Category: Obsessive Compulsive and Related Disorders


Symposium 64 - New Advances in the Treatment of Hoarding Disorder

Saturday, November 18
8:30 AM - 10:00 AM
Location: Indigo Ballroom E, Level 2, Indigo Level

Keywords: Hoarding | Treatment-CBT | Treatment Integrity / Adherence / Compliance
Presentation Type: Symposium

Hoarding disorder (HD) is a new diagnosis in DSM-5, characterized by difficulty discarding possessions and clutter that causes significant impairment in functioning.  Research indicates that HD is very common, potentially debilitating, and associated with substantial public health burden.  Cognitive-behavioral therapies (CBT) for HD have been developed only recently; evidence to date suggests that CBT leads to significant reductions in HD symptoms and improvements in quality of life.  However, several limitations of the existing treatments are noted.  First, there is clear room for improvement in efficacy: rates of clinically significant change are modest, most patients remain significantly symptomatic after treatment, and many patients show sub-optimal adherence to the treatment.  Second, the current CBT is highly time-consuming (the current protocol calls for 6 months of weekly individual treatment), difficult for many clinicians to provide (e.g., the treatment requires frequent travel to patients’ homes), and difficult for most patients to access (e.g., the distance to qualified therapists and the costs can be prohibitive).

 The aim of this symposium is to present new research on the treatment of HD that aims to improve efficacy, treatment adherence, and accessibility.  Tolin and colleagues will report the results of a randomized controlled trial of a brief group CBT for HD that allows clinicians to treat a larger number of patients, without home visits.  Ivanov and colleagues will describe the addition of an internet-based support system to improve treatment engagement and adherence in patients with HD.  Timpano and Shaw will then discuss an open trial of a bibliotherapy-supplemented group, led by paraprofessionals, which may further improve accessibility of treatment.  Finally, Levy and colleagues will report findings from individual and group CBT for HD, addressing whether change in HD-related beliefs mediates treatment response.  Our discussant, Randy Frost, widely considered the world’s leading expert in HD, will discuss how these findings inform treatment development, dissemination, and implementation.

Learning Objectives:

Send Email for David Tolin

Randy Frost

Harold Edward and Elsa Siipola Israel Professor of Psychology
Smith College


    Send Email for Randy Frost

    Volen Ivanov

    Karolinska Institutet


    Send Email for Volen Ivanov

    Send Email for Kiara Timpano

    Christine D'Urso

    Psychology Intern
    Institute of Living


    Send Email for Christine D'Urso


    Symposium 64 - New Advances in the Treatment of Hoarding Disorder

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