Abstract
Hoarding behavior has been reported as occurring both within and independently of obsessive— compulsive disorder (OCD). It is characterized by the acquisition of possessions of limited value or utility, accompanied by a failure to discard those same possessions, and it can result in mild to severe impairment; appears to follow a chronic, progressive course; and has traditionally been seen as largely treatment refractory, with impaired motivation for treatment cited as a major factor. Theoretical models have proposed information-processing deficits, distorted beliefs and cognitions, and excessive attachment to objects. This article reports a 5-year follow-up of a case of chronic, progressive hoarding behavior, co-occurring with OCD and impulse control disorder. It describes the attempted treatment modalities and their long-term results. It may be of specific interest to clinicians as the client is unique in her ability to articulate cognitions and emotion with regard to the hoarding behavior. Motivational factors are highlighted.
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