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Hoarding disorder

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413:. Anthropomorphism has been shown to increase both the sentimental value and perceived utility of items. These findings indicate that individuals may over-value their possessions to compensate for thwarted interpersonal needs. Feeling alone and/or disconnected from others may impair people's ability to tolerate distress and increase people's tendencies to see human-like qualities in objects. The humanness of items may increase their perceived value and individuals may acquire these valued objects to alleviate distress. Individuals with hoarding problems have been shown to have greater interpersonal problems than individuals who only excessively acquire possessions, which provides some support for the assumption that individuals with hoarding problems may have a stronger motivation to hang onto possessions for support. As possessions cannot provide support in the way humans can and because saving excessively can frustrate other people due to its impact on their quality of life, individuals with hoarding disorder may be caught in a feedback loop. They may save to alleviate distress, but this saving may cause distress, which may lead them to keep saving to alleviate the distress. 405:, traumatized persons may create a problem for themselves in order to avoid their real anxiety or trauma. Facing their real issues may be too difficult for them, so they create an artificial problem (in their case, hoarding) and prefer to battle with it rather than determine, face, or do something about their real anxieties. Hoarders may suppress their psychological pain by hoarding. The study shows that adults who hoard report a greater lifetime incidence of having possessions taken by force, forced sexual activity as either an adult or a child, including forced sexual intercourse, and being physically handled roughly during childhood, thus proving traumatic events are positively correlated with the severity of hoarding. For each five years of life the participant would rate the severity of their hoarding symptoms from 1 to 4, 4 being the most severe. Of the participants, 548 reported a chronic course, 159 an increasing course and 39 people, a decreasing course of illness. The incidents of increased hoarding behavior were usually correlated to five categories of stressful life events. 265:
involves the overall acquiring of common items that would not be especially meaningful to the person who is gathering such items in large quantities. People who hoard keep common items that hold little to no meaning or value to others, unlike some collectors, whose items may be of great value to select people. Most hoarders are disorganized, and their living areas are crowded and in disarray. Most collectors can afford to store their items systematically or to have enough room to display their collections. Age, mental state, or finances have caused some collectors to fall into a hoarding state.
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symptoms after the age of 40. The data showed that compulsive hoarding usually begins early, but often does not become more prominent until after age 40. Different reasons have been given for this, such as the effects of family presence earlier in life and limits on hoarding imposed by housing situation and lifestyle. The understanding of early onset hoarding behavior may help in the future to better distinguish hoarding behavior from "normal" childhood collecting behaviors.
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or other important areas of functioning. Excessive acquisition is characterized by repetitive urges or behaviours related to amassing or buying property. Difficulty discarding possessions is characterized by a perceived need to save items and distress associated with discarding them. Accumulation of possessions results in living spaces becoming cluttered to the point that their use or safety is compromised. It is recognised by the
362:. Hoarders have higher than average rates of traumatic past events, particularly those associated with loss or deprivation. Past events which occurred before the onset of hoarding are correlated to a subject's emotional attachment to physical objects, and past events after the onset of hoarding increase a subject's anxiety around memory. Hoarders are also more likely to have a past with alcohol abuse. 296:
of hoarders report the onset of hoarding as being associated with a traumatic life event, and in this portion of hoarders, the age of onset is much higher. Epidemiological studies have found that hoarding is twice as common in males, although clinical studies on hoarding tend to be predominantly female, suggesting that male hoarders are a significantly understudied and under-treated population.
335:. However, hoarding does frequently co-occur with OCD. OCD patients with hoarding symptoms were found to display a distinct form of hoarding in which they were more likely to hoard "bizarre items" and perform compulsive rituals associated with their hoarding behavior, such as rituals around checking items or rituals to be performed before discarding them. 283:
through a room does the clutter register. To ensure an accurate sense of a clutter problem and encourage people to get support, Hoarding UK uses the Clutter Image Rating, created by R. O. Frost and G. Steketee, a series of pictures of rooms in various stages of clutter ā€“ from completely clutter-free to very severely cluttered.
