The Center for Compulsive Hoarding offers treatment services including individual, group and family therapy, in addition to an Intensive Outpatient Treatment Program.
There are several phases to the treatment process.
Phase 1: An initial evaluation is conducted to gather information to determine the specific needs of each individual person. Factors to consider include the number of items collected or hoarded, health and safety issues, and impact on self and family. A history of the problem is obtained and assessments are given to determine the severity of the problem, as well as the specific items that are being acquired and saved. A treatment plan will be discussed which will include one or more of the following resources:
Individual Therapy: 1:1 therapy with a specialist anywhere from 1 to 3 times per week, depending on the client's needs. This is for those that are experiencing a mild level of symptomatology who can benefit from applying the Cognitive Behavioral Therapy tools and Exposure and Response Prevention Techniques on a more independent level. This treatment would allow for clients to bring in items to the office setting for therapist assisted support, and if necessary, home visits.
Group Therapy: This is for individuals who would like to augment their individual treatment with a therapist led group setting. It can also be used to transition from individual therapy or the Intensive Outpatient Program. This group requires a six week commitment from all participants to offer continuity.
Family Therapy: Family therapy is highly recommended for those who have loved ones that have been affected by the hoarding behaviors. Whether involved in individual therapy or the Intensive Outpatient Program, this modality offers care in addressing the family's needs as a whole.
Intensive Outpatient Treatment: This level of service is for those who have moderate to severe levels of compulsive hoarding behaviors. Typically, individuals who enter into this level of treatment will require the assistance of a therapist to help with the purging process in a more intensive manner, which also provides increased support at a higher level of care. This program is offered Monday through Friday from 9am to 1pm, and also allows for the therapist to do treatment within the home and community setting with the hoarder.
Phase 2: The treatment process will begin with one or more of the services noted above. Within those treatment services, all individuals will participate in the following: v Education to further understand the condition of Compulsive Hoarding; biochemical/genetic and environmental contributors; and discussion on how the treatment process will work for them. v Cognitive Behavioral Therapy training and application to self v Exposure and Response Prevention Training and application v Mindfulness training v Self-care and healthy living restructuring v Stress reduction and relaxation skills v Communication and assertiveness training v Family therapy, as needed
Collaboration with other health care providers will occur throughout the treatment process. Additionally, external factors, whether emotional or physical, which may exacerbate one's struggles, will be addressed. This includes grief and loss issues; work; school; family related stressors; and other co-morbid conditions. The latter refers to those who may have other diagnoses such as Depression, Obsessive Compulsive Disorder or Obsessive Compulsive Personality Disorder, Attention-Deficit Disorder, and other anxiety disorders such as Social Phobia.
Phase 3: Transitioning toward discharge includes several important factors to consider. If from out-of-town, we will work to find someone in each individual's area to follow up for support and continuum of care. If local, we will coordinate with their previous therapist prior to entering the program, or if they would like, can continue on with their their therapist assigned to them in our program. While progress and accomplishments will be monitored throughout the treatment process, a review of areas to address following discharge will be covered.
v Education to further understand the condition of Compulsive Hoarding; biochemical/genetic and environmental contributors; and discussion on how the treatment process will work for them.
v Cognitive Behavioral Therapy training and application to self
v Exposure and Response Prevention Training and application
v Mindfulness training
v Self-care and healthy living restructuring
v Stress reduction and relaxation skills
v Communication and assertiveness training
v Family therapy, as needed
Phase 4: Discharge and Atercare. Several of the assessments administered at the beginning of treatment will be completed again to measure the progress in both subjective and objective ways. Collaboration will occur with any follow up mental health professionals and appointments scheduled.