Hoarding disorder often coexists with other mental health issues, and while not all hoarders have Borderline Personality Disorder (BPD), BPD is one of the personality disorders sometimes found alongside it, along with anxiety, depression, OCD, and ADHD. Hoarding involves difficulty discarding items, often linked to strong emotional attachment, anxiety, and decision-making problems, which can overlap with BPD traits, but other personality traits like Avoidant or Dependent traits are also common.
Personality. Many people who have hoarding disorder have a behavior style that includes trouble making decisions and problems with attention, organization and problem-solving. Family history. There is a strong association between having a family member who has hoarding disorder and having the disorder yourself.
Mental health problems associated with hoarding include:
Hoarding disorder is a recognized psychological condition where people feel compelled to keep items regardless of their actual value or usefulness. The thought of discarding things causes significant distress, leading to rapid accumulation and cluttered living spaces.
Hoarding is more common in older age groups than younger age groups. Below are some early signs that an individual may have hoarding behaviors. These behaviors are typically mild and progress over years. They may develop into a severe problem in adults around their 50s.
Some researchers believe hoarding can relate to childhood experiences of losing things, not owning things, or people not caring for you. This might include experiences like: Money worries or experiencing poverty. Having your belongings taken or thrown away by someone.
Fear of abandonment and chronic feelings of emptiness further compound the complexity of this disorder. Individuals with BPD often experience intense and rapidly shifting emotions, have difficulty regulating their emotions, and engage in impulsive behavior, including recurrent self-harm and suicidality.
The medicines most commonly used are a type of antidepressant called selective serotonin reuptake inhibitors (SSRIs). Research continues on the most effective ways to use medicines in the treatment of hoarding disorder.
Don't say “If we don't clean up this apartment and get rid of all these things, I'm going to leave.” Don't say “We have too much stuff! We have got to get rid of some or else we'll never be able to move again!” Don't say “I can only stay here if we start throwing away all our junk.”
Yet some people take their keepsakes to the extreme, holding onto decades' worth of receipts, newspapers, and other seemingly useless items. They have hoarding disorder—a mental health condition characterized by a compulsive need to acquire and keep possessions, even when they're not needed.
Neurocognitive Functioning
Deficits in decision making may increase the distress felt by hoarding patients when forced to choose whether to keep or discard an object. Hoarding may also be linked to inattentiveness and a lack of inhibition [14].
However, hoarding behaviors appear relatively early in life (usually between the ages of 15 and 19 years) and then follow a chronic course. If you notice signs of hoarding in your child or someone you know, early recognition, diagnosis and treatment are essential to improving outcomes.
The constant building of clutter in the house of hoarders makes it impossible for family members to live a healthy life. It can have appalling effects on their mental health and can lead to severe depression and suicidal ideation.
Impulsive behaviour
a strong impulse to engage in reckless and irresponsible activities – such as binge drinking, drug misuse, going on a spending or gambling spree, or having unprotected sex with strangers.
The “3 C's” often used in understanding BPD are: Clinginess (fear of abandonment), Conflict (intense relationships and mood swings), and Confusion (unstable self-image and identity).
The symptoms of BPD are very broad, and some can be similar to or overlap with other mental health problems, such as: Bipolar disorder. Complex post-traumatic stress disorder (C-PTSD) Depression.
People with hoarding disorder commonly live with other complex or psychological disorders such as depression, anxiety, obsessive–compulsive disorder (OCD), autism spectrum disorder (ASD), or attention deficit hyperactivity disorder (ADHD).
Yes, hoarding can be treated. Unfortunately, it has not responded well to the usual treatments that work for OCD. Some strategies used to treat hoarding include: Challenging the hoarder's thoughts and beliefs about the need to keep items and about collecting new things.
Decluttering Tips For Hoarders With Checklist
The main talking therapy used to treat hoarding disorder is cognitive behavioural therapy (CBT). This focuses on how your thoughts, beliefs and attitudes affect your feelings and behaviour. Evidence suggests that both individual and group CBT can help.
Hoarders tend to have high IQ's and they also have difficulty processing information. They may also have negative self perceptions of themselves and they may be ashamed, embarrassed, overwhelmed, or out of control. They may harbor fears of being considered "crazy" or their fear of being "found out".