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Hoarding disorder (HD) is characterized in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), by (a) persistent difficulties with discarding due to strong urges to save, or distress/indecision concerning discarding; (b) accumulation of clutter in living spaces, preventing the normal use of those living spaces; (c) clinically significant distress; (d) hoarding symptoms not due to a general medical condition; and (e) hoarding symptoms not better explained as representing another mental health disorder (e.g., obsessions in obsessive-compulsive disorder [OCD]).

Challenge of Treatment, Outcomes, and Treatment Targets

HD is a serious mental health problem but one that is often denied, colluded with, or concealed, so those with HD do not typically seek treatment. There has been a lack of research on HD, and evidence concerning ...

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