Hoarding Disorder

  • C. W. OngEmail author
  • E. B. Lee
  • M. P. Twohig


Hoarding disorder (HD) is characterized by acquiring large quantities of objects difficulty discarding, and/or keeping them organized. The diagnostic criteria identified in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (American Psychiatric Association, 2013), include (a) difficulty discarding possessions, regardless of their value; (b) a perceived need to save items and accompanying distress associated with discarding them; (c) an accumulation of items that congest active living areas; (d) hoarding that causes clinically significant distress or impairment; and (e) hoarding that is not due to another medical or mental health condition. Hoarding occurs in approximately 2–6% of the population, more often occurs among males, and is significantly more prevalent in older adults (Iervolino et al., 2009; Mueller, Mitchell, Crosby, Glaesmer, & de Zwaan, 2009; Samuels et al., 2008; Timpano et al., 2011). Hoarding symptoms usually begin early in life and are often chronic, sometimes becoming more severe over time (Tolin, Meunier, Frost, & Steketee, 2010).


Hoarding disorder Clutter Difficulty discarding Excessive acquisition Cognitive behavioral therapy Exposure Cognitive restructuring Motivational interviewing 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Utah State UniversityLoganUSA

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