psychiatric disorders
Hoarding Disorder
Diagnosis of Hoarding Disorder
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria Hoarding is distinguished from transient accumulation and clutter (eg, as when property is inherited) by its persistence and other features; in addition, patients resist giving away or selling hoarded items. Collectors (eg, of books or figurines), like hoarders, can acquire and keep a large number of items, but in contrast to hoarding, collections are organized and systematic and do not significantly clutter needed living space and compromise their intended use or impair functioning or the safety of the home environment. Diagnostic criteria for hoarding disorder include the following; Patients have persistent difficulty discarding or parting with possessions, regardless of their actual value. The difficulty discarding is due to the perceived need to save the items and to the distress associated with discarding them. The accumulated possessions congest and clutter active living areas (ie, not basements or storage areas) and substantially compromise the intended use of these areas. The hoarding causes significant distress or impairs social, occupational, or other areas of functioning. 