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Hoarding Disorder: A Case Report

Hoarding disorder is characterized by a persistent difficulty discarding items, the desire to save items to avoid negative feelings associated with discarding them, significant accumulation of possessions that clutter active living areas and significant distress or impairment in areas of functioning...

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Autores principales: Vilaverde, Daniela, Gonçalves, Jorge, Morgado, Pedro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5487393/
https://www.ncbi.nlm.nih.gov/pubmed/28701963
http://dx.doi.org/10.3389/fpsyt.2017.00112
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author Vilaverde, Daniela
Gonçalves, Jorge
Morgado, Pedro
author_facet Vilaverde, Daniela
Gonçalves, Jorge
Morgado, Pedro
author_sort Vilaverde, Daniela
collection PubMed
description Hoarding disorder is characterized by a persistent difficulty discarding items, the desire to save items to avoid negative feelings associated with discarding them, significant accumulation of possessions that clutter active living areas and significant distress or impairment in areas of functioning. We present a case of a 52-year-old married man who was referred to the psychiatry department for collecting various objects that were deposited unorganized in the patient’s house. He reported to get anxious when someone else discarded some of these items. This behavior had started about 20 years earlier and it worsened with time. The garage, attic, and surroundings of his house were cluttered with these objects. On admission, in the mental status examination, it was observed that the patient was vigil, calm, and oriented; his mood was depressed; his speech was organized, logic, and coherent; and there were no psychotic symptoms. A psychotherapeutic plan was designed for the patient, including psychoeducation, cognitive restructuring, and exposure to discarding objects. A pharmacological treatment with fluvoxamine 100 mg tid and quetiapine 200 mg was added to the therapeutic plan, with the progressive improvement of the symptoms. Nine months later, the patient was able to sell/recycle most of the items. Studies evaluating treatment for HD are necessary to improve the quality of life of the patients and to reduce the hazards associated with the disorder.
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spelling pubmed-54873932017-07-12 Hoarding Disorder: A Case Report Vilaverde, Daniela Gonçalves, Jorge Morgado, Pedro Front Psychiatry Psychiatry Hoarding disorder is characterized by a persistent difficulty discarding items, the desire to save items to avoid negative feelings associated with discarding them, significant accumulation of possessions that clutter active living areas and significant distress or impairment in areas of functioning. We present a case of a 52-year-old married man who was referred to the psychiatry department for collecting various objects that were deposited unorganized in the patient’s house. He reported to get anxious when someone else discarded some of these items. This behavior had started about 20 years earlier and it worsened with time. The garage, attic, and surroundings of his house were cluttered with these objects. On admission, in the mental status examination, it was observed that the patient was vigil, calm, and oriented; his mood was depressed; his speech was organized, logic, and coherent; and there were no psychotic symptoms. A psychotherapeutic plan was designed for the patient, including psychoeducation, cognitive restructuring, and exposure to discarding objects. A pharmacological treatment with fluvoxamine 100 mg tid and quetiapine 200 mg was added to the therapeutic plan, with the progressive improvement of the symptoms. Nine months later, the patient was able to sell/recycle most of the items. Studies evaluating treatment for HD are necessary to improve the quality of life of the patients and to reduce the hazards associated with the disorder. Frontiers Media S.A. 2017-06-28 /pmc/articles/PMC5487393/ /pubmed/28701963 http://dx.doi.org/10.3389/fpsyt.2017.00112 Text en Copyright © 2017 Vilaverde, Gonçalves and Morgado. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Vilaverde, Daniela
Gonçalves, Jorge
Morgado, Pedro
Hoarding Disorder: A Case Report
title Hoarding Disorder: A Case Report
title_full Hoarding Disorder: A Case Report
title_fullStr Hoarding Disorder: A Case Report
title_full_unstemmed Hoarding Disorder: A Case Report
title_short Hoarding Disorder: A Case Report
title_sort hoarding disorder: a case report
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5487393/
https://www.ncbi.nlm.nih.gov/pubmed/28701963
http://dx.doi.org/10.3389/fpsyt.2017.00112
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