintaining gains. Group members use the Treatment for Hoarding Disorder: Workbook, Second Edition to assist with practice exercises. All of the necessary forms and worksheets are provided in the books and online. Treatment proceeds in a flexible session-by-session fashion with attention to group process. Written for psychologists, social workers, psychiatrists, counselors, and psychiatric nurses, this Therapist Guide will promote effective group treatment of people with hoarding disorder.
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 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.
Hoarding involves the acquisition of and inability to discard large numbers of possessions that clutter the living area of the person collecting them. It becomes a disorder when the behavior causes significant distress or interferes with functioning. Hoarding can interfere with activities of daily living (such as being able to sit in chairs or sleep in a bed), work efficiency, family relationships, as well as health and safety. Hoarding behavior can range from mild to life-threatening. Epidemiological findings suggest that hoarding occurs in 2-6% of the adult population, making it two to three times more common than obsessive-compulsive disorder. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) now includes Hoarding Disorder as a distinct disorder within the OCD and Related Anxiety Disorders section, creating a demand for information about it. The Oxford Handbook of Hoarding and Acquiring is the first volume to detail the empirical research on hoarding. Including contributions from all of the leading researchers in the field, this comprehensive volume is divided into four sections in addition to introductory and concluding chapters by the editors: Phenomenology, Epidemiology, and Diagnosis; Etiology; Assessment and Intervention; and Hoarding in Special Populations. The summaries of research and clinical interventions contained here clarify the emotional and behavioral features, diagnostic challenges, and nature of the treatment interventions for this new disorder. This handbook will be a critical resource for both practitioners and researchers, including psychiatrists, psychologists, neurologists, epidemiologists, social workers, occupational therapists, and other health and mental health professionals who encounter clients with hoarding problems in their practice and research.
The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.
Hoarding disorder is the excessive saving of objects and difficulty parting with them to a point that clutter in the home interferes with one's ability to use rooms and furnishings for their intended purpose. Hoarding: What Everyone Needs to Know demystifies this complex problem, what it looks like and why it may develop, and how it can be treated.
Hoarding disorder, classified as one of the obsessive-compulsive and related disorders in the DSM-5, presents particular challenges in therapeutic work, including treatment ambivalence and lack of insight of those affected. This evidence-based guide written by leading experts presents the latest knowledge on assessment and treatment of hoarding disorder. The reader gains a thorough grounding in the treatment of choice for hoarding – a specific form of CBT interweaved with psychoeducational, motivational, and harm-reduction approaches to enhance treatment outcome. Rich anecdotes and clinical pearls illuminate the science, and the book also includes information for special client groups, such as older individuals and those who hoard animals. Printable handouts help busy practitioners. This book is essential reading for clinical psychologists, psychiatrists, psychotherapists, and practitioners who work with older populations, as well as students.
