Photo of Margaret Gorny, APN, Psychiatric Nurse
Margaret Gorny
Psychiatric Nurse, APN
Verified Verified
Montville, NJ 07045
I have worked in the Mental Health field for over 30 years and have treated adults ranging in age from 18 to 80. I have also done extensive work with couples and families. My clients have had a wide variety of presenting problems from depression, anger management, relationships issues, anxiety, mood disorders, marital problems, phobias and obsessive compulsive behaviors. I see my client as a whole person not as a person with a problem. A person with strengths and weaknesses. Our job together is to find the answers and develop the skills to move forward to an enriching life.
I have worked in the Mental Health field for over 30 years and have treated adults ranging in age from 18 to 80. I have also done extensive work with couples and families. My clients have had a wide variety of presenting problems from depression, anger management, relationships issues, anxiety, mood disorders, marital problems, phobias and obsessive compulsive behaviors. I see my client as a whole person not as a person with a problem. A person with strengths and weaknesses. Our job together is to find the answers and develop the skills to move forward to an enriching life.
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Hoarding Psychiatrists

What is the most effective treatment for hoarding?

Cognitive behavior 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.