Hoarding disorder: symptoms, diagnosis and management

by Dr Alberto Pertusa, Dr Lokesh Gangoli and Dr Akif A. Khan


Published: August 2016


Although hoarding behaviour has been poorly understood by psychiatry in the past, research into hoarding has dramatically increased in the last 10 years. Traditionally, hoarding was considered a symptom of obsessive-compulsive disorder (OCD); in fact, the term ‘compulsive hoarding’ was widely used until recently.


Hoarding disorder was introduced in DSM-5 in 2013 as a new diagnostic entity, separate from OCD. Hoarding disorder is also likely to be included in the forthcoming ICD-11.

Hoarding disorder has serious risk implications for the patients as well as those around them, and the majority of individuals with the condition do not see their behaviour as problematic and are not motivated to seek help.

This module covers the clinical presentation of hoarding disorder, as well as its epidemiology and aetiology. It also explains how to carry out a diagnostic assessment and covers the current best evidence-based strategies for treatment and multi-agency management.


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If you like this module, you may also be interested in:


Assessment and management of obsessive-compulsive disorder: Part 1 and Part 2

by Dr Amit Nigam et al


Introduction to cognitive-behaviour therapy by Professor Chris Williams and Dr Rebeca Martinez


Pharmacological management of anxiety disorders by Dr Zia Nadeem and Dr Allan Scott


BJPsych Advances: related articles for CPD Online



Related Advances articles


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This module is a joint commission with the following article published in BJPsych Advances:

Pertusa A, Gaston RL, Choudry A (2019) Hoarding revisited: there is light at the end of the living room. BJPsych Advances, 25: 26–36. [abstract]

Other related Advances articles


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