507:, which may frequently lead to premature termination (i.e., dropout) or low response to treatment. Therefore, it was suggested that future treatment approaches, and pharmacotherapy in particular, be directed to address the underlying mechanisms of cognitive impairments demonstrated by individuals with hoarding symptoms. 476:, the completion of which is associated with better treatment outcomes. Research on internet-based CBT treatments for the disorder (where participants have access to educational resources, cognitive strategies, and chat groups) has also shown promising results both in terms of short- and long-term recovery. 498:
reduces social isolation and social anxiety and is cost-effective compared to one-on-one intervention. Group CBT tends to have similar outcomes to individual therapy. Although group treatment often does not include home sessions, experimental research suggests that treatment outcomes may be improved
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In a 2010 study using data from self-reports of hoarding behavior from 751 participants, it was found most reported the onset of their hoarding symptoms between the ages of 11 and 20 years old, with 70% reporting the behaviors before the age of 21. Fewer than 4% of people reported the onset of their
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Rates of hoarding increase significantly with age, and people over the age of 54 are three times as likely to meet criteria for hoarding disorder. However, hoarding symptoms typically manifest in early childhood, and worsen to the point of becoming clinically significant during middle age. Over half
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characterised by persistent difficulty in parting with possessions and engaging in excessive acquisition of items that are not needed or for which no space is available. This results in severely cluttered living spaces, distress, and impairment in personal, family, social, educational, occupational,
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of beliefs related to hoarding. Furthermore, research has also shown that certain CBT protocols have been more effective in treatment than others. CBT programs that specifically address the motivation of the affected person, organization, acquiring new clutter, and removing current clutter from the
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Although excessive acquiring is not a diagnostic criterion of hoarding, at least two-thirds of individuals with hoarding disorder excessively acquire possessions. Having a more anxiously attached interpersonal style is associated with more compulsive buying and greater acquisition of free items and
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often involving the targeted search and acquisition of specific items that formā€”at least from the perspective of the collectorā€”a greater appreciation, deeper understanding, or increased synergistic value when combined with other similar items. Hoarding, by contrast, typically appears haphazard and
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The prevalence of hoarding disorder is estimated to be between 2 and 6 percent, although some surveys indicate the lifetime prevalence may be as high as 14%. First-degree relatives of those with hoarding disorder are significantly more likely to report hoarding symptoms, and hoarding likely comes
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A UK charity called Hoarding UK has found that people have very different ideas about what it means to have a cluttered home. For some, a small pile of things in the corner of an otherwise well-ordered room constitutes serious clutter. For others, only when the narrow pathways make it hard to get
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Hoarders may pile their belongings in their homes, yards, or garages. This garage has been converted into an additional room, and demonstrates clutter, with a large number of objects of various sizes being haphazardly spread throughout the space. Exactly what constitutes a room or space as being
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Mental health professionals frequently express frustration regarding hoarding cases, mostly due to premature termination and poor response to treatment. Patients are frequently described as indecisive, procrastinators, recalcitrant, and as having low or no motivation, which can explain why many
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Prevalence rates are estimated at 2% to 5% in adults, though the condition typically manifests in childhood with symptoms worsening in advanced age, at which point collected items have grown excessive and family members who would otherwise help to maintain and control the levels of clutter have
650:(1862), London shop owner Krook hoards items, primarily legal documents. He continues to buy items but doesn't sell any, even though he claims he buys to sell later for a profit. Several documents that would resolve a legal case central to the novel's plot are lost among his hoard. 636:
in 1846, features Pons, who hoards art and antiques. He collected relatively low-value items, hoping they would become more valuable with time. However, he is unwilling to part with any of his items even when he becomes destitute. He dies with his collection intact.
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if home sessions are included. Individuals have been shown to discard more possessions when in a cluttered environment compared to a tidy environment. Indeed, a meta-analysis found that a greater number of home sessions improves CBT outcomes.
