In addition, living or work spaces are so cluttered that they preclude activities for which those spaces were intended. And, significant distress or impairment in functioning is caused by the hoarding behavior. Hoarding Disorder is fueled by four fundamental problems: a difficulty with making decisions, a need to do things perfectly, difficulty organizing, and behavioral avoidance.
Treatment for hoarding will target these four issues simultaneously. This disorder can be effectively treated in the clinic setting provided the person with hoarding is willing and able to bring a steady supplies of boxes of their clutter to the clinic so that they can practice addressing the issues inherent to Hoarding Disorder.
The usual requirement for admission to the program is that the individual has already tried outpatient CBT and medication management but did not respond sufficiently. Each individual admitted to the program must already have an outpatient therapist and be receiving medication treatment from an outpatient psychiatrist. While it is a waxing and waning disorder, if left untreated, it can escalate in severity over time. Obsessions are characterized by persistent, irrational ideas or images that keep returning again and again.
Compulsions are repetitive behaviors that are intended to prevent or correct some dreaded event. The most common obsessions are repetitive thoughts, impulses or images that are anxiety provoking.
They occur against one's will, are intrusive and persistent and are, often, personally repugnant. These can include:. Compulsions are conscious behaviors or rituals that are done to alleviate anxiety caused by the obsessions and are carried out even though the person is aware that these actions are senseless or excessive. Compulsions can often take the form of:. Services are available to suit variations in intensity of OCD from mild, to moderate, to severe.
Typical treatment for OCD includes cognitive behavior therapy or medication. Often, a combination of both is beneficial. This is the process of gradually exposing oneself to the object or situation that causes anxiety and then refraining from doing the associated compulsion. Initially ERP causes anxiety, but this decreases over time as the compulsion is resisted. It is a highly successful and effective treatment for OCD.
Many people maintain their treatment gains over time but they may require 'top-up' therapy occasionally if symptoms flare up during stressful times. These are medications such as Prozac, Zoloft, Paxil, or Luvox. There are also other medications that can be used when the SRI's are not effective. However, upon abrupt discontinuation, OCD symptoms may return within 6 months for some people. Therefore for people with more than mild OCD, an optimal approach to treatment would be to combine both medication and behavior therapy.
Director: Susanna Chang, Ph. Associate Director: Sisi Guo, Ph. Director of Research: John Piacentini, Ph. Medical Director: Erika Nurmi, M. Financial advisors are available to assist with determination of insurance benefits and many insurance plans provide coverage for this program.
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