Do you also accumulate unnecessary things? Let's learn about this (Hoarding Disorder)!

Do you also accumulate unnecessary things? Let's learn about this (Hoarding Disorder)!

Have you ever noticed how some people collect mountains of old newspapers, piles of unusable clothes, and broken furniture, and are so miserable that they can't put them away? Maybe someone in your family or a friend suffers from this. Or maybe you yourself have a little bit of this habit. This is not just a simple "greed to throw away" or "laziness". This can be a deeper, mental health condition . Today we are talking about this condition (Hoarding Disorder).

What exactly is this Hoarding Disorder?

Simply put, Hoarding Disorder is a mental health condition. It is characterized by an overwhelming desire to collect large amounts of items , regardless of whether they have any value. Also, when trying to get rid of these items, they experience unbearable stress and distress . This hoarding interferes with their daily lives to the point where they are unable to function.

Imagine, old newspapers, magazines, plastic bags, unused kitchen utensils, and years-old clothes pile up and fill rooms. Sometimes, these people collect a large number of animals, but they don't take proper care of them.

Hoarding Disorder can cause a terrible mess in the home. It affects many aspects of life. It can cause great stress and embarrassment in social relationships, family life, and work. It can also create a dirty and unsafe environment in the home.

Is Hoarding Disorder related to anxiety? Or is it like OCD?

Many people think that this is an anxiety disorder. Hoarding Disorder is classified as an obsessive-compulsive disorder (OCD) . However, Hoarding Disorder is a separate, more recognized condition .

Previously, this condition was classified as a subcategory of OCD in the Diagnostic and Statistical Manual of Mental Disorders (DSM), a major document published by the American Psychiatric Association that classifies mental illnesses.

However, doctors realized that there were people who had no other mental illness but only had this collecting behavior. After further research, this was recognized as a separate condition and included in the latest edition of the (DSM) as ``(DSM-V)`` (Hoarding Disorder).

So what's the difference between just collecting things and hoarding?

There is a big difference between the two. Simply collecting things is usually something you do as a hobby.

Imagine, you collect things like stamps, old coins, comic books, etc. You choose them carefully, pack them neatly, and keep them beautifully . You feel happy when you look at them. Such a collection does not cause any trouble in your daily life.

However, a person with Hoarding Disorder collects things in a way that is not organized or easy to use. They often collect things that have no monetary value – old pieces of paper, broken toys, used bottles, etc. Also, this collection becomes a major disruption to their daily lives . The house becomes cluttered, it becomes untidy, and it causes problems with other people.

Who suffers the most from this condition? How common is it?

Hoarding Disorder often begins in adolescence , around the ages of 15-19. After that, the condition gradually increases and can become a major problem by the age of 30-35.

This condition is common among people over the age of 60 and those with other mental health problems, especially anxiety and depression .

In a country like America, it is said that between 2% and 6% of the population suffers from this condition. There may be many such people in our country too, but there may be no accurate statistics about it.

What are the symptoms of Hoarding Disorder?

Some people realize that their hoarding habits and beliefs are a problem. But many people don't . They think they're doing the right thing. Often, these symptoms begin to emerge after a very stressful event, such as a divorce or the death of a loved one.

People with Hoarding Disorder feel an overwhelming urge to keep their belongings. Other symptoms include:

  • The inability to put anything away.
  • Feeling unbearable stress when trying to put things away.
  • There is always a fear and worry that these things will be needed in the future.
  • It feels like you can't figure out where to put things.
  • Being suspicious and reluctant to let others touch their belongings.
  • Rooms and kitchens in the house are so full of stuff that they are unusable .
  • Living alone, away from friends and family.

Why do people accumulate things like this?

There may be several reasons why they collect things this way:

  • I hope these things will be useful and valuable in the future .
  • Some things have a special sentimental value , they are special and you think they will never be found again.
  • I think it would be a shame to throw away some things because they were so cheap.
  • They think that certain things remind them of someone important or an event .
  • Because I can't figure out where to put some things, I keep them instead of throwing them away.

Are there any other mental problems related to this?

In addition to collecting these items, many people with hoarding disorder also have certain impairments related to their thinking and decision-making abilities. For example:

  • Indecisiveness.
  • Perfectionism is the belief that everything must be perfect and perfect.
  • Procrastination.
  • Disorganization.
  • Distractibility.

These problems greatly affect their daily activities and the severity of their Hoarding Disorder.

What are the causes of Hoarding Disorder?

Researchers still don't know exactly what causes hoarding disorder. However, they have found that there are certain mental processing deficits associated with the condition. For example:

  • Lack of planning ability.
  • Lack of problem-solving skills.
  • Problems related to visuospatial learning and memory.
  • Difficulty maintaining sustained attention.
  • Problems related to working memory.
  • Lack of organization.

Hoarding Disorder can occur on its own or as part of another mental health condition. It is most commonly associated with the following mental health conditions:

  • Obsessive-Compulsive Personality Disorder (OCPD)
  • Obsessive-Compulsive Disorder (OCD)
  • Attention-Deficit/Hyperactivity Disorder (ADHD)
  • Depression .