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Excessive acquisition, Perceived need to save possessions, Persistent difficulty discarding or parting with possessions, regardless of their actual value, Intense urge to keep items and distress when getting rid of
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displays hoarding behaviors. For example, he serves an old cake from years ago to a business partner, having a servant scrape off the mold. He is famous among the locals for his compulsion to find and keep items.
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Norberg MM, Kwok C, Crone C, David J, Kakar V, Grisham JR (2020). "Greater interpersonal problems differentiate those who excessively acquire and save from those who only excessively acquire possessions".
331:; however, hoarding was found to have a relatively weak connection to OCD or OCPD compared to their other symptoms. Due to this evidence, hoarding disorder was separated as its own disorder in the 559:, focuses on helping one or two individual "hoarders" per episode and features a rotating cast of professional psychologists and organizers who specialize in hoarding disorder. A similar show, 511:
interventions fail to accomplish significant results. To overcome this obstacle, some clinicians recommend accompanying individual therapy with home visits to help the clinician:
2818: 307:), and have become a topic of public alarm in Japanese mass media. In the Eastern United States, they are sometimes called Collyer mansions or Collyers, after the infamous 1160:
Pertusa A, Frost RO, Fullana MA, Samuels J, Steketee G, Tolin D, et al. (June 2010). "Refining the diagnostic boundaries of compulsive hoarding: a critical review".
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rather than symptom reduction. Also borrowed from addiction therapy. The goal is to decrease the harmful implications of the behavior, rather than the hoarding behaviors.
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Hoarding is a significant problem around the world and can pose a public health risk when hoarding escalates enough to damage the integrity of a structure or attract
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Gilliam CM, Norberg MM, Villavicencio A, Morrison S, Hannan SE, Tolin DF (November 2011). "Group cognitive-behavioral therapy for hoarding disorder: an open trial".
2503: 1299: 1030: 427:(CBT) is a commonly implemented therapeutic intervention for compulsive hoarding. As part of cognitive behavior therapy, the therapist may help the patient to: 421:
Only 5% of people with hoarding behaviours receive help (Singh, 2012) and the interventions they do receive focus on clearing items, not treating the disorder.
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originated in addiction therapy. This method is significantly helpful when used in hoarding cases in which insight is poor and ambivalence to change is marked.
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Pertusa A, Fullana MA, Singh S, Alonso P, MenchĆ³n JM, Mataix-Cols D (October 2008). "Compulsive hoarding: OCD symptom, distinct clinical syndrome, or both?".
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is a four-part series based in Britain that followed a group of hoarders participating in a treatment program led by psychotherapist Stelios Kiosses.
303:. Accumulated items can block exits during fires and increase the risk of injury. In Japan, hoarder houses are known as "garbage mansions" (恔ćæå±‹ę•·, 2717:"Historical Portrayal of Hoarding Disorder in European Literature and Its Relationship to the Economic and Personal Circumstances of the Authors" 712: 324: 1463: 1009: 503:
Individuals with hoarding behaviors are often described as having low motivation and poor compliance levels, and as being indecisive and
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home have shown promising results. This type of treatment typically involves in-home work with a therapist combined with between-session
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in 2021, a novel about a woman with hoarding disorder that focused on the behavior and the consequences of a hoarder being exposed.
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Cromer KR, Schmidt NB, Murphy DL (November 2007). "Do traumatic events influence the clinical expression of compulsive hoarding?".
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A second key part of this study was to determine if stressful life events are linked to the onset of hoarding symptoms. Similar to
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Abramowitz JS, Wheaton MG, Storch EA (September 2008). "The status of hoarding as a symptom of obsessive-compulsive disorder".
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Roger, Harms W. "Definition". Mayo Clinic. Mayo Foundation for Medical Education and Research, 25 May 2011. Web. 21 Mar. 2012.
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and hoarding may seem similar, but there are distinct characteristics that set the behaviors apart. Collecting is a
464: 1295: 588:, the daughter of a hoarder, and follows her as she and a team of experts seek to help others with the disorder. 1906:"Anxious attachment and excessive acquisition: The mediating roles of anthropomorphism and distress intolerance" 378: 2296:
Crone C, Norberg MM (August 2018). "Scared and surrounded by clutter: The influence of emotional reactivity".
