Mental Health Minute
from Mental Health America of Greater Indianapolis
June 2011
Compulsive Hoarding and 6 Tips to Help
By Therese J. Borchard
 
Even though most people lump compulsive hoarding into the same illness umbrella as obsessive-compulsive disorder, hoarders actually have different brains. The brain-imaging research shows that people with compulsive hoarding have distinct abnormalities in brain function compared to people with non-hoarding OCD and those with no psychiatric problem.  
 
According to Dr. Jack Samuels, Johns Hopkins, Department of Psychiatry,: “What causes those brain abnormalities (besides genetics) is still not clear, but compulsive hoarding can begin after damage from stroke, surgery, injuries, or infections. In addition, psychology and environmental factors (e.g. traumatic family experiences) appear to contribute to abnormal brain development and function.”
 
Samuels says that hoarding belongs to a syndrome which also includes:
  • Indecisiveness
  • Perfectionism
  • Procrastination
  • Avoidance behaviors
  • Difficulty organizing tasks
And here are some interesting stats: hoarding obsessions and compulsions are present in approximately 30 percent of OCD cases. However, as a group, says Samuels, OCD-affected individuals with hoarding symptoms have a more severe illness, a greater prevalence of anxiety disorders, and a greater prevalence of personality disorders than people with OCD who don’t have hoarding symptoms. Hoarders are often less responsive to treatment than non-hoarding OCD patients.
 
Six anti-clutter strategies for compulsive hoarders:
  1. Make immediate decisions about mail and newspapers. Go through mail and newspapers on the day you receive them and throw away unwanted materials immediately. Don’t leave anything to be decided on later.
  2. Think twice about what you allow into your home. Wait a couple of days after seeing a new item before you buy it. And when you do purchase something new, discard another item you own to make room for it.
  3. Set aside 15 minutes a day to declutter. Start small–with a table, perhaps, or a chair–rather than tackling the entire, overwhelming house at once. If you start to feel anxious, take a break and do some deep-breathing or relaxation exercises.
  4. Dispose of anything you have not used in a year. That means old clothes, broken items, and craft projects you’ll never finish. Remind yourself that many items are easily replaceable if you need them later.
  5. Follow the OHIO rule: Only Handle It Once. If you pick something up, make a decision then and there about it, and either put it where it belongs or discard it. Don’t fall into the trap of moving things from one pile to another, again and again.
  6. Ask for help if you can’t do it on your own. If you feel these strategies are impossible to carry out and you cannot cope with the problem on your own, seek out a mental health professional.
Therese J. Borchard is Associate Editor at Psych Central
 
OCD and Hoarding Seminar
featuring Megan O'Bryan, Ph.D.
Thursday, June 16th
9 am to Noon
$40
1441 N. Delaware St.
Email atobias@mhaindy.net to register.
 
 
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