It’s characterized by the extreme difficulty of getting rid of possessionseven those of little or no value.

When severe, hoarding can put a person (and others in their home) in danger.

Types of Hoarding

There are a few different types of hoarding that people may experience.

Large messy pile of household items, clothes, boxes, hangers, bubble wrap, toilet paper, pants, shirts, dresses with curtains and mirror in background

Del Henderson Jr / Getty Images

Some people may exhibit a specific throw in of hoarding, while others may experience a more general form.

With this behavior, a person actively seeks to acquire more unneeded items.

People who hoard have varying levels of insight into their behavior.

For example:

Other risks are specific to what a person hoards.

For example, a person who hoards animals may have exotic pets who are more likely to carry pathogens.

The risk of illness is increased further if a person who hoards cannot properly care for their animals.

They also have a high rate of utilization of social service agencies.

Diagnosis

Hoarding is a primary symptom of a condition known as hoarding disorder.

The DSM-5 outlines the following diagnostic criteria for hoarding disorder:

What Causes Hoarding?

There isn’t a single factor that predisposes someone to hoard or causes the disorder to start.

Hoarding behaviors often start in childhood or adolescence and progressively worsen as a person gets older.

Those who do seek treatment are usually 50 years of age or older.

Treating hoarding disorder is a process.

Psychostimulants and cognitive enhancers are also being investigated as possible treatments.

For more mental health resources, see ourNational Helpline Database.

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