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Hoarding Disorder

A Comprehensive Clinical Guide

Carolyn I. Rodriguez, M.D., Ph.D., and Randy O. Frost, Ph.D.

  • ISBN 978-1-61537-433-5
  • Item #37433

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Accounts of hoarding behaviors have appeared in literature, as far back as 319 B.C.E. in the writings of Aristotle's student Theophrastus; in the news, like New York's infamous Collyer brothers in the 1940s; and more recently in popular reality television series.

But it wasn't until the publication of DSM-5 in 2013 that hoarding was classified as a disorder in its own right rather than as a symptom of obsessive-compulsive disorder or obsessive-compulsive personality disorder. In this single source, readers can access the most up-to-date comprehensive information on what is known about the disorder.

Drawing on the authors' own clinical experiences as well as the latest published research, Hoarding Disorder: A Comprehensive Clinical Guide examines key features of the disorder and treatment approaches, such as:

  • Phenomenology, including diagnosis, comorbidities, and assessment
  • Etiology, from both a cognitive-behavioral and a neurobiological perspective
  • Psychotherapeutic and pharmacological treatments, from cognitive-behavioral therapy, harm reduction strategies, and community approaches to the efficacy of specific drugs
  • Challenges, including working with elderly patients, managing cases of animal hoarding, and distinguishing and addressing squalor

Key points for each chapter and numerous case studies will help readers easily reference and retain information, and the appendices feature useful symptom rating scales that can be applied to practice.

For psychiatrists, psychologists, human service and other mental health professionals, peer support counselors, community advocates, and professionals in training, this invaluable book will improve the reader's knowledge and skill in treating patients with hoarding disorder, both those with straightforward presentations and those with complicated ones.


  • About the Authors
  • Preface
  • Acknowledgments
  • Part I: Phenomenology

  • Chapter 1. Introduction and History
  • Chapter 2. Diagnosis and Comorbidity
  • Chapter 3. Assessment
  • Chapter 4. Insight and Motivation
  • Part II: Etiology

  • Chapter 5. Cognitive-Behavioral Model
  • Chapter 6. Neurobiology
  • Part III: Interventions

  • Chapter

    7. Cognitive-Behavioral Therapy
  • Chapter 8. Pharmacotherapy
  • Chapter 9. Harm Reduction
  • Chapter 10. Community
  • Part IV: Challenges

  • Chapter 11. Elders
  • Chapter 12. Animal Hoarding
  • Chapter 13, Squalor
  • Chapter 14. Future Directions
  • Appendixes

  • Appendix A: Structured Interview for Hoarding Disorder (SIHD)
  • Appendix B: Clutter Image Rating (CIR)
  • Appendix C: Saving Inventory—Revised (SI-R)
  • Appendix D: Hoarding Rating Scale (HRS)
  • Appendix E: Activities of Daily Living—Hoarding Scale (ADL-H)

About the Authors

Carolyn I. Rodriguez, M.D., Ph.D., is Associate Chair and Associate Professor and Director of the Translational Therapeutics Lab in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine in Stanford, California.

Randy O. Frost, Ph.D., is Harold Edward and Elsa Siipola Israel Professor Emeritus of Psychology at Smith College in Northampton, Massachusetts.

This volume is a resource for understanding hoarding from both psychological (thoughts, emotions, and behaviors) and neurobiological perspectives and for gathering essential information about individuals who need help. It covers diagnosis and comorbidity, as well as insight and treatment motivation with appendices and tables to interpret measures of hoarding severity. It reviews cognitive behavior therapy methods with a special focus on community-based interventions.—Gail Steketee, Ph.D., Professor and Dean Emerita, Boston University

Carolyn Rodriguez and Randy Frost have written a comprehensive and thoughtful clinical guide for mental health practitioners and others who encounter individuals with hoarding disorder in their practice. For too long, hoarding disorder, which affects more than one in every fifty adults, has been under-recognized, misunderstood, and under-or untreated.—Carol A. Mathews, M.D., Brooke Professor of Psychiatry, University of Florida College of Medicine, Director, UF Center for OCD, Anxiety and Related Disorders, Author, Recognizing and Treating Hoarding Disorder, How Much is Too Much?

Two leading international scholars in the field of hoarding disorder have provided us with an accessible yet thorough deep-dive into the world of hoarding theory, research, and treatment. The authors provide an impressive synthesis of the extensive research that they and others have conducted on many facets of this complex and challenging disorder. This book is exceptional with respect to both its breadth, ranging from portrayals of hoarding throughout history to the very latest research, and its depth, including fascinating insights into hoarding illustrated with detailed case examples.—Jessica R. Grisham, Ph.D.,Professor, School of Psychology, Editor, British Journal of Clinical Psychology

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