title: Treatment of compulsive hoarding.
abstract: Compulsive hoarding and saving symptoms, found in many patients who have obsessive-compulsive disorder (OCD), are part of a clinical syndrome that has been associated with poor response to antiobsessional medications and cognitive-behavioral therapy (CBT). Specific CBT strategies targeting the characteristic features of the compulsive hoarding syndrome have had better results. This article provides an overview of the compulsive hoarding syndrome, a review of treatment approaches and their efficacy, a case presentation, and a detailed discussion of intensive, multimodal CBT for compulsive hoarding. New insights into the neurobiological characteristics of compulsive hoarding that might direct future treatment development are also presented.
authors.affiliation: UCLA Neuropsychiatric Institute, Los Angeles, CA 90095, USA. ssaxena@mednet.ucla.edu
authors.forename: Sanjaya
authors.initials: S
authors.lastname: Saxena
authors.forename: Karron M
authors.initials: KM
authors.lastname: Maidment
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use; D001364:Awareness; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003631:Day Care, Medical; D003887:Desensitization, Psychologic; D005260:Female; D006801:Humans; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use*
chemical_list: D014150:Antipsychotic Agents; D017367:Selective Serotonin Reuptake Inhibitors