I Don't Recycle! An Organic Hoarding Disorder

2017 ◽  
Vol 41 (S1) ◽  
pp. S640-S641
Author(s):  
L. Garcia Ayala ◽  
M. Gomez Revuelta ◽  
C. Martin Requena ◽  
E. Saez de Adana Garcia de Acilu ◽  
O. Porta Olivares ◽  
...  
Keyword(s):  
Social Services ◽  
Home Visit ◽  
Treatment Options ◽  
Obsessive Compulsive ◽  
Hoarding Disorder ◽  
Compulsive Disorder ◽  
Dsm 5 ◽  
The Social ◽  
Competing Interest ◽  
Rule Out

IntroductionHoarding often occurs without the presence of obsessive-compulsive disorder (OCD), showing distinguishable neuropsychological and neurobiological correlates and a distinct comorbidity spectrum. Furthermore, it presents itself secondarily to other psychiatric and neurobiological disorders. Therefore hoarding disorder has been included as independent diagnosis in DSM-5.ObjectivesWe aim to expose the possible organic etiology of a hoarding disorder case with atypical presentation.Materials and methodsWe present a case of a 48 years old male patient who was brought to the hospital by the police after being reported for unhealthy conditions in his home. In the home visit paid by the Social Services an excessive hoarding of objects and trash was detected. A possible hoarding disorder was diagnosed in the psychiatric assessment. Among other diagnostic test, a brain CT was conducted, in which a frontal meningioma was identified. After surgical treatment, hoarding symptoms diminished significantly.DiscussionA significant part of the hoarding disorders are attributed to primary psychiatric disorders, resulting in potentially treatable organic pathology going unnoticed.ConclusionIt's important to rule out organic etiology before proceeding to make a definitive hoarding disorder diagnosis, optimizing that way the treatment options.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Knowledge Takes up Space, a Family Affair

2017 ◽  
Vol 41 (S1) ◽  
pp. S641-S641
Author(s):  
L. Garcia Ayala ◽  
M. Gomez Revuelta ◽  
C. Martin Requena ◽  
M. Juncal Ruiz ◽  
O. Porta Olivares ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Home Visit ◽  
Hoarding Disorder ◽  
Atypical Case ◽  
Safety Risks ◽  
The Social ◽  
Complementary Nature ◽  
Competing Interest ◽  
First Time

IntroductionPrevious research suggests that hoarding aggregates in families and is associated with health, safety risks and family problems. Hoarding symptoms appear to be more common among first-degree relatives of people who hoard. A predominance of shared hoarding disorder has been observed among female relatives.ObjectivesWe present an atypical case report describing hoarding symptoms among first-degree male relatives who present two different subtypes of hoarding disorder.Materials and methodsWe report the case of a 38 years old male patient, attended for the first time by the mental health services at the age of 22, and being diagnosed of severe OCD at that moment. In the home visit paid by the social services, an excessive object hoarding was observed, including the presence of over 40,000 books.Moreover, they found a 38 years old man looking severely deteriorated; when they ask him about it, the patient's father admits to having been isolated in the house for almost 14 years. Hoarding history was gathered, through the acquisition of various objects by the patient's father, dating back to over 30 years ago.DiscussionThe harmonic coexistence for over a decade between two patients affected with a hoarding disorder with two different clinical setting subtypes was only made possible by the complementary nature of their symptoms.ConclusionThe hoarding disorders amongst more than one person living under the same roof are uncommon, can present themselves in both genders and can exhibit different symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Testing the validity and acceptability of the diagnostic criteria for Hoarding Disorder: a DSM-5 survey

2011 ◽  
Vol 41 (12) ◽  
pp. 2475-2484 ◽  
Author(s):  
D. Mataix-Cols ◽  
L.. Fernández de la Cruz ◽  
T. Nakao ◽  
A. Pertusa
Keyword(s):  
Diagnostic Criteria ◽  
Sensitivity And Specificity ◽  
Diagnostic Category ◽  
High Sensitivity ◽  
Obsessive Compulsive ◽  
Hoarding Disorder ◽  
Compulsive Disorder ◽  
Dsm 5 ◽  
The Individual ◽  
Development And Validation

