Treatment of Compulsive Hoarding: A Case Study
نویسنده
چکیده
The present case report describes an intensive treatment approach combining aggressive pharmacotherapy with daily cognitive behavioral therapy (CBT) directed at helping “Dee,” a 63-year-old female suffering from compulsive hoarding. The successful intervention consisted of individualized exposure and response prevention (ERP), in addition to cognitive restructuring to improve insight, decrease depressive and general anxiety symptoms, and address distorted beliefs. Pretreatment evaluation included assessment of clutter for all living spaces, including rooms in the house in addition to the car. After the six-week intensive treatment program, clutter decreased substantially in each of the rooms targeted for intervention. In addition, Dee’s scores on self-reported measures of obsessive-compulsive symptoms and anxiety steadily decreased during the intervention. Compulsive hoarding, when present in patients with obsessive-compulsive disorder (OCD), has been associated with poor response to both antianxiety medications and typical CBT. This case report illustrates that specific CBT strategies targeting the characteristic features of compulsive hoarding may provide better results for patients suffering from compulsive hoarding syndrome.
منابع مشابه
P108: Prevalence of Obsessive Compulsive Hoarding and its Association with Intolerance of Uncertainty and Impulsivity
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