Why worry: 'I am a hoarder, please help me'

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[320,50], [1,1] ] ] ]"></div></div> <div class="divider"></div> </div> </div> </div>  <div class="container mt-4 mb-3"> <div class="row">  <div class="col-12 col-lg-8 divider-sm-right"> <article data-page="/uae/why-worry-i-am-a-hoarder-please-help-me-1.1561540968763" class="article " itemtype="https://schema.org/Article" id="1.1561540968763"> <header> <div class="row"> <div class="col text-left d-none d-md-block"> </div> <div class="col d-none d-md-block"></div> </div> <h1 itemprop="headline" class=" " data-article-head>Why worry: 'I am a hoarder, please help me'</h1> <p class="lead ">I can't seem to throw anything, no matter how inconsequential, away</p> <hr class="divider"> <div class="row"> <div class="col-sm-12 col-md-9 gn-col-article-meta"> <div class="article-meta"> <time class="publish" itemprop="datePublished" datetime="2019-06-26T13:21:15.168+04:00"> Published:  <span class="time">June 26, 2019 13:21</span> </time> <span itemscope="" itemtype="http://schema.org/Person" 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Photo for illustrative purposes only. <span class="image-credit">Image Credit: Pixabay</span> </figcaption> </figure> <div class="related-package"> <h5 class="text-uppercase similar-title pb-2">Also in this package</h5> <ul class="list-unstyled mt-2"> <li> <a href="/web/20191114033730/https://gulfnews.com/uae/health/why-worry-i-got-divorced-after-15-years-of-marriage-filled-with-verbal-sexual-and-physical-abuse-1.1875604" data-article-id="1.1875604" data-article="package" data-load-uri="/uae/health/why-worry-i-got-divorced-after-15-years-of-marriage-filled-with-verbal-sexual-and-physical-abuse-1.1875604"> Why worry: 'I got divorced after 15 years of marriage filled with verbal, sexual and physical abuse' </a> </li> <li> <a href="/web/20191114033730/https://gulfnews.com/uae/health/why-worry-i-am-feeling-sad-after-moving-to-the-uae-1.1849735" data-article-id="1.1849735" data-article="package" data-load-uri="/uae/health/why-worry-i-am-feeling-sad-after-moving-to-the-uae-1.1849735"> Why worry: I am feeling sad after moving to the UAE </a> </li> <li> <a href="/web/20191114033730/https://gulfnews.com/uae/health/why-worry-i-am-23-years-old-but-i-look-like-i-am-16-and-that-is-killing-me-1.1875669" data-article-id="1.1875669" data-article="package" data-load-uri="/uae/health/why-worry-i-am-23-years-old-but-i-look-like-i-am-16-and-that-is-killing-me-1.1875669"> Why worry: 'I am 23-years old, but I look like I am 16 and that is killing me' </a> </li> <li> <a href="/web/20191114033730/https://gulfnews.com/uae/health/why-worry-my-life-changed-after-the-death-of-my-boss-1.1873619" data-article-id="1.1873619" data-article="package" data-load-uri="/uae/health/why-worry-my-life-changed-after-the-death-of-my-boss-1.1873619"> Why worry: 'My life changed after the death of my boss' </a> </li> <li> <a href="/web/20191114033730/https://gulfnews.com/lifestyle/health-fitness/why-worry-i-am-not-attracted-to-my-wife-what-should-i-do-1.1873026" data-article-id="1.1873026" data-article="package" data-load-uri="/lifestyle/health-fitness/why-worry-i-am-not-attracted-to-my-wife-what-should-i-do-1.1873026"> Why worry: 'I am not attracted to my wife, what should I do?' </a> </li> <li> <a href="/web/20191114033730/https://gulfnews.com/uae/why-worry-am-i-suffering-from-panic-attacks-what-are-signs-and-symptoms-1.1560847495673" data-article-id="1.1560847495673" data-article="package" data-load-uri="/uae/why-worry-am-i-suffering-from-panic-attacks-what-are-signs-and-symptoms-1.1560847495673"> Why worry: Am I suffering from panic attacks? What are signs and symptoms? </a> </li> </ul> </div> <div class="story-block"> <p><em>I am a hoarder. It began with little knick-knacks and has gotten worse over time. Of late, I’ve not been able to throw out even clothes that are old and torn. Everywhere I go is a mess and I can barely find anything. And while I want to be organised, I am unable to junk anything. What can I do to get clutter-free? </em>A reader who wishes to remain anonymous asks.