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Hoarding

Disclaimer:

This publication is based on a Mind UK publication and the original version may be found here: https://www.mind.org.uk/information-support/a-z-mental-health/

Thank you to Mind UK for sharing their valuable content with us. Content included in Mental Health A-Z is made available free of charge and does not form part of any commercial activity. The adaptation has been done independently by Mind HK and is intended for general information purposes only.

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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What is iACT Service?

Improving Access to Community Therapies (iACT®) is one of the services from Mind HK. Trained Wellbeing Practitioners will offer initial assessment and early intervention for people dealing with mild to moderate symptoms of depression, anxiety, or other emotional difficulties.

 

The service includes 6-8 sessions of low-intensity psychological support, the flexibility of the service allows individuals to receive free and timely support when needed.

If you’re aged between 18 – 65 and are facing some emotional challenges, we would like to invite you to take an online assessment for us to gain a better understanding of your current emotional struggle.

 

If you’re eligible, we’ll get you connected with a Wellbeing Practitioner within two weeks to sort out the next steps.

The service runs for about 3 months and includes 6-8 support sessions, tailored to your needs.

 

We encourage you to attend all sessions and actively practice the tips and exercises provided by your Wellbeing Practitioner.

We take your privacy seriously. Your chats with the Wellbeing Practitioner are confidential.

 

We won’t share any of your info unless you’ve provided consent or if there are risks detected.

This programme isn’t suitable for people facing emergencies, major setbacks, or those diagnosed with serious or complex mental health conditions.

 

If you’re having thoughts of suicide or self-harm, this programme might not meet your needs, so please seek help right away. You can check out Mind HK’s “Find Help Now” page for immediate information and services.

Most of our Wellbeing Practitioners have backgrounds in psychology or counselling and are passionate about mental health. They’ve gone through about 140 hours of intensive training and completed at least 120 hours of supervised clinical practice over 9 months to ensure the quality of service.

 

They’re trained by accredited local experts in the mental health field, including clinical psychologists, counselling psychologists, counsellors, and psychiatrists. Plus, we regularly check how effective our services are. All service outputs and performances are subject to consistent monitoring.

Who is suitable for participating in this programme?

This programme welcomes anyone between the ages of 18 and 65 who may be feeling lost or facing emotional difficulties. Please note that this programme is not suitable for individuals diagnosed with severe or complex mental health conditions.

This programme is not suitable for individuals diagnosed with severe or complex mental health conditions, but suitable for those who experience mild to severe moderate anxiety, mild to moderate depression, or other emotional challenges. If you are currently experiencing a major setback or even having thoughts of suicide or self-harm, please visit the “Find Help Now” page on our Mind HK’s website for immediate information and services.

After signing up, our Wellbeing Practitioner will contact you within two weeks to schedule a convenient time for a 45-minute conversation, either via video or phone call, according to your preference. During the conversation, the Wellbeing Practitioner will understand your current situation and help you gain a better understanding of your emotional state based on the questionnaire you filled out during application. Additionally, they will provide recommendations for appropriate community resources based on your needs, helping you take an important first step in taking care of your mental health.

Although the intervention procedure is mostly standardised, Wellbeing Practitioners will work flexibly with clients to address individual presenting problems and unique characteristics.

Our Wellbeing Practitioners are trained to support people who experience mild to moderate mental health difficulties primarily. This programme is not suitable for the situations mentioned above. If you are currently experiencing a major setback or even having thoughts of suicide or self-harm, please visit the “Find Help Now” page on our Mind HK’s website for immediate information and services.

Your conversations with the Wellbeing Practitioner are absolutely confidential. Any information about you will not be shared with anyone without your consent unless you or others are at immediate risk or the Wellbeing Practitioner has reason to believe that you may be in imminent danger.
Supervisors will monitor trainees’ development throughout the placement to ensure that they are meeting the required level of competency to pass the training course at the end of the placement.

Yes, it is necessary to book an appointment in advance by filling out the form. Additionally, you can select one of the five stores yourself. We will allocate clients to different Wellbeing Practitioners based on their chosen location.

Before having the conversation, we will ask you to fill out a basic questionnaire for preliminary screening assessment. This screening process aims to ensure that the training received by the Wellbeing Practitioners is sufficient to meet the needs of the individuals receiving the service. If it is determined after the screening assessment that the service is not suitable for you, Mind HK will provide alternative recommendations to ensure your safety and support.

For adults who are suitable for this service, all Wellbeing Practitioners have received training on how to identify and respond to safety and risk issues. If you have any concerns about the support process, the Wellbeing Practitioners have appropriate measures in place and will develop response plans based on the urgency of the situation. They can also access support from clinical practitioners from Mind HK or participating organisations.

What private training does Mind HK provide?

Mind HK provides 4 themes of mental health training, including: Supporting Self, Supporting Others, Family Wellbeing and DEI (Diversity, Equity and Inclusion).

 

Check out the brochure here for more information.

Mind HK provides a wide range of standardised mental health training, which can be tailored to different circumstances. Chat with our team to explore more! 

Our trainers come from a diverse, accredited pool of clinically experienced professionals. Check out our trainers’ biographies here.

Yes, the Mental Health First Aid class of Mind HK is internationally accredited by the MHFA International. The content and certification is delivered by trainers certified from the Mental Health Association of Hong Kong. You can find out our trainers accreditation here.

We are here to support your mental health education journey! Reach out to us and chat with our team.

What treatments can help?

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.