Obsessive Compulsive Disorder ( Ocd ) - 1174 Words

acquisition of items was tied to an individual’s identity. Decades later, Erich Fromm described the hoarding orientation as a dysfunctional orientation of character. Also during that time many psychoanalysts, including Freud, believed hoarding arose from an individual’s fixation on the anal phase of development. Difficulties with this stage led to issues with parsimony, orderliness, and obstinance, known as the anal triad, and was the basis for an anal personality (Frost Steketee, 2013). In the DSM III, hoarding is one of the criteria listed for obsessive compulsive disorder (OCD). It remained that way through DSM-III-R, DSM-IV, and DSM-IV-R (Frost Steketee, 2013). In the DSM-5, hoarding disorder is classified as its own mental†¦show more content†¦As previously stated, hoarding was considered a criteria of OCD and was therefore treated with cognitive behavior therapy (CBT) that was designed for OCD. This yielded poor results for individuals with hoarding sy mptoms. However, CBT tailored to hoarding has produced more positive results. A multimodal approach using CBT designed for hoarding and group therapy has been successful as well. Group therapy was helpful to reduce feelings of shame, increase feelings of inclusivity and cohesion, as well as reduce social isolation. A multimodal approach that included pharmacotherapy may be beneficial as well. Medication has been proven to be effective for many depressive and anxiety symptoms. Early research has shown pharmacotherapy to be ineffective for treating hoarding symptoms (Sorensen, 2013). However, given the high rate of comorbidity with depression and anxiety, (approximately 75%) pharmacotherapy would be indicated to improve comorbid conditions in appropriate individuals (American Psychiatric Association, 2013). Stigma Mental illness has an incredible amount of stigma surrounding it, and hoarding is certainly not the exception. Many popular television shows such as A E’s Hoarders sheds light on the personal struggles that many of those suffering with hoarding disorder face. For many, these shows provide education about a disorder they knew little about. For others, the extreme cases precipitate feelings of disgust which