Photo of Gianina Casareno Reibling, LMFT, MS, Marriage & Family Therapist
Gianina Casareno Reibling
Marriage & Family Therapist, LMFT, MS
Verified Verified
San Jose, CA 95112  (Online Only)
I hear and see you! I have personal experience aiding clients of all ages, but have worked extensively with teens. I have worked with clients who faced issues with depression, anxiety, self worth, relentless inner chatter, complicated relationships, transitional life stages, infertility, public speaking, the global pandemic and generational cultural expectations which differ from one's own values. What everyone does have in common is that they are looking for a better relationship with themselves and others. I understand you because of my experience and I know how to assist you in overcoming your life challenges. You are not alone.
I hear and see you! I have personal experience aiding clients of all ages, but have worked extensively with teens. I have worked with clients who faced issues with depression, anxiety, self worth, relentless inner chatter, complicated relationships, transitional life stages, infertility, public speaking, the global pandemic and generational cultural expectations which differ from one's own values. What everyone does have in common is that they are looking for a better relationship with themselves and others. I understand you because of my experience and I know how to assist you in overcoming your life challenges. You are not alone.
(510) 422-0862 View (510) 422-0862

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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.