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Hoarding disorder is characterized by an ongoing difficulty in parting with possessions due to the belief that they need to be saved. People with hoarding disorder experience distress at the thought of getting rid of items and gradually accumulate a vast number of possessions, regardless of their actual value.
Hoarding often results in extremely cluttered living conditions, with narrow pathways winding through stacks of belongings. Surfaces like countertops, sinks, and desks are piled with stuff, and the clutter may spread to other areas such as the garage, vehicles, yard, and storage spaces.
Hoarding can range from mild to severe, with varying degrees of impact on daily functioning. While some individuals may not perceive hoarding as a problem, intensive treatment can help them understand and change their beliefs and behaviors, leading to a safer and more enjoyable life.
The first symptoms of hoarding disorder typically appear during the teenage to early adult years. Individuals may acquire and save excessive items, gradually building up clutter in living spaces, and find it difficult to discard things.
As hoarding behaviors persist into middle age, the clutter becomes overwhelming, impacting daily functioning. Hoarding tendencies tend to be private behaviors, and major clutter may develop before others notice.
Symptoms of hoarding disorder include:
If you or a loved one exhibits symptoms of hoarding disorder, seeking help from a healthcare or mental health provider experienced in diagnosing and treating this disorder is essential. Some communities have agencies that can assist with hoarding problems, so it's worth checking with local or county government for resources in your area.
If hoarding disorder poses a threat to health or safety, contacting local authorities, such as police, fire, public health, or protective services, may be necessary.
The exact cause of hoarding disorder is unclear, but factors like genetics, brain function, and stressful life events are being studied as potential contributors.
Hoarding usually starts in the late teens or early adulthood and tends to worsen with age. Older adults are more commonly affected than younger adults. Risk factors include personality traits that involve difficulty making decisions, attention, organization, and problem-solving issues. Having a family member with hoarding disorder also increases the likelihood of developing the disorder. Additionally, stressful life events, such as the loss of a loved one or possessions in a fire, can trigger hoarding behaviors.
Hoarding disorder can lead to several complications, including an increased risk of falls and injuries due to clutter, family conflicts, loneliness, unsanitary living conditions, fire hazards, poor work performance, legal issues, and associations with other mental health disorders like depression, anxiety disorders, OCD, and ADHD.
As the specific cause of hoarding disorder is not known, there is no known way to prevent it. However, early treatment at the first sign of hoarding behaviors may help prevent the condition from worsening.
