Abstract
This chapter is devoted to giving an overview of the most promising treatments for hoarding disorder. While the most common treatment recommendations include psychotherapy, medical supervision, and pharmacological treatment, the author adds to the list specific psychosocial concepts proven remarkably successful in her own practice. Most importantly, these comprise self-help groups and home visits, which are particularly relevant for patients with little to no insight or those struggling to seek medical help. Inspired by the enhanced effectiveness of combining psychosocial treatments, the author presents a matrix model of hoarding treatment as a useful tool for hoarding professionals to recognize possible treatment combinations and adapt treatment according to patients’ needs, which may vary greatly depending on the degree of severity. In discussing specific guidelines for a successful treatment, this chapter also highlights the significance of relationship work in the context of caring for and treating individuals affected by hoarding disorder. From these guidelines, and from her own extensive experience in working with hoarding patients, the author infers the TH-I-N-G-S intervention model. This summarizes the critical steps in hoarding treatment and offers professionals an easy-to-apply guide to dealing with and supporting hoarding patients as well as their relatives and, in particular, their children. In conclusion, incentives are given for interdisciplinary exchange, which could prove highly beneficial in advancing current treatment options.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Mathes BM, Oglesby ME, Short NA, Portero AK, Raines AM, Schmidt NB. An examination of the role of intolerance of distress and uncertainty in hoarding symptoms. Compr Psychiatry. 2017;10(72):121–9.
Yalom Irvin D. Theory and practice of group psychotherapy. 5th ed. New York: Basic Books; 2005.
Brakoulias V, Eslick GD, Starcevic V. A meta-analysis of the response of pathological hoarding to pharmacotherapy. Psychiatry Res. 2015;229:272–6.
Saxena S, Sumner J. Venlafaxine extended-release treatment of hoarding disorder. Int Clin Psychopharmacol. 2014;29:266–73.
Racker H. Transference and countertransference. New York: Routledge; 1982.
Bowlby J. Das Glück und die Trauer. Herstellung u Lösung affektiver Bindungen, 4. Aufl. Stuttgart: Klett-Cotta; 2011.
Winnicott D. Aggression in relation to emotional development. In: Caldwell L, Robinson HT, editors. The collected works of D. W. Winnicott: Volume 3, (1946-1951). Oxford: Oxford University Press; 1946-1951.
Danet M, Secouet D. Insecure attachment as a factor in hoarding behaviors in a non-clinical sample of women. Psychiatry Res. 2018;270:286–92.
Bowlby J. Attachment and loss: Vol. 1. Attachment. 2nd ed. New York: Basic Books; 1982. (Original ed. 1969).
Bowlby J. A secure base: clinical applications of attachment theory. London: Routledge; 1988.
Winnicott D. Playing and reality. London: Tavistock Publication; 1971, www.archive.org
Freud S. A difficulty in the path of psycho-analysis. In: An infantile neurosis and other works; 1917.
Freud A. The ego and the mechanisms of defense. The writings of Anna Freud, Vol II. Rev. ed. New York: International Universities Press; 1967 (First publ. 1936).
Hartmann H. Ego-psychology and the problem of adaptation. New York: International University Press; 1958.
Freud S. The ego and the Id. Standard ed. 19; 1923.
Frost R, Steketee G, Greene K. Interventions for compulsive hoarding. J Brief Treat Crisis Interv. 2003;25:323–37.
Fenichel O. The psychoanalytic theory of neurosis. New York: Routledge; 1996. (First published 1946).
Rodriguez CI, Herman D, Alcon J, Chen S, Tannen A, Essock S, Simpson HB. Prevalence of hoarding disorder in individuals at potential risk of eviction in New York City. J Nerv Ment Dis. 2012;200:91–4.
Laplanche J, Pontalis J-B. Language of psycho-analysis. New York: Routledge; 1988. (First published 1973).
Freud S. Three essays on the theory of sexuality. Standard ed. 7. London: Basic Books; 1905.
Wurmser L. Die Maske der Scham. Die Psychoanalyse von Schamaffekten und Schamkonflikten, 3. Aufl. Magdeburg: Verlag Dietmar Klotz; 2007.
Freud S. The future prospects of psycho-analytic therapy. Standard ed. 11; 1910.
Thompson C, de la CLF, Mataix-Cols D, Onwumere J. A systematic review and quality assessment of psychological, pharmacological, and family-based interventions for hoarding disorder. Asian J Psychiatry. 2017;2:53–66.
Dimauro J, Tolin DF, Frost RO, Steketee G. Do people with hoarding disorder under-report their symptoms? J Obsessive Compuls Relat Disord. 2013;4:130–6.
Freud A. Normality and pathology in childhood: assessments of development. New York: Routledge; 2018. (First published 1965).
Freud A. Normality and pathology in childhood. Assessments of development. New York: Int. Univ. Press; 1965.
Leuzinger-Bohleber M, Canestri J, Target M. Frühe Entwicklung und ihre Störungen. Klinische, konzeptuelle und empirische psychoanalytische Forschung. Kontroversen zu Frühprävention, Resilienz und ADHS. Frankfurt a. M.: Brandes & Apsel; 2009. p. 301–11.
Freud S. Psychical (or mental) treatment. Standard ed. 7; 1890.
Freud S. Recommendations to physicians practising psycho-analysis. Standard ed. 12; 1912.
Morris SH, Jaffee SR, Goodwin GP, Franklin ME. Hoarding in children and adolescents: a review. Child Psychiatry Hum Dev. 2016;47:740–50.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Agdari-Moghadam, N. (2021). Treatment Recommendations. In: Hoarding Disorder. Springer, Cham. https://doi.org/10.1007/978-3-030-72342-2_3
Download citation
DOI: https://doi.org/10.1007/978-3-030-72342-2_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-72341-5
Online ISBN: 978-3-030-72342-2
eBook Packages: MedicineMedicine (R0)