</p> </div> <div class="story-block"> <p><strong><em>Answered by Dr Fabian Saarloos,Clinical Psychologist , German Neuroscience Center</em></strong></p> </div> <div class="story-block"> <div class="story-block"> <div class="author-square float-right"> <img class="author-image square" src="https://web.archive.org/web/20191114033730im_/https://imagevars.gulfnews.com/2019/06/26/Dr-Fabian-Saarloos-Clinical-Psychologist---German-Neuroscience-Center-_16b936d4d34_author.jpg"> <div class="author">Dr Fabian Saarloos,Clinical Psychologist , German Neuroscience Center </div> </div> <p> <span></span> </p> </div> </div> <div class="story-block"> <p>Hoarding, according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), is defined by the persistent difficulty [in] discarding or parting with possessions, regardless of their value, due to a perceived need to save the items and to [perceived] distress [in] discarding them. It is not clear what causes hoarding disorder, but genetics, brain functioning and stressful life events are implied in the development of the disorder. The difficulty results in the accumulation of possessions that clutter and congest living areas and substantially compromises their intended use.</p> </div> <div class="story-block"> <h3><strong>What can go wrong?</strong></h3> </div> <div class="adv"><div id="gulfnews_uae_article_1" data-gpt="Gulfnews_Article/gulfnews_uae_article/gulfnews_uae_article_1" data-atf="0" data-size="[320,50]" data-size-mapping="[ [ [ 1024, 500 ], [ [300,100], [300,250], [710,250], [710,400], [1,1], [336,280] ] ],[ [ 768, 420], [ [300,100], [300,250], [710,250], [710,400], [1,1], [336,280] ] ],[ [640, 320], [ [300,250], [300,100], [1,1], [336,280] ] ],[ [0, 0], [ [300,250], [300,100], [1,1], [336,280] ] ] ]"></div></div> <div class="story-block"> <p>Hoarding can result in excessive cluttering, disorganised piles and stacks of items which make living space unusable (e.g. no room for walking/sitting), and the buildup of organic products can also lead to unsanitary and/or unsafe conditions.</p> </div> <div class="story-block"> <p>In addition, important and usable items may get lost in the clutter, leading to other problems.</p> </div> <div class="story-block"> <p>Frequently, hoarders get into conflict with people who try to reduce or remove the clutter as the anxiety about parting with it may lead to fight-or-flight reactions. This frequently results in isolation, which then increases the hoarding behavior in order to reduce the anxiety/sadness.</p> </div> <div class="story-block"> <p>Despite frequently being related to psychological conditions such as depressive disorder, obsessive-compulsive disorder, or post-traumatic stress disorder, hoarders have a tendency to indecisiveness, perfectionism, avoidance, procrastination, and problems with planning and organising.</p> </div> <div class="story-block"> <h3><strong>Hoarding versus collecting</strong></h3> </div> <div class="adv"><div id="gulfnews_uae_article_2" data-gpt="Gulfnews_Article/gulfnews_uae_article/gulfnews_uae_article_2" data-atf="0" data-size="[320,50]" data-size-mapping="[ [ [ 1024, 500 ], [ [300,100], [300,250], [710,250], [710,400], [1,1], [336,280] ] ],[ [ 768, 420], [ [300,100], [300,250], [710,250], [710,400], [1,1], [336,280] ] ],[ [640, 320], [ [300,250], [300,100], [1,1], [336,280] ] ],[ [0, 0], [ [300,250], [300,100], [1,1], [336,280] ] ] ]"></div></div> <div class="story-block"> <p>Hoarding is different from collecting items as collectors tend to pay more attention to their possessions and their organisation, and do not experience the distress and impairment that the hoarder does, but rather joy.</p> </div> <div class="story-block"> <h3><strong>Coping mechanisms</strong></h3> </div> <div class="story-block"> <p>Because hoarding has only recently been recognised as a mental disorder, little is understood about what causes it and how to prevent it. However, psychological treatment of the underlying disorder, e.g. depression or post-traumatic stress, and focusing on the anxiety about parting from the hoarded items seems to be effective in reducing and/or coping with hoarding disorder.