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However, the majority of hoarders do not show OCD symptoms. Hoarding has been found to be correlated with
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is more focused on the hoarded house, where teams work hard to flip properties that have been hoarded.
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The prevalence of different comorbidities is influenced by gender. In men, hoarding is associated with
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People with hoarding disorder commonly live with other complex and/or psychological disorders such as
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There have been several television shows that focused on those suspected to have hoarding disorder.
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There have been possible depictions of hoarding in literature before the diagnosis was created. In
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Grisham JR, Frost RO, Steketee G, Kim HJ, Hood S (2006). "Age of onset of compulsive hoarding".
561: 539: 444: 239:(ADHD). Other factors often associated with hoarding include alcohol dependence and paranoid, 590: 1320:
Samuels JF, Bienvenu OJ, Grados MA, Cullen B, Riddle MA, Liang KY, et al. (July 2008).
1580: 666: 550: 1663:"Investigating associations between hoarding symptoms and affective and cognitive empathy" 8: 752: 734: 671: 556: 72: 2641: 1584: 1567:
Kuwano M, Nakao T, Yonemoto K, Yamada S, Murayama K, Okada K, et al. (March 2020).
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these relationships are mediated by stronger distress intolerance and greater
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Chen, Wenting; McDonald, Skye; Wearne, Travis; Grisham, Jessica (June 2021).
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Dirty Secret: A Daughter Comes Clean About Her Mother's Compulsive Hoarding
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Kancherla N, Garlapati SK, Sowkhya P, Yegateela T, McCrary A (June 2022).
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Likewise, certain cases are assisted by professional organizers as well.
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Be open to trying psychiatric hospitalization if the hoarding is serious.
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Fontenelle LF, Muhlbauer JE, Albertella L, Eppingstall J (2021-01-01).
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that focused on those who hoard animals and their living conditions.
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Devise a treatment plan that is more suitable to the particular case.
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Have periodic visits and consultations to keep a healthy lifestyle.
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Diagnostic and Statistical Manual of Mental Disorders, 5th edition
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Other therapeutic approaches that have been found to be helpful:
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Learn to organize possessions in order to decide what to discard.
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about due to a combination of genetic and environmental factors.
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Saxena S (May 2011). "Pharmacotherapy of compulsive hoarding".
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Confessions: Animal Hoarding (TV Series 2010ā€“ ) - Plot - IMDb
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Tolin DF, Meunier SA, Frost RO, Steketee G (September 2010).
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Ayers CR, Saxena S, Golshan S, Wetherell JL (February 2010).
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Frost RO, Hristova V (May 2011). "Assessment of hoarding".
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Revista Brasileira de Psiquiatria (Sao Paulo, Brazil: 1999)
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Not clear, possibly genetic, and stressful life experiences
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The Hoarders: Material Deviance in Modern American Culture
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Get a better insight into the hoarding severity and style.
2824: 1854: 1660: 1625: 1566: 1064:"Hoarding disorder: a new diagnostic category in ICD-11?" 385:, and compulsive grooming behaviors like nail-biting and 370: 2823:
Article discussing the disorder and its relationship to
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Tolin DF, Frost RO, Steketee G, Muroff J (March 2015).
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Muroff J, Steketee G, Himle J, Frost R (January 2010).
1903: 1715: 1246:"A Case of Coexisting Depression and Hoarding Disorder" 1010:"Clinical Classification of Hoarding Disorder | OCD-UK" 812: 759:, American socialites featured in the 1975 documentary 1904:
Norberg MM, Crone C, Kwok C, Grisham JR (March 2018).
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Journal of Obsessive-Compulsive and Related Disorders
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Stuff: Compulsive Hoarding and the Meaning of Things
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Gilliam CM, Tolin DF (2010). "Compulsive hoarding".
