The relationship people have with their possessions ranges from purely utilitarian to intensely emotional. For most people, their personal possessions provide them with a sense of security, comfort, and pleasure. However, if someone loses the ability to distinguish useful or important possessions from those that make life overly complicated, the objects can become a prison. For people who suffer from Hoarding Disorder (HD), the process of getting rid of unneeded objects is not easy. For them, possessions never "feel" unneeded and trying to get rid of them is an excruciating emotional ordeal.
This Second Edition of Treatment for Hoarding Disorder is the culmination of more than 20 years of research on understanding hoarding and building an effective intervention to address its myriad components. Thoroughly updated and reflective of changes made to the Fifth Edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5), this second edition of the Therapist Guide and accompanying client Workbook outlines an empirically supported and effective CBT program for treating hoarding disorder. This Therapist Guide is written for mental health clinicians-psychologists, social workers, psychiatrists, counselors, and psychiatric nurses-to guide effective treatment of people with hoarding disorder. It provides numerous assessment and intervention forms to help clients use the methods described in the intervention. A major goal of the treatment is to recapture the positive role of possessions in the lives of people with hoarding problems, and strategies are outlined for sustaining gains and making further progress, as well as for managing stressful life events that can provoke problematic acquiring and difficulty discarding.

Dr. Gail Steketee is Dean and Professor at the Boston University School of Social Work. Her scholarly work has focused on developing and testing treatments for obsessive compulsive spectrum disorders, especially hoarding symptoms in recent years. Dr. Steketee has published over 200 articles and chapters, and over a dozen books on these topics, including therapist guides, client workbooks, edited volumes, and self-help books on hoarding and related conditions. She gives frequent lectures, workshops, and media interviews on hoarding and related conditions to professional and public audiences in the U.S. and abroad.
Dr. Randy O. Frost is the Israel Professor of Psychology at Smith College and an international expert on hoarding and related phenomena. He has published over 150 scientific articles and book chapters on these topics. Dr. Frost has co-authored several books on hoarding and was awarded the Lifetime Achievement Award for excellence in innovation, treatment, and research in the field of hoarding and cluttering by the Mental Health Association of San Francisco. He gives frequent lectures, workshops, and media interviews on the topic of hoarding and related conditions.

Chapter 1 Introduction to Hoarding Disorder
Chapter 2 Evidence-based Treatment for Hoarding Disorder
Chapter 3 Assessing Hoarding
Chapter 4 Case Formulation
Chapter 5 Enhancing Motivation
Chapter 6 Planning Treatment
Chapter 7 Reducing Acquiring
Chapter 8 Training Skills
Chapter 9 Making Decisions about Saving and Discarding
Chapter10 Cognitive Strategies
Chapter 11 Complications in the Treatment of Hoarding Disorder
Chapter 12 Maintaining Gains
Appendix Forms and Assessments
1. Clinician Session Form
2. Hoarding Interview
3. Hoarding Rating Scale
4. Saving Inventory - Revised (SI-R)
5. Clutter Image Rating (CIR)
6. Saving Cognitions Inventory (SCI)
7. Activities of Daily Living for Hoarding (ADL-H)
8. Safety Questions
9. Home Environment Inventory (HEI)
10. Scoring keys for assessment instruments
11. Blank Model of Hoarding
12. Brief Thought Record
13. Acquiring Form
14. Clutter Visualization Form
15. Unclutter Visualization Form
16. Acquiring Visualization Form
17. Practice Form
18. Thought Record
19. Instructions for Coaches
20. Family Response to Hoarding Scale (FRHS)
References
Readings and Resources
About the Authors
Index