Photo of Dean Leav - Men's Issues - Dr. Dean, PsyD, QME, Author, Psychologist
Men's Issues - Dr. Dean
Psychologist, PsyD, QME, Author
Verified Verified
Hermosa Beach, CA 90254
Welcome to my practice. I have been in practice since 2007 and have been featured on ABC, NBC, and KCAL as an expert psychologist. I work primarily with men who have hit “rock bottom” and would like help getting up. These men are often in crisis when we first meet. The issues I address are typically related to unhealthy sexual behaviors, infidelity, financial recklessness, gambling, drugs/alcohol, dishonesty/lying, and relational conflicts. My therapy approach is a combination of psychoanalytic, cognitive-behavioral, and the 12-Step recovery model. I also share insight from my own painful but redemptive recovery journey.
Welcome to my practice. I have been in practice since 2007 and have been featured on ABC, NBC, and KCAL as an expert psychologist. I work primarily with men who have hit “rock bottom” and would like help getting up. These men are often in crisis when we first meet. The issues I address are typically related to unhealthy sexual behaviors, infidelity, financial recklessness, gambling, drugs/alcohol, dishonesty/lying, and relational conflicts. My therapy approach is a combination of psychoanalytic, cognitive-behavioral, and the 12-Step recovery model. I also share insight from my own painful but redemptive recovery journey.
(424) 286-7538 View (424) 286-7538
Hoarding Therapists

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.