Hoarding Disorder

A condition involving extreme difficulty discarding possessions, leading to clutter, distress, and safety risks.

1) What it is

Hoarding disorder involves persistent difficulty discarding items, causing clutter that affects living and safety.

2) What it feels like

  • “I might need it.”
  • “Letting go feels unbearable.”

3) Common signs & symptoms

  • cluttered spaces
  • distress discarding
  • secrecy
  • safety hazards

4) Causes / risk factors

  • trauma
  • anxiety
  • depression
  • ADHD traits

5) Triggers

  • bereavement
  • stress
  • shame

6) What helps right now

  • one drawer only
  • 10-minute timer
  • calm support

7) Longer-term strategies

  • CBT
  • gradual decluttering
  • reduce acquiring

8) Treatment options

CBT can help.

9) Medication overview

May support anxiety/depression.

10) Daily life tips

  • short sessions
  • avoid all-or-nothing
  • keep one clear space

11) When to seek urgent help

  • fire risk
  • infestations
  • suicidal thoughts

12) Trusted help & resources

  • NHS: Hoarding disorder
  • NHS Talking Therapies
  • Samaritans / Shout