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Hoarding Disorder
A 62-year-old woman accumulates newspapers, clothes, and household items to the point that her home is unsafe and unsanitary. She reports distress when attempting to discard items. Outline diagnosis and management steps.
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CBT focused on organization skills and exposure to discarding items
DSM-5 hoarding disorder: persistent difficulty discarding items regardless of value, leading to clutter and impairment
Track safety risks, relapse, and functional improvement
SSRIs may help if comorbid OCD/anxiety
Family involvement, home visits, safety/fire hazard interventions
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