Licensed Master Social Worker (LMSW), Laura Lokers, has specialized training in Cognitive Behavioral Therapy and has extensive experience in identifying and treating hoarding disorders.
- Part 1: Identifying and Defining Hoarding
- Part 2: Treating Hoarding Disorder
- Part 3: Challenges in Treating Hoarding Behavior
PART 1: IDENTIFYING HOARDING BEHAVIOR
TWO PARTS OF THE BRAIN AFFECTED BY HOARDING DISORDER
Trauma may increase the risk of a pre-existing condition, but does trauma cause hoarding? No, there’s no evidence of that. -Laura Lokers
WHAT’S THE DIFFERENCE BETWEEN HOARDING AND CLUTTER?
Clutter is accidental; it just happens, and at some point, a decision is made to clean up. With hoarding, it’s very deliberate collecting. Clutter usually doesn’t impede your ability to function, whereas hoarding typically does.
PART 2: TREATING HOARDING DISORDER
FIRST STEPS IN TREATING HOARDING DISORDER
Treatment is about creating habits and teaching how to make quick and imperfect decisions.
“If you got in the habit of throwing away ten pieces of paper a day or putting away ten pieces of clothing or dishes or whatever, you could probably keep up with your home pretty easily.” –Laura Lokers.
OHIO PROTECTS FROM CHURNING
OHIO stands for:Only Handle It Once
Once something is in your hand, make a decision about it. Don’t set the thing down and come back. It may seem easier to do that, but it isn’t. Deciding later will be harder. Maybe it seems like too much time to decide, but the reality is, the time spent re-visiting the same item over and over is taking much more time.
PART 3: CHALLENGES IN TREATING HOARDING DISORDER
TREATING HOARDING CAN BE DIFFICULT
Hoarding disorder does not fall into anxiety, mood, or OCD disorders. 80% of people with hoarding disorder show zero signs of OCD. The treatments for these disorders don’t work effectively when used to treat hoarding disorder. The treatment that IS found to be effective in the short-term and long-term requires slow discarding and teaching skills for how to deal with stuff.
Most people with hoarding disorder believe they are helping a lot of people. Many people who hoard have many things in their home intended for other people.
Hoarding disorder changes the perception of space compared to things in that space. For instance, you might walk in and say, “Wow you have 300 sweaters.” And they will say, “What are you talking about? There’s like 50 in here,” and they believe that.
Treating hoarding disorder is challenging, but Lokers has seen successful treatments all throughout her career.
WATCH FULL VIDEO: IDENTIFYING AND TREATING HOARDING BEHAVIOR
- Part 1: Identifying and Defining Hoarding
- Part 2: Treating Hoarding Disorder
- Part 3: Challenges in Treating Hoarding Behavior