Compulsive hoarding

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Compulsive hoarding (pronunciation: /kəmˈpʌlsɪv ˈhɔːrdɪŋ/) is a mental health disorder characterized by an excessive accumulation of items, regardless of their actual value, to the point where it interferes with a person's quality of life.

Etymology

The term "compulsive hoarding" is derived from the English words "compulsive" (from Latin compulsivus, meaning "compelling") and "hoarding" (from Old English hord, meaning "a secret store of valuables").

Definition

Compulsive hoarding, also known as 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.

Symptoms

Symptoms of compulsive hoarding can include:

  • Difficulty discarding items
  • A large amount of clutter in the office, at home, in the car, or in other spaces (i.e. storage units) that makes it difficult to use furniture or appliances or move around easily
  • Losing important items like money or bills in the clutter
  • Feeling overwhelmed by the volume of possessions that have 'taken over' the house or workspace
  • Being unable to categorize or organize items
  • Indecision about what to keep or where to put things
  • Distress, such as feeling overwhelmed or embarrassed by possessions
  • Suspicion of other people touching items
  • Obsessive thoughts and actions: fear of running out of an item or of needing it in the future; checking the trash for accidentally discarded objects
  • Functional impairments, including loss of living space, social isolation, family or marital discord, financial difficulties, health hazards

Causes

The exact cause of compulsive hoarding is unknown. It is believed to be associated with anxiety disorders, particularly Obsessive-Compulsive Disorder (OCD). Other factors that might play a role include genetics, brain functioning, and stressful life events.

Treatment

Treatment of compulsive hoarding often involves cognitive-behavioral therapy (CBT), which helps individuals identify and challenge their problematic thinking patterns. Medications, such as selective serotonin reuptake inhibitors (SSRIs), may also be used.

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