Photo of Michael Swift, Psychotherapist in B13, England
Michael Swift
Psychotherapist, MSc, MBACP
Verified Verified
Hi, I'm Mike! I value authenticity and transparency in the therapy room. I became a therapist to empower you to make positive and lasting change. I'll be honest, I won't have all the answers, but I'm never afraid to accompany you on the journey to find them. In my practice, I am a compassionate and knowledgeable integrative psychotherapist who has worked in health care organizations for over 10 years. I mainly specialize in the use of Cognitive Behavioural Therapy and third wave therapy approaches for a range of mental health difficulties including anxiety, depression, specific phobias, OCD and health anxiety.
Hi, I'm Mike! I value authenticity and transparency in the therapy room. I became a therapist to empower you to make positive and lasting change. I'll be honest, I won't have all the answers, but I'm never afraid to accompany you on the journey to find them. In my practice, I am a compassionate and knowledgeable integrative psychotherapist who has worked in health care organizations for over 10 years. I mainly specialize in the use of Cognitive Behavioural Therapy and third wave therapy approaches for a range of mental health difficulties including anxiety, depression, specific phobias, OCD and health anxiety.
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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.