</p> </div> <div class="story-block"> <p>In therapy, clients learn what factors or life situations have taught them that the accumulation of items reduced anxiety.</p> </div> <div class="story-block"> <p>They also learn about the negative impact of their disorder, and how the resultant anxiety maintains the hoarding behavior, making them aware of the vicious cycle they are in.</p> </div> <div class="adv"><div id="gulfnews_uae_article_3" data-gpt="Gulfnews_Article/gulfnews_uae_article/gulfnews_uae_article_3" data-atf="0" data-size="[320,50]" data-size-mapping="[ [ [ 1024, 500 ], [ [300,100], [300,250], [710,250], [710,400], [1,1], [336,280] ] ],[ [ 768, 420], [ [300,100], [300,250], [710,250], [710,400], [1,1], [336,280] ] ],[ [640, 320], [ [300,250], [300,100], [1,1], [336,280] ] ],[ [0, 0], [ [300,250], [300,100], [1,1], [336,280] ] ] ]"></div></div> <div class="story-block"> <p>Depending on the conceptualisation of the problem and the degree of suffering, psychotropic medication may be considered.</p> </div> <div class="story-block"> <p>As with most psychological disorders, <strong>Cognitive Behaviour Therapy (CBT)</strong> is the treatment of choice. In CBT, clients learn how their thinking (e.g. throwing away items) affect their feelings (e.g. anxiety), and how that interaction affects their behavior in certain situations (e.g. avoidance). In CBT, clients are tought different ways of thinking about their problem behavior and situations, which then results in more functional emotions and better feelings, which in turn lead to a change in behavior and improvement of situations.</p> </div> <div class="story-block"> <p>Other psychotherapeutic models such <strong>psychodynamic and psychoanalytic therapy</strong>, focus on the development of the hoarding behavior, like, how early factors such as upbringing and parents may have created the hoarding disorder (for instance, accumulating items to compensate the void of having felt unloved by mother).</p> </div> <div class="story-block"> <p>More modern psychotherapeutic modes such as <strong>Eye Movement Desensitization Reprocessing (EMDR)</strong>, focus on desensitising the anxiety related to the hoarding experience, by improving the brain’s processing of (conscious/unconscious) memory processes implied in the anxiety and behavior.</p> </div> <div class="story-block"> <p><em>If you have questions that you would like answered by a mental health professional in the UAE, please write in to readers@gulfnews.com. Also, please let us know if you'd rather stay</em> <em>anonymous.</em></p> </div> <div class="story-block"> <hr class="divider"/> </div> <div class="story-block"> <p><strong>Disclaimer:</strong> This blog is a conversation and is not an alternative for treatment. The recommendations and suggestions offered by our panel of doctors are their own and Gulf News will not take any responsibility for the advice they provide.</p> </div> <div class="story-block"> <hr class="divider"/> </div> </div> <div class="story-block"> <div class="subscribe sbox-article gulfnews p-3"> <form class="needs-validation" novalidate="" data-action="/user/subscribeMe" method="POST" data-form="inarticle-subscribe"> <div class="sbox-article-title"> The Morning and Evening Brief </div> <div class="sbox-article-desc"> A daily brief with the biggest stories of the day </div> <div class="input-group"> <input type="email" name="email" required="" class="form-control" placeholder="Your email here" aria-label="Your email address"> <input type="hidden" name="section" value="gulfnews"> <div class="input-group-append"> <button class="btn btn-primary text-uppercase" type="submit"> Subscribe </button> </div> <div class="invalid-feedback"> Please enter your email address </div> <div 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