What is the psychology of hoarding

Pathological hoarding

Dr-Elze.deDr. Elze

Pathological hoarding(engl. Hoarding Disorder), also known as compulsive hoarding, Compulsory collection or Messie Syndrome, is characterized by excessive collecting or picking up of objects, which - in contrast to “normal collecting” - leads to increasing disorder in the apartment of the person concerned and / or at their workplace, and this to increasing social and / or restriction professional areas.

The task of throwing away some or all of the hoarded items leaves those affected feeling very uncomfortable. Even the thought of having to part with some of these objects leads to aversive emotional reactions, such as low mood, anxiety or irritability, in people who have been hoarding pathological.

Most of the items hoarded would be considered worthless by other people, but those afflicted with pathological hoarding experience an overwhelming need to keep these items - because they may need these items in the future, and / or because they can do without them these objects would feel uncomfortable or unsafe.

While collecting is a rather active process in pathological hoarding, it occurs in Disorganization syndrome and at Neglect syndrome a predominantly passive collection of objects.

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Prien am Chiemsee / Rosenheim, www.Dr-Elze.de


Pathological hoarding: prevalence

The Prevalence of Pathological hydrangea is estimated to be around 2 to 5% in the general population.

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Prien am Chiemsee / Rosenheim, www.Dr-Elze.de


Pathological hoarding: diagnosis

Pathological hoarding is characterized by the following features:

  • Pronounced difficulties in throwing objects away, with an overwhelming need to pick up these objects and / or a marked discomfort when throwing these objects away.

  • Accumulation of a large number of objects that fill the apartment or workplace of those affected to such an extent that their use for their original purpose is no longer possible or only possible to a very limited extent.

  • Pathological hoarding leads to a marked, clinically relevant malaise and / or to marked limitations in social, professional or other important functions, including the task of maintaining a safe environment for oneself or others.

  • Pathological hoarding is no better explained by another mental illness or as a symptom of a mental disorder such as bipolar affective disorder or psychotic disorder.

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Prien am Chiemsee / Rosenheim, www.Dr-Elze.de


Pathological hoarding: symptoms

To the Symptoms of Pathological hydrangea include:

  • Excessive collecting or picking up items of everyday use.

  • Aversive emotional reactionssuch as low mood, anxiety, or irritability when confronted with the thought that some of the hoarded items should be thrown away.

  • Tolerance development with an increasing increase in hoarding to achieve the same level of satisfaction.

  • Loss of control with an ongoing need and / or unsuccessful attempts to reduce or abandon pathological hoarding.

  • Disregard of the negative consequences pathological hoarding, with persistent excessive hoarding despite the certainty that it will lead to current psychological or social problems or exacerbate pre-existing problems.

  • Defense against aversive emotions, such as feelings of helplessness, loneliness or anxiety, as a (short-term) “positive” consequence of pathological hoarding.

  • loss of social contacts, interests, previous hobbies etc. as a (long-term) consequence of pathological hoarding.

  • illusion from family members, friends, therapists, etc. - as well as from yourself about the true extent of pathological hoarding.

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Prien am Chiemsee / Rosenheim, www.Dr-Elze.de


DSM-5 300.3

The American Psychiatric Association (APA) has the Pathological hoarding as so-called Hoarding Disorder in the 5th revision of the Diagnostic and Statistical Manual of Mental Disorders - DSM-5 recorded (Section 300.3).

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Prien am Chiemsee / Rosenheim, www.Dr-Elze.de


ICD-11 6B24

The World Health Organization (WHO) carried out the 11th revision of the International Classification of Diseases (International Classification of Diseases) ICD-11 presented.

In the ICD-11 was that Pathological hoarding included for the first time as an independent diagnosis and under the coding ICD-11 6B24 guided.

(see WHO 2017, WHO 2018)

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Prien am Chiemsee / Rosenheim, www.Dr-Elze.de


Pathological hoarding: therapy

For the therapy of Pathological hydrangea will the psychotherapy, especially the Cognitive behavioral therapy, as well as the medication recommended.

© Dr. Sandra Elze & Dr. Michael Elze

Prien am Chiemsee / Rosenheim, www.Dr-Elze.de

literature

Pathological hoarding: diagnosis according to ICD-11

Pathological hoarding: diagnosis according to DSM-5

Last update: 03.01.2021

Article authors: Dr. Sandra Elze & Dr. Michael Elze

This work is protected by copyright.

© Dr. Sandra Elze & Dr. Michael Elze

Prien am Chiemsee / Rosenheim, www.Dr-Elze.de