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Hoarding Disorder

Disorder marked by inability to discard and excessive accumulation of possessions

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Psikiyatri department. Book Appointment →

What is Hoarding Disorder?

Hoarding disorder is a psychiatric condition characterized by persistent difficulty discarding or parting with possessions regardless of their actual value. DSM-5 lists it as an independent diagnosis within the obsessive-compulsive and related disorders.

Accumulated items render living spaces non-functional. Kitchens, bedrooms, and bathrooms can become unusable. Fire risk, hygiene problems, and structural safety hazards can produce serious consequences.

Prevalence ranges from 2 to 6 percent and increases with age. Insight is typically poor in most patients, which makes the disorder challenging to treat.

Symptoms

Inability to discard unused items
Living spaces filled with belongings
Marked distress when trying to discard items
Strong emotional attachment to possessions
Excessive purchasing or collecting of free items
Social isolation due to inability to host visitors

Risk Factors

Older age (most common over age 50)
Family history of hoarding in first-degree relatives
Living alone
Childhood deprivation experiences
Comorbid depression or anxiety
Brain injury or neurodegenerative disease

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Living spaces have become unusable
  • Health and safety risks (fire, falls, infection)
  • Threat of eviction or social-services involvement
  • Severe deterioration of family relationships

Treatment Methods

01
CBT with a hoarding-specific protocol
02
In-home therapy sessions (the most effective format)
03
Motivational interviewing to build insight
04
SSRI therapy may add limited benefit
05
Sorting and decision-making skills training
06
Long-term follow-up due to high relapse risk

Which Department to Visit?

You can visit our Psikiyatri department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.