Other factors that increase risk

Researchers have identified some other risk factors that may increase a person's risk of developing hoarding disorder:

  • Someone in the family has this condition.
  • An accident to the brain.
  • A very traumatic life experience.
  • Impulsive buying.
  • Inability to refuse freebies (like coupons, flyers).
  • Addiction to drugs or alcohol.
  • Genetic conditions like `(Prader-Willi syndrome)`.

How do you know for sure if you have Hoarding Disorder? (Diagnosis)

People with hoarding disorder often don't seek help on their own . They don't realize they have a problem. Often, it's their friends or family who are worried and ask for help .

If you or someone you know has become unsanitary or unsafe because of collecting these things, definitely see a doctor or mental health counselor . If someone is collecting a lot of animals and not taking proper care of them, it is also important to inform the relevant authorities, such as animal welfare departments.

To confirm a diagnosis of hoarding disorder, a doctor will ask about your collecting and hoarding habits. To confirm the diagnosis, you must have these symptoms:

  • The difficulty of constantly throwing things away , regardless of whether they have value or not.
  • Feeling a strong desire to keep things and feeling intense stress when putting them away.
  • Living spaces (such as bedrooms, kitchens) are so cluttered that they are unusable and/or unsafe .

What are the treatments for this? (Treatment)

Doctors mainly use two methods to treat hoarding disorder:

  • Cognitive Behavioral Therapy (CBT) : This is a talking therapy (psychotherapy).
  • Antidepressant medications : The most commonly prescribed of these are the type called ``Selective Serotonin Reuptake Inhibitors (SSRIs)''.

Cognitive behavioral therapy (CBT) is a leading and effective treatment for this. With the help of a psychiatrist or a qualified mental health counselor , people learn why they collect things, how to reduce the fear and anxiety they feel when they put things away, and how to organize and make decisions. This helps them change the way they deal with their belongings.

Some doctors also prescribe medications called antidepressants to help with this condition. These medications can help reduce symptoms in some people.

The most important thing is to understand that this is an illness and seek proper medical advice and treatment . There is nothing to be ashamed of or afraid of.

Can Hoarding Disorder be prevented?

Actually, there is no way to prevent (Hoarding Disorder) at the moment . However, as we have already said, these behaviors usually start in adolescence (between the ages of 15 and 19). Then they gradually increase. Therefore, if you see these symptoms in your child or someone you know, it is very important to recognize it as soon as possible, show it to a doctor, and start treatment . Then, the condition can be reduced to a minimum.

What will the future hold for someone in this condition? (Prognosis)

To be honest, it's hard to predict the future of someone with Hoarding Disorder. While some people do improve significantly after CBT, many people still have symptoms that affect their daily lives .

People with hoarding disorder are unable to do important daily tasks like cooking, cleaning, sleeping, and bathing because they don't have enough space in their homes. They have to live in dirty, unsafe places. Because things are piled up, there is a greater risk of fire accidents and falls.

This condition can cause problems in social relationships, family life, and work . There can be frequent arguments with family members, loneliness, and isolation. The social development of children can also be affected because the home environment is not good. Sometimes these problems can go so far as to lead to divorce, removal from homes, and loss of custody of children. Those who keep too many animals in an unsafe manner may also have to face legal issues related to animal cruelty.

What is the best time to see a doctor?

If you think you or someone you know may be experiencing symptoms of Hoarding Disorder, please see a doctor or mental health counselor .

Some community health services can also help with these types of problems. Sometimes, animal welfare departments may also need to be involved.

The most important thing is to understand that hoarding disorder is a mental health condition, not a sign of boredom or a lack of energy . As with any mental illness, seeking professional help as soon as symptoms appear can help reduce the disruption to your life. Mental health professionals can provide treatment plans to help you manage your thoughts and behaviors.

Family members of someone with Hoarding Disorder can also feel a lot of stress, sadness, anxiety, and loneliness. It is very important to take care of your own mental health and get help if needed .

Finally, I have to say... (Take-Home Message)

Although hoarding disorder is a complex mental condition, understanding it and getting the right help can make a big difference .

  • This is not laziness or a bad habit, but a mental illness that requires treatment .
  • If you or someone you know has these symptoms, don't be shy or afraid to seek medical advice .
  • Treatments like cognitive behavioral therapy (CBT) and some medications can help manage this condition .
  • The sooner it is diagnosed and treated, the better the outcome is likely to be .
  • Support and understanding are very important for the person suffering from this condition, as well as their family .

Remember, asking for help is not a sign of weakness. It is a strong step taken by someone who cares about themselves and their loved ones.


` Hoarding Disorder, collecting disease, hoarding, mental health, OCD, cognitive behavioral therapy, stress

නිතර අසන ප්‍රශ්න (FAQ)

Why do people accumulate things like this?

There may be several reasons why they collect things this way:

Are there any other mental problems related to this?

In addition to collecting these items, many people with hoarding disorder also have certain impairments related to their thinking and decision-making abilities. For example:

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