University of California, San Diego
Hoarding disorder (HD) is a chronic, progressive, and debilitating psychiatric condition that leads to devastating personal and public consequences, particularly for older adults. This confirmatory efficacy trial will advance our knowledge of the mechanisms of action in the treatment of HD as well as reduce symptom severity, disability, and community consequences.
Hoarding disorder (HD) is a chronic, progressive, and debilitating psychiatric condition that leads to devastating personal and community consequences, particularly for older adults. HD is defined by persistent difficulty discarding or parting with possessions due to distress associated with discarding, urges to save, and/or difficulty making decisions about what to keep and what to discard. As a result, clutter accumulates and fills active living areas, preventing the normal use of space and resulting in distress and disability. Community epidemiological reports estimate the prevalence of cli…
Inclusion Criteria: * adults age 50 and older * voluntary informed consent for participation * DSM-5 diagnosis of HD * HD as a primary, most severe diagnosis * stable on medications for at least 8 weeks Exclusion Criteria: * current psychosis or mania as measured by the Mini-International * current or history of any neurodegenerative disease * substance use disorder * current use of benzodiazepine medication * suicidality * current participation in exposure-based therapy
Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) includes cognitive rehabilitation of executive functioning and exposure therapy for discarding/not acquiring.
Case management includes linking to resources, monitoring health, and safety hazards.
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