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Hoarding

Wednesday, June 23rd, 2021 by Terri Philibert


Compulsive hoarding, also known as hoarding disorder,[6] is a behavioral pattern characterized by excessive acquisition of and an inability or unwillingness to discard large quantities of objects that cover the living areas of the home and cause significant distress or impairment.[7] Compulsive hoarding behavior has been associated with health risks, impaired functioning, workplace impairment, economic burden, and adverse effects on friends and family members.[8][9] When clinically significant enough to impair functioning, hoarding can prevent typical uses of space, enough so that it can limit activities such as cooking, cleaning, moving through the house, and sleeping. It can also put the individual and others at risk of fires, falling, poor sanitation, and other health concerns.[10]

Researchers have recognized compulsive hoarding as a phenomenon since at least the 1980s,[11] but only recently have begun to study hoarding,[12] and it was first defined as a mental disorder in the 5th edition of the DSM in 2013.[13] It was not clear whether compulsive hoarding is a separate, isolated disorder, or rather a symptom of another condition, such as OCD, but the current DSM lists hoarding disorder as both a mental disability and a possible symptom for OCD.[14][15] Prevalence rates have been estimated at 2% to 5% in adults,[16] though the condition typically manifests in childhood with symptoms worsening in advanced age, at which point collected items have grown excessive and family members who would otherwise help to maintain and control the levels of clutter have either died or moved away.[17] Hoarding appears to be more common in people with psychological disorders such as depressionanxiety and attention deficit hyperactivity disorder (ADHD).[18] Other factors often associated with hoarding include alcohol dependence and paranoid, schizotypal and avoidance traits.[19]

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