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date: 26 January 2021

Abstract and Keywords

A strong need exists to “think outside the box” and investigate innovative alternative interventions for hoarding (Muroff, 2011). Specialized individual-based cognitive-behavioral therapy (CBT) for hoarding has shown promising outcomes; however, it is costly, it takes about a year to complete, and few therapists are trained in these methods. Alternative modalities of hoarding interventions, such as group CBT treatment, support groups, and web-based interventions that include clinicians and/or nonclinicians, may extend access to treatment, reduce treatment duration, improve feasibility, have more widespread appeal, boost outcomes, and decrease costs. This chapter reviews research examining the efficacy of alternative methods for delivering cognitive and behavioral treatments for hoarding. Results from existing studies support the efficacy of various modalities for treating hoarding and have implications for stepped-care models. Such models provide a framework for future research and practice and for the broad dissemination of empirically supported CBT skills for this complex and impairing disorder.

Keywords: hoarding, group, bibliotherapy, cognitive-behavioral treatment, technology

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