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Mayo Clinic. 2011-05-25. 1081:10.1590/1516-4446-2013-1269 951:Sun, Lena H. (2023-05-18). 653: 216:either died or moved away. 10: 2929: 2607:Britain's Biggest Hoarders 2275:10.1016/j.brat.2011.08.008 2115:10.1016/j.brat.2009.09.006 2065:10.1016/j.brat.2007.01.001 1730:10.1016/j.brat.2008.05.006 1338:10.1016/j.brat.2008.04.004 1162:Clinical Psychology Review 862:10.1016/j.brat.2007.06.005 582:Britain's Biggest Hoarders 392: 250: 2871: 2809:Mapes D (11 March 2008). 2508:The Sydney Morning Herald 2310:10.1016/j.jad.2018.04.066 2151:10.1521/bumc.2010.74.2.93 1174:10.1016/j.cpr.2010.01.007 1029:Ng, Huiwen (2019-05-28). 757:Edith Ewing Bouvier Beale 565:ran from 2010 to 2014 on 484:Motivational interviewing 155: 145: 135: 125: 115: 107: 97: 89: 78: 62: 57: 48: 40: 35: 2687:"Hoarder House Flippers" 1149:– via DSM Library. 731:Alexander Kennedy Miller 718:Transgenerational trauma 703:Impulse control disorder 383:body dysmorphic disorder 269:The Clutter Image Rating 253:Psychology of collecting 233:autism spectrum disorder 203:eleventh revision of the 2502:Baum C (1 April 2021). 737:automobiles (1906ā€“1993) 677:Compulsive decluttering 632:, a novella written by 579:Hoarding: Buried Alive. 555:, an ongoing series by 469:cognitive restructuring 2626:: CS1 maint: others ( 2566:: CS1 maint: others ( 2547:Hoarding: Buried Alive 2345:Depression and Anxiety 1971:10.1556/2006.7.2018.98 1922:10.1556/2006.7.2018.08 1861:Depression and Anxiety 1760:Depression and Anxiety 1478:"Clutter Image Rating" 1396:"Hoarding: The Basics" 604:Hoarder House Flippers 562:Hoarding: Buried Alive 445:professional organizer 279: 2391:Tolin DF (May 2011). 591:The Hoarder Next Door 276: 243:and avoidant traits. 2734:10.7759/cureus.31025 1263:10.7759/cureus.25645 667:Clutterers Anonymous 162:: 2ā€“5% of population 2913:Compulsive hoarding 1585:2020Heliy...603527K 1426:"Hoarding Disorder" 1370:"Hoarding Disorder" 906:The Washington Post 753:Edith Bouvier Beale 733:, hoarded about 30 672:Compulsive behavior 496:Group psychotherapy 360:compulsive shopping 73:clinical psychology 44:Compulsive hoarding 18:Compulsive hoarding 2790:Herring S (2014). 2586:Makeful Television 2481:10.1002/jclp.20790 2446:10.1002/jclp.20792 2410:10.1002/jclp.20795 2232:10.1586/ern.09.159 2192:10.1002/jclp.20796 1074:(Suppl 1): 28ā€“39. 888:www.mayoclinic.org 535:In popular culture 280: 27:Behavioral pattern 2900: 2899: 2775:. Mariner Books. 2582:"Hoarders Canada" 1679:10.1111/bjc.12280 1634:(10): 1289ā€“1298. 1132:978-0-89042-575-6 1035:The Straits Times 856:(11): 2581ā€“2592. 687:Diogenes syndrome 208:(ICD-11) and the 183:Hoarding disorder 180: 179: 127:Diagnostic method 36:Hoarding disorder 30:Medical condition 16:(Redirected from 2920: 2869: 2868: 2846: 2831:Sholl J (2010). 