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Compulsive Hoarding

It is believed that compulsive hoarding affects up to two million
people in the United States alone. It is considered a type of
obsessive-compulsive disorder (OCD) and is often found in patients with
other diseases, including dementia, mental retardation, Alzheimer's,
schizophrenia and anorexia. Compulsive hoarding involves an
individual˝s uncontrollable need to acquire an excessive number of
objects that may seem useless or of no value. This includes compulsive
shopping, extreme collecting, or acquisition of free things like free
newspapers, magnets, pens, and/or junk mail.

The behavior of acquiring and saving objects is also called
"pathological collecting". It is not uncommon for people who hoard to
completely fill their homes with clutter so that the living space is
unusable. Two types of saving are seen with those who are compulsive
hoarders. One type is instrumental saving. Hoarders of this type
believe that their possessions fulfill a specific desire or purpose.
They believe that their hoarding is sensible and beneficial. For
instance, these types of hoarders might believe that the items they are
hoarding are valuable and will be sold for profit in the future. The
reality is that the items they collect are never actually sold. The
other type of hoarder is one who is a sentimental saver. They believe
that their possessions represent extensions of the self. Regardless of
the type of saver, certain compulsions lie in most hoarders. Hoarding
is an obsession that develops due to certain excessive concerns like
that certain objects cannot be discarded because they might be needed
later. Another trait of hoarders involves severe indecisiveness over
which items should be kept versus which ones should be discarded. The
individual cannot make up their mind, so the decision is avoided and
nothing is thrown out.

One of the most challenging aspects of compulsive hoarding is that
oftentimes hoarders do not recognize that they are impaired, living in
hazardous conditions, and that their obsessions are out of control. In
most cases, professional help is sought by a concerned family member, a
frustrated landlord, or the Board of Health. The most effective way to
treat compulsive hoarding syndrome is medication and/or
cognitive-behavior therapy. Compared to other individuals with other
forms of OCD, compulsive hoarders tend to experience more anxiety and
depression and greater social dysfunction.

It can be difficult for family members to deal with a compulsive
hoarder. If you have a compulsive hoarder in your family, the best
thing to do is to be understanding. Family members should help the
person recognize that their actions are inconsistent with their greater
goals or values. Ask the person valuable questions like "What's really
important to you in life?" or "How would you like your life to be five
years from now?" Do not argue, threaten, or blame the person you are
trying to help. Allow them to build trust in you. After several
conversations you might begin to notice that the person is more open to
admitting that there is a problem, and you might be on your way to
getting the individual professional help to change their compulsive
hoarding disorders.

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