Hoarding Disorder is listed in the DSM-5 with obsessive-compulsive and related disorders. Hoarding appears to emerge in the early teen years and progresses chronically through the lifespan with indecisiveness being a feature commonly displayed. The DSM-5 notes that roughly 75% of individuals with this disorder have a comorbid mood or anxiety disorder.
Hoarding Disorder is characterized by a perceived need to save items and regardless of their value, discarding the items causes distress. This results in an accumulation of possessions and clutter that hinders intended use of the area. The individual experiences significant distress and impairment in important areas of functioning due to the hoarding. The hoarding may not be caused by another mental or medical disorder. Insight into the disorder is specified as either good/fair, poor, or absent/delusional beliefs. Excessive acquisition is noted if the hoarding is accompanied by excessive buying items or finding free items, which is seen in approximately 80-90% individuals suffering from hoarding disorder.
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Video – Hoarding in DSM-5 – PsychCongress Network