Hoarding Disorder

Hoarding disorder is characterized by a persistent difficulty discarding possessions, regardless of their actual value, resulting in excessive clutter that impairs living spaces and daily functioning. Etiologies include genetic predisposition, cognitive deficits, and emotional regulation disturbances. Patients often exhibit indecisiveness, perfectionism, and heightened attachment to possessions. Diagnosis involves clinical assessment of clutter severity, distress, and functional impairment, often supported by structured interviews or rating scales. Management typically combines cognitive-behavioral therapy targeting decision-making, organization, and emotional regulation, along with motivational interviewing and pharmacologic treatment for comorbid psychiatric conditions. Prognosis improves with sustained therapy and environmental support.