Hoarding Disorder

Treatment at Our Center.

What To Expect.

Cognitive-Behavioral Treatment (CBT)

Individuals will be engaged in an intensive outpatient program using cognitive behavioral therapy which includes exposure and response prevention. Additionally, CBT will be combined with psychoeducation, goal setting, and motivation. Researchers and practitioners agree that the use of CBT in treatment for Hoarding Disorder is recommended.


  • Hoarding Disorder is estimated to affect 2 to 6% of the general population.
  • Symptoms of Hoarding Disorder may first emerge between ages 11 and 15.
  • Symptoms of Hoarding Disorder may worsen across the lifespan.

What Is Hoarding Disorder?

Hoarding disorder is diagnosed when an individual collects too many possessions and has difficulties discarding those possessions to the extent that the clutter creates significant distress and health and safety risks. Favorite objects of hoarders include newspapers, books, clothes, bags, crafts, and junk mail.

Diagnostic Criteria

DSM-5 Diagnostic Criteria for 300.3 Hoarding Disorder

  • Persistent difficulty discarding or parting with possessions, regardless of their actual value.
  • This difficulty is due to a perceived need to save the items and to distress associated with discarding them.
  • The difficulty discarding possessions results in the accumulation of possessions that congest and clutter active living areas and substantially compromises their intended use. If living areas are uncluttered, it is only because of the interventions of third parties (e.g., family members, cleaners, or the authorities).
  • The hoarding causes clinically significant distress or impairment in social, occupational, or other important areas of functioning (including maintaining an environment safe for oneself or others).
  • The hoarding is not attributable to another medical condition (e.g., brain injury, cerebrovascular disease, Prader-Willi syndrome).
  • The hoarding is not better explained by the symptoms of another mental disorder (e.g., obsessions in obsessive-compulsive disorder, decreased energy in major depressive disorder, delusions in schizophrenia or another psychotic disorder, cognitive deficits in major neurocognitive disorder, restricted interests in autism spectrum disorder)