A new approach to treating hoarding disorder, focusing on peer support and empowerment, is showing promising results, according to experts. Dr. David Tolin, a leading researcher in hoarding, and Randy Frost, co-author of the book “Buried in Treasures,” have pioneered methods emphasizing understanding and skill-building rather than shame.
Hoarding disorder, officially recognized as a distinct mental disorder in the DSM-5 in 2013, affects an estimated 2.5% of the adult population in the United States,according to the International OCD Foundation. Contrary to common misconceptions, it’s not simply about loving possessions. Dr. Shuer, a specialist in hoarding behavior, explains that hoarding is frequently enough driven by “intention without opportunity,” meaning individuals typically intend to use accumulated items but struggle to organize or discard them.
The prevailing misunderstanding that hoarders prioritize possessions over relationships is inaccurate, Shuer emphasizes. Instead, those affected are often motivated by a desire “to be a good person, not a bad person,” attempting to avoid waste or preserve memories. This often leads to feelings of guilt and anxiety surrounding discarding items.
The “Buried in Treasures” workshop, developed by Frost and Tolin, centers around group interaction. Shuer highlights the program’s success stems from the safe and supportive environment it provides, allowing participants to openly discuss their challenges and learn from one another. The program, typically lasting 16 weeks, combines cognitive behavioral therapy (CBT) techniques with practical decluttering strategies.
“Learning the skills and being treated with respect like this is really empowering,” Shuer stated. “you’re also receiving that positive reinforcement that you’re not some kind of social pariah and you’re not crazy.” This validation is crucial in combating the stigma often associated with hoarding disorder.
participants consistently report a renewed sense of hope and agency by the program’s conclusion. The belief that change is absolutely possible, coupled with practical tools and a supportive community, is a powerful motivator. The program emphasizes that with sufficient care and determination,individuals can overcome hoarding behaviors and reclaim their living spaces.