What treatments can help? 

If hoarding is causing you distress, you might want to consider seeking treatment. A growing number of professionals are aware of hoarding, including the need to help you  take things at your own pace and not pressure you to make changes faster than you want to. 

Seeing your doctor 

The first step is usually to visit your doctor. If they think you are hoarding they might refer you to a psychiatrist (or another mental health professional) for an assessment. 

Our information on seeking help for a mental health problem can help you talk to your GP. Some people have also created tools to help you start a conversation about hoarding.  These include: 

Clutter Image Rating 

Using the Clutter Image Rating tool involves looking at pictures and choosing which ones most closely match your situation. 

You may also be able to find a free app by searching your app store for ‘Clutter Image Rating’. 

Talking therapies 

The main talking therapy used to treat hoarding is cognitive behavioural therapy (CBT), which focuses on how your thoughts, beliefs and attitudes affect your feelings and behaviour. 

See our pages on talking therapies and cognitive behavioural therapy (CBT) for more information. 

Evidence suggests that individual and group CBT can both be helpful, and that they are more likely to help if you follow a treatment programme designed for hoarding (rather than, for example, OCD). Hoarding-specific treatments are improving, as researchers are learning more about what can help. 

Together with your therapist, you might: 

  • examine your beliefs about needing to keep things 
  • try to understand why it’s hard for you to get rid of things 
  • learn skills to help you cope with difficult feelings. 

Other types of talking therapy may also be helpful, but more research is needed to find out which ones. 

Hoarding and treatment using virtual reality 

Researchers are investigating whether virtual reality can be combined with cognitive therapy to help you practise doing things you find difficult, such as throwing things away. It’s possible that this could be used to devise treatments for hoarding in the  future. 

“To be honest my recovery probably would not have started without [medication]. The anxiety and depression needed to be sorted out a bit before the house could even start to be sorted.” 

Medication 

There aren’t any specific medications for hoarding disorder, but some people find medication helps with other problems they are experiencing alongside hoarding. For example, you might be offered antidepressants. 

See our pages on antidepressants for more information. 

Medication really helps some people but isn’t right for others. Before deciding to take any drug, it’s important to make sure you have all the facts you need to make an  informed choice. Discussing the options with your doctor is a good place to start.

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