Hoarding Disorder Overview

These flashcards cover key concepts related to hoarding disorder, including assessment tools, treatment methods, and important considerations.

What does the Hoarding Rating Scale-Interview (HRS-I) assess?

It assesses clutter, difficulty discarding items, acquisition issues, distress, and impairment.

What is the purpose of the Clutter Image Rating?

It helps individuals select a photo that reflects the amount of clutter in their bedroom.

What subscales are included in the Saving Inventory-Revised?

The Saving Inventory-Revised includes three main subscales:

• Clutter, which assesses the level of disorganization and difficulty in managing possessions

• Difficulty Discarding, which measures the challenges individuals face in throwing away items, even those that are no longer needed

• Acquisition, which evaluates the tendency to acquire new items and the impulse to obtain more possessions, often in excess.

What score indicates a problem with hoarding on the Saving Inventory-Revised?

A score totaling 41 or more indicates hoarding.

What does the Activities of Daily Living for Hoarding measure?

It measures how clutter interferes with daily living activities.

• 15 items the extent in which the clutter interferes with daily living

• rate 1-5

• good reliability and validity

• incongruence between patient and therapist or collaterals, patient insight is limited

What types of cognitions does the Savings Cognitions Inventory assess?

It assesses attitudes about discarding items, such as emotional attachment, memory, and control.

What is a common comorbidity with hoarding disorder?

Major depressive disorder is the most common comorbidity, affecting approximately 50% of individuals.

What therapeutic methods are suggested for treating hoarding disorder?

Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) are suggested approaches.

What is the primary goal of Motivational Interviewing in treatment?

To engage clients in treatment by supporting their autonomy and addressing resistance.

What safety considerations should be taken when addressing hoarding?

Ensuring safety from electrical or fire hazards and maintaining clear paths for access.