Wednesday, March 20, 2013

hoarding

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Hoarding is often a specific symptom of Obsessive �compulsive disorder (OCD) in which the hoarder keeps large amounts of what is considered worthless or useless. The definition of hoarding according to Dr. Randy Frost, a psychiatrist from Smith College and a devoted doctor working to create a method known as cognitive behavioral therapy, is as follows “(1) the acquisition of, and failure to discard, a large number of possessions that appear to be of useless or of limited value; () living spaces sufficiently cluttered so as to preclude activities for which those spaces were designed; and () significant distress or impairment in functioning caused by the hoarding”(abcnews). Hoarding isn’t solely linked to OCD, it has also been found independently. But Hoarding Symptoms are found in 18% to 4% of OCD patients.

There isn’t a specific age category of Hoarders; it can affect kids, adults as well as the elderly. But a great deal of research is needed to understand this illness better to actually see how many people this affects.

For those who hoard, a vicious circle is created in which they become trapped. The mess they create becomes so overwhelming that they suffer from it. Socially, they no longer engage with people at their home, because of their unclean home. Of course, Hoarding like any other illness, exists in different degrees. A person suffering with this feels a great deal of shame and this shame eventually will turn into isolation. Hiding their behavior seems to be the only solution to them, so they block out the outside world from their inside world.

A wide range of things can be hoarded, because the personal value is the bases for the hoarding. The items usually found are papers, magazines, bills, books and so on… Other items are commonly found such as tons of clothes, rubber bands, paper clips, used envelopes, empty lighters, medicine bottles, empty cigarette packs, broken appliances, empty food containers, garbage, and so on…




Treatment for Hoarding is a difficult task because they are lacking so much information about it; they don’t know exactly how to treat the patients. Also many Hoarders seem unwilling to seek treatment. But some doctors have started to develop therapy programs and have discovered that Hoarders can get better with time and effort. Dr. Frost and colleagues use a method called cognitive behavioral therapy. The patient practices physically throwing things away, as well as group sessions to discuss their secret shame. At first they show them how to put things into a box and clear a portion of a room then, gradually they can begin to throw away a few things they deem unnecessary. This approach takes a great deal of time and patience. Sometimes along with the behavioral therapy, doctors will prescribe a medication to treat OCD-symptoms but it seems to be less effective for treating hoarding. One time estimate was as little as one year and as much as two or more years. While it is true not everyone is cured, progress is being made to produce new treatments.

Hoarders are people with a “…real psychiatric condition that affects less than 1% of the population”(cme). They are not just lazy people or a clutterers, their obsession causes serious distress and discomfort and limits their ability to move freely in their own home. To fully understand a Hoarder, doctors will have to do a great deal more of case studies and research other possible treatments.





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