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date: 17 April 2021

Abstract and Keywords

Cognitive-behavioral treatments (CBTs) found effective for obsessive–compulsive disorder (OCD) have produced generally poorer outcomes for adults with hoarding. A multicomponent psychotherapy was designed specifically for hoarding symptoms based on a cognitive-behavioral model for understanding this disorder. Treatment includes education about hoarding, goal setting and motivational enhancement, organizing and decision-making skills training, practice sorting and discarding objects, practice resisting acquiring, and cognitive therapy designed to alter problematic beliefs. Early case studies using these methods were promising and led to further refinement of individual treatment sessions plus regular home visits. Moderately good success with the revised individual CBT protocol was evident in a few case studies and pilot studies. In a subsequent waitlist controlled study, the intervention proved superior to waitlist after 12 weeks, and 26 sessions of CBT led to moderate improvement in hoarding symptoms. Controlled testing of CBT is needed on larger and more diverse samples.

Keywords: cognitive-behavior therapy, CBT, evidence-based practice, clinical intervention

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