Refresh and try again. Open Preview See a Problem? Details if other :. Thanks for telling us about the problem. Return to Book Page. Although most people enjoy acquiring and using their possessions and nearly everyone keeps some things they dont need or use, people with compulsive hoarding carry this to an extreme. For them, ridding themselves of extra possessions is emotionally exhausting. Organizing is difficult and resisting the impulse to acquire new things is almost impossible.
This book represents Although most people enjoy acquiring and using their possessions and nearly everyone keeps some things they dont need or use, people with compulsive hoarding carry this to an extreme.
Compulsive Hoarding and Acquiring: Workbook (Treatments That Work)
This book represents more than a decade of research and practice to understand hoarding and develop an effective treatment program that address its many components. Used in conjunction with the treatment described in the therapist guide, this workbook teaches people how to minimize the negative effect clutter has on their lives, as well as the lives of those close to them. Using effective and practical techniques and skills, this program helps people get used to the idea of sorting, organizing, and gradually removing their unwanted possessions.
People who hoard tend to overvalue the importance of the things they own and keep. This book will also help people to recognize errors in their thinking and modify their thoughts and beliefs to more accurately reflect the value of their belongings. Worksheets for developing a personal organization plan and determining categories for filing are also included in this interactive, easy-to-use workbook.
With these books, users can be active participants who successfully overcome their compulsive hoarding. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! All programs have been rigorously tested in clinical trials and are backed by years of research. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date. Our books are reliable and effective and make it easy for you to provide your clients with the best care available.
Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated.
Compulsive Hoarding and Acquiring: Therapist Guide - Gail Steketee, Randy O. Frost - كتب Google
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Jan 05, Holly added it. Very useful. I also gave her a 3-ring binder to store the filled-in pages in. The hard work needed to change hoarding behavior is downplayed by focusing on sensational cases, says Gail Steketee, LCSW, MSW, PhD, a professor and dean at Boston University who has been researching hoarding since the mids and has coauthored numerous publications with Randy O. Hoarding is a chronic disorder that gradually worsens, often over a period of decades, says Bratiotis.
TV shows give the impression that appropriate intervention can occur in several days and without longer-term cognitive behavioral therapy CBT. Acknowledging the Problem Hoarding treatment begins with a person acknowledging the underlying problems that fuel hoarding behavior. The reasons for hoarding differ depending on the person, and treatment is challenging because people who hoard often do not realize their behavior is a problem or they are socially isolated and ashamed due to the condition of their home. Sometimes, they resist treatment because they think it will involve simply clearing out the clutter.
Contributing factors or stressors may include the following:. Currently, there is a common misperception that hoarding is caused primarily by OCD or anxiety. But although anxiety or compulsion may contribute to hoarding behavior, researchers now believe hoarding is not a type of OCD, and anxiety is not the primary driving force, Steketee explains. Hoarding helps prevent them from experiencing that anxiety or reduces the severity of it.
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Accumulating may be calming for the hoarder, Shulman says. The exact causes of hoarding are still uncertain, and research on the physiology and psychology of hoarding is ongoing. Geneticists are working to identify genetic loci related to hoarding behavior, says Steketee. A review of epidemiological, neurobiological, and treatment studies concluded that compulsive hoarding may be a discrete disorder with its own diagnostic criteria Pertusa et al.
Treating the Behavior Despite ongoing debate regarding the causes and diagnostic criteria of hoarding, there is no question that therapy is necessary. Hoarding typically leads to social isolation from family members, and involving family in the therapeutic process appears to contribute to improvement of hoarding behavior. The first and most important component of family therapy is education. Families need to understand that hoarding is a disorder, and the treatment process is long. Family members must be educated about hoarding to have compassion and recognize it as a mental health issue.
They need to understand that each accumulated item has meaning and value for the hoarder, she explains.
Addressing support and validation concerning the anger and hurt that many family members feel is another important step. The therapist needs to make sure the family understands that without their support and help, the hoarder is unlikely to get better, only progressively worse, Placzek says.
However, not all hoarders live alone and are socially isolated, and family therapy may be especially helpful when the hoarder lives with the family to deal with daily interactions during thin these situations. Impatience during the lengthy family therapy process is common, says Shulman. Or the partner may be impeding progress for the hoarder undergoing individual therapy, adds Shulman. When the hoarder lives with young children, elders, or people with disabilities, family therapy must address these special family issues, says Bratiotis.
Anecdotal reports from practitioners suggest that family therapy can be very successful when addressing hoarding behavior, but currently, no published research exists on the outcomes of family therapy for hoarding. However, research does support the benefits of cognitive and behavioral methods. Common approaches to individual therapy for hoarders includes motivational interviewing, CBT, and decision-making skill building. We also train skills to address cognitive problems like decision making and organizing as well as problem solving.
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