2822: 2805: 2786: 2757: 2756: 2746: 2736: 2712: 2701: 2700: 2698: 2697: 2683: 2677: 2676: 2675: 2674: 2662: 2656: 2655: 2653: 2652: 2646:www.channel4.com 2638: 2632: 2631: 2625: 2617: 2616: 2615: 2602: 2596: 2595: 2593: 2592: 2578: 2572: 2571: 2565: 2557: 2556: 2555: 2542: 2536: 2535: 2533: 2532: 2518: 2512: 2511: 2499: 2493: 2492: 2464: 2458: 2457: 2429: 2423: 2422: 2412: 2388: 2379: 2378: 2360: 2358:10.1002/da.22327 2336: 2330: 2329: 2293: 2287: 2286: 2258: 2252: 2251: 2215: 2204: 2203: 2172: 2163: 2162: 2134: 2128: 2127: 2117: 2093: 2087: 2086: 2076: 2059:(7): 1461ā€“1470. 2044: 2038: 2035: 2029: 2028: 1999: 1993: 1992: 1982: 1965:(4): 1132ā€“1142. 1950: 1944: 1943: 1933: 1901: 1895: 1894: 1876: 1874:10.1002/da.20684 1852: 1843: 1842: 1832: 1800: 1794: 1793: 1783: 1772:10.1002/da.20861 1751: 1742: 1741: 1724:(9): 1026ā€“1033. 1713: 1707: 1706: 1658: 1652: 1651: 1623: 1617: 1616: 1606: 1596: 1564: 1558: 1557: 1547: 1515: 1496: 1495: 1493: 1491: 1482: 1474: 1468: 1467: 1452: 1446: 1445: 1443: 1441: 1422: 1416: 1415: 1413: 1411: 1391: 1385: 1384: 1382: 1381: 1366: 1360: 1359: 1349: 1317: 1311: 1310: 1308: 1307: 1292: 1286: 1285: 1275: 1265: 1241: 1235: 1234: 1224: 1213:10.1002/gps.2310 1192: 1186: 1185: 1157: 1151: 1150: 1148: 1147: 1108: 1102: 1101: 1083: 1059: 1053: 1052: 1050: 1049: 1026: 1020: 1019: 1017: 1016: 1006: 1000: 999: 997: 996: 981: 975: 974: 972: 971: 948: 939: 938: 936: 934: 929:. 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80:Symptoms 2744:9629820 2526:A&E 2326:4945691 2074:1950337 1980:6376393 1931:6035017 1830:8312593 1781:3188689 1604:7063155 1581:Bibcode 1573:Heliyon 1545:3181962 1347:2483957 1273:9249064 1222:4083761 557:A&E 393:Studies 356:empathy 231:(OCD), 225:anxiety 196:, is a 102:Chronic 2839:  2798:  2779:  2751:  2741:  2721:Cureus 2487:  2452:  2417:  2373:  2365:  2324:  2316:  2281:  2246:  2238:  2198:  2157:  2122:  2081:  2071:  2023:  1987:  1977:  1938:  1928:  1891:429636 1889:  1881:  1837:  1827:  1788:  1778:  1736:  1701:  1693:  1685:  1646:  1611:  1601:  1552:  1542:  1354:  1344:  1280:  1270:  1250:Cureus 1229:  1219:  1180:  1139:  1129:  1096:  1088:  1041:  963:  933:27 May 868:  833:  542:wrote 321:DSM-IV 301:vermin 108:Causes 2371:S2CID 2322:S2CID 2244:S2CID 2021:S2CID 1887:S2CID 1699:S2CID 1481:(PDF) 1137:S2CID 735:Stutz 333:DSM-5 262:hobby 189:) or 85:them. 2886:MeSH 2837:ISBN 2796:ISBN 2777:ISBN 2749:PMID 2628:link 2568:link 2485:PMID 2450:PMID 2415:PMID 2363:PMID 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Index

Compulsive hoarding

Specialty
Psychiatry
clinical psychology
Symptoms
Chronic
Risk factors
Diagnostic method
Psychotherapy
Prognosis
UK
US
GER
Plyushkin
mental disorder
eleventh revision of the
International Classification of Diseases
Diagnostic and Statistical Manual of Mental Disorders, 5th edition
depression
anxiety
obsessive compulsive disorder
autism spectrum disorder
attention deficit hyperactivity disorder
schizotypal
Psychology of collecting
Collecting
hobby

vermin

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