Only 5% of people with<unk>  behaviours receive help (Singh, 2012) and the interventions they do receive focus on clearing items, not treating the disorder. Cognitive-behavioral therapy (CBT) is a commonly implemented therapeutic intervention for<unk> . As part of cognitive behavior therapy, the therapist may help the patient to: * Discover why he or she is compelled to hoard. * Learn to organize possessions in order to decide what to discard. * Develop decision-making skills. * Declutter the home during in-home visits by a therapist or professional organizer. * Gain and perform relaxation skills. * Attend family and/or group therapy. * Be open to trying psychiatric hospitalization if the<unk>  is serious. * Have periodic visits and consultations to keep a healthy lifestyle. This modality of treatment usually involves exposure and response prevention to situations that cause anxiety and cognitive restructuring of beliefs related to<unk> . Furthermore, research has also shown that certain CBT protocols have been more effective in treatment than others. CBT programs that specifically address the motivation of the sufferer, organization, acquiring new clutter, and removing current clutter from the home have shown promising results. This type of treatment typically involves in-home work with a therapist combined with between-session homework, the completion of which is associated with better treatment outcomes. Research on internet-based CBT treatments for the disorder (where participants have access to educational resources, cognitive strategies, and chat groups) has also shown promising results both in terms of short- and long-term recovery. Other therapeutic approaches that have been found to be helpful: # Motivational interviewing originated in addiction therapy. This method is significantly helpful when used in<unk>  cases in which insight is poor and ambivalence to change is marked. # Harm reduction rather than symptom reduction. Also borrowed from addiction therapy. The goal is to decrease the harmful implications of the behavior, rather than the<unk>  behaviors. # Group psychotherapy reduces social isolation and social anxiety and is cost-effective compared to one-on-one intervention. Group CBT tends to have similar outcomes to individual therapy. Although group treatment often does not include home sessions, experimental research suggests that treatment outcomes may be improved if home sessions are included. Individuals have been shown to discard more possessions when in a cluttered environment compared to a tidy environment. Indeed, a meta-analysis found that a greater number of home sessions improves CBT outcomes. Individuals with<unk>  behaviors are often described as having low motivation and poor compliance levels, and as being indecisive and procrastinators, which may frequently lead to premature termination (i.e., dropout) or low response to treatment. Therefore, it was suggested that future treatment approaches, and pharmacotherapy in particular, be directed to address the underlying mechanisms of cognitive impairments demonstrated by individuals with<unk>  symptoms. Mental health professionals frequently express frustration regarding<unk>  cases, mostly due to premature termination and poor response to treatment. Patients are frequently described as indecisive, procrastinators, recalcitrant, and as having low or no motivation, which can explain why many interventions fail to accomplish significant results. To overcome this obstacle, some clinicians recommend accompanying individual therapy with home visits to help the clinician: Likewise, certain cases are assisted by professional organizers as well.
Compulsive hoarding
Receptive aphasia
Integrative agnosia
Hypernasal speech
Compulsive talking
Metamorphopsia
Disorder of written expression
Body-focused repetitive behavior