BackgroundThe DSM-5 Obsessive-Compulsive Spectrum Sub-Workgroup is recommending the creation of a new diagnostic category named Hoarding Disorder (HD). The validity and acceptability of the proposed diagnostic criteria have yet to be formally tested.MethodObsessive-compulsive disorder/hoarding experts and random members of the American Psychiatric Association (APA) were shown eight brief clinical vignettes (four cases meeting criteria for HD, three with hoarding behaviour secondary to other mental disorders, and one with subclinical hoarding behaviour) and asked to decide the most appropriate diagnosis in each case. Participants were also asked about the perceived acceptability of the criteria and whether they supported the inclusion of HD in the main manual.ResultsAltogether, 211 experts and 48 APA members completed the survey (30% and 10% response rates, respectively). The sensitivity and specificity of the HD diagnosis and the individual criteria were high (80–90%) across various types of professionals, irrespective of their experience with hoarding cases. About 90% of participants in both samples thought the criteria would be very/somewhat acceptable for professionals and sufferers. Most experts (70%) supported the inclusion of HD in the main manual, whereas only 50% of the APA members did.ConclusionsThe proposed criteria for HD have high sensitivity and specificity. The criteria are also deemed acceptable for professionals and sufferers alike. Training of professionals and the development and validation of semi-structured diagnostic instruments should improve diagnostic accuracy even further. A field trial is now needed to confirm these encouraging findings with real patients in real clinical settings.

Body dysmorphic disorder: Classification challenges and variants

2017 ◽  
Vol 41 (S1) ◽  
pp. S459-S459
Author(s):  
N. De Uribe-Viloria ◽  
A. Alonso-Sanchez ◽  
S. Cepedello Perez ◽  
M. Gomez Garcia ◽  
M. De Lorenzo Calzon ◽  
...  
Keyword(s):  
Psychotic Disorders ◽  
Body Dysmorphic Disorder ◽  
Treatment Options ◽  
Obsessive Compulsive ◽  
Dsm 5 ◽  
Bibliographic Search ◽  
Dsm Iv ◽  
Competing Interest ◽  
Core Symptoms

IntroductionThe main feature of body dysmorphic disorder (BDD) is impairing preoccupation with a physical defect that appears slight to others. Previously, its delusional and nondelusional variants were sorted in two separate categories, but owing to new data suggesting that there are more similitudes than differences between them, DSM-5 now classifies both as levels of insight of the same disorder.ObjectivesTo enunciate the similarities and differences between the two variants of BDD.AimsTo better understand the features and comorbidity of BDD, so as to improve its management and treatment.MethodsTaking DSM-5 and DSM-IV-TR as a reference, we have made a bibliographic search in MEDLINE (PubMed), reviewing articles no older than 5 years that fit into the following keywords: body dysmorphic disorder, delusions, comorbidity, DSM-IV, DSM-5.ResultsBoth the delusional and nondelusional form presented many similarities in different validators, which include family and personal history, pathophysiology, core symptoms, comorbidity, course and response to pharmacotherapy.ConclusionsThe new classification of delusional and nondelusional forms of BDD as levels of insight of the same disorder, which places them closer to the obsessive-compulsive spectrum than to the psychotic one, not only improves treatment options, but also reinforces the theory that delusions are not exclusive of psychotic disorders, setting a precedent for the understanding and classification of other disorders with delusional/nondelusional symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Hoarding Disorder

2021 ◽  
pp. 63-86
Author(s):  
Blaise Worden ◽  
David F. Tolin
Keyword(s):  
Clinical Characteristics ◽  
Obsessive Compulsive ◽  
Related Disorder ◽  
Hoarding Disorder ◽  
Compulsive Disorder ◽  
Psychological Determinants ◽  
Dsm 5 ◽  
Prevalence Estimates ◽  
Assessment And Treatment ◽  
Chronic Course

This chapter discusses the nature and clinical characteristics of hoarding disorder, a debilitating condition that runs a chronic course without treatment and can lead to significant functional impairment and cost to society. Prevalence estimates for hoarding disorder range from 1.5% to 6% of the general population, and it tends to co-occur with depressive and anxiety disorders. In the DSM-5, hoarding disorder was differentiated from obsessive-compulsive disorder, primarily because of the pronounced differences from OCD in terms of treatment response and phenotype. However, HD remains classified as an obsessive-compulsive and related disorder. This chapter covers the etiology of hoarding disorder across biological and psychological determinants. In addition to the nature of symptoms, contemporary approaches to assessment and treatment are highlighted. The chapter concludes with a discussion of future directions for research.

