How to help a hoarder

Embargoed until: Publicly released: 2021-06-01 00:01

Australia; NSW; VIC

Those struggling to manage hoarding and squalor are suffering from a complex but treatable condition, according to Aussie researchers who outlined potential strategies to help. Hoarding (accumulating too many possessions) and squalor (unclean, messy, unhygienic conditions) can be the result of many issues, including brain injury, ADHD, autism, OCD or even a result of grieving or elder abuse. One major hallmark of the condition is refusing help, so doctors are in a unique position where respecting the patients' wishes to be left untreated should not be accepted right away, the authors say. Instead, gentle, ongoing attempts to help combined with emotional support, even if the person refuses to even open their door, is encouraged, they say. While there are medications available for certain related conditions, the authors recommend cognitive behavioural therapy to help these patients manage the condition, researchers say.

Media release

From: NPS MedicineWise

Managing hoarding and squalor

Hoarding and squalor are complex conditions that can pose safety risks to the individual, household occupants, pets and neighbours. Dr Andrew Gleason from the Department of Consultation Liaison Psychiatry at the Concord Repatriation General Hospital in Sydney examines the diagnosis and treatment of hoarding and squalor. A multiservice, multidisciplinary approach is often required which may include cognitive behavioural therapy for hoarding disorder and potentially some medicines.

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Journal/
conference: Australian Prescriber

Research:Paper

Organisation/s: Florey Institute of Neuroscience and Mental Health, The University of Sydney, The University of New South Wales

Funder: N/A

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