Photo of Jessica Kalia, Counsellor in V5C, BC
Jessica Kalia
Counsellor, RCC, MC, BA
Verified Verified
Burnaby, BC V5C
Counselling offers an opportunity for insight, growth and change. It can be a source of support and hope in times of difficulty or crisis. I believe in having a client- centered and strength based approach as well. I work with families, children, individuals and couples. My specializations include: suicide prevention and assessment, depression, anxiety, trauma, relationship concerns, parenting, grief, and ADHD. As each client is different and unique, I use an approach that works best for you. In my practice, I integrates techniques from cognitive behavioral therapy, narrative therapy, emotion focused therapy and solution focused therapy.
Counselling offers an opportunity for insight, growth and change. It can be a source of support and hope in times of difficulty or crisis. I believe in having a client- centered and strength based approach as well. I work with families, children, individuals and couples. My specializations include: suicide prevention and assessment, depression, anxiety, trauma, relationship concerns, parenting, grief, and ADHD. As each client is different and unique, I use an approach that works best for you. In my practice, I integrates techniques from cognitive behavioral therapy, narrative therapy, emotion focused therapy and solution focused therapy.
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What is the most effective treatment for hoarding?

Cognitive behaviour therapy (CBT) has been well-studied in the treatment of hoarding. This type of therapy includes changing beliefs surrounding possessions, as well as learning how to discard items and reduce acquisitions. The hoarder may also gain much-needed organizational skills. Another useful therapy may be compassion-focused therapy, which can address emotion regulation and negative self-perception.

How long does therapy for hoarding take?

Although treatment can vary, most people demonstrate improvement after 23 sessions, with some showing improvement after just a few sessions. Researchers have developed a 26-session cognitive behavioral program. People who hoard may need “maintenance” sessions over the years if the problem arises repeatedly.

Are there medications for hoarding?

The more commonly-prescribed medications for hoarding are including antidepressants, including selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs). This can include drugs such as venlafaxine and paroxetine. And because hoarding disorder is related to obsessive-compulsive disorder, medications for OCD, such as clomipramine, may be effective for hoarding as well.

Can hoarding come back after treatment?

Hoarding is a chronic disorder and it can last throughout an individual’s lifetime. Regularly checking in with a psychotherapist can help manage symptoms long-term. A good therapist will help the person learn needed skills including decision-making, organization, and stress reduction. The patient will gain a better perspective and the need to cling to useless items will lessen.