Abstract and Keywords
Available research on hoarding is limited, but even more so for older adults. The consequences of hoarding, coupled with age-related physical and cognitive decline, may affectfunctional abilities and complicate intervention (Ayers, Scheisher, Liu, & Wetherell, 2012). Assessment and treatment accommodations may be necessary for late-life hoarding due to cognitive impairment, physical illness, limited mobility, and health hazards (e.g., Ayers, Wetherell, Golshan, & Saxena, 2011; Turner, Steketee, & Nauth, 2010).Althoughthere are few treatment outcome studies, there is sufficient evidence to suggest that age-adapted cognitive-behavioral therapy for hoarding is promising (e.g., Ayers, Bratiotis, Saxena, & Wetherell; Ayers et al., in press; Turner et al., 2010). This chapter focuses on the unique nature and presentation of hoarding disorder (HD) in late life. The consequences of HD compounded by age-related changes are reviewed. Further, diagnostic considerations and age-appropriateassessment accommodations are described. The chapter includes a review of recent treatment outcome research to highlight effective strategies that have been adapted specifically to the needs of geriatric patients and that provide guidelines to overcoming treatment barriers in this population.
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