Hoarding disorder and obsessive-compulsive disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. S350-S350
Author(s):  
F. De la Torre Brasas ◽  
A. Duque Domínguez ◽  
N. Echeverría Hernández ◽  
M.D.M. Lázaro Redondo ◽  
C. García Montero ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Behavioural Therapy ◽  
Complete Disappearance ◽  
Obsessive Compulsive ◽  
Tic Disorder ◽  
Hoarding Disorder ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Apparent Reason ◽  
Competing Interest

IntroductionHoarding disorder is described in the DSM-5 as a new clinical entity whose essential characteristic is the persistent difficulty discarding or parting with possessions, regardless of their actual value, arguing reasons of utility, aesthetics, attachment or strong fear of losing Information.ObjectivesWe present the case of an 11-year-old male patient brought to the Health Mental office when his mother found in the school bag debris that he had collected from the garbage, and useless objects in a bedroom drawer. The patient recognizes the nonsense of his behaviour but is unable to get rid of these objects but he allows his mother to do it. He had lowered school performance and showed irritable, shy and solitary, difficulties to sleep and cried often without apparent reason. They also noted since six months before, strange movements with the neck and eyes.MethodsAfter ruling out, underlying organic pathology, we started treatment with sertraline 50 mg, aripiprazole 2.5 mg and cognitive behavioural therapy, with complete disappearance of symptoms including the movement disorder.ResultsObsessive compulsive disorder 300.3 (F42); Hoarding disorder 300.3 (F42); Provisional Tic disorder 307.21 (F95.0).ConclusionsHoarding behaviour of strange objects is very unusual in Hoarding Disorder but more common in the Obsessive-Compulsive Disorder. In this case report, we consider the possibility of both disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Structured Interview for Hoarding Disorder (SIHD)

2019 ◽  
Vol 35 (4) ◽  
pp. 512-520
Author(s):  
Caterina Novara ◽  
Paolo Cavedini ◽  
Stella Dorz ◽  
Susanna Pardini ◽  
Claudio Sica
Keyword(s):  
Convergent Validity ◽  
Structured Interview ◽  
Diagnostic Process ◽  
Schizophrenia Spectrum Disorders ◽  
Clinical Environment ◽  
Obsessive Compulsive ◽  
Rater Reliability ◽  
Hoarding Disorder ◽  
Compulsive Disorder ◽  
Schizophrenia Spectrum

Abstract. The Structured Interview for Hoarding Disorder (SIHD) is a semi-structured interview designed to assist clinicians in diagnosing a hoarding disorder (HD). This study aimed to validate the Italian version of the SIHD. For this purpose, its inter-rater reliability has been analyzed as well as its ability to differentiate HD from other disorders often comorbid. The sample was composed of 74 inpatients who had been diagnosed within their clinical environment: 9 with HD, 11 with obsessive-compulsive disorder (OCD) and HD, 22 with OCD, 19 with major depressive disorder (MDD), and 13 with schizophrenia spectrum disorders (SSD). The results obtained indicated “substantial” or “perfect” inter-rater reliability for all the core HD criteria, HD diagnosis, and specifiers. The SIHD differentiated between subjects suffering from and not suffering from a HD. Finally, the results indicated “good” convergent validity and high scores were shown in terms of both sensitivity and specificity for HD diagnosis. Altogether, the SIHD represents a useful instrument for evaluating the presence of HD and is a helpful tool for the clinician during the diagnostic process.

Duloxetine augmentation in resistant obsessive compulsive disorder: Surveying a new medication for challenges in treatment of OCD

2017 ◽  
Vol 41 (S1) ◽  
pp. S415-S415
Author(s):  
A. Mowla
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Primary Outcome Measure ◽  
Controlled Clinical Trial ◽  
Double Blind Study ◽  
Obsessive Compulsive ◽  
Double Blind ◽  
Compulsive Disorder ◽  
Significant Difference ◽  
Competing Interest ◽  
To Receive

IntroductionUp to 50% of patients with OCD have failed to respond in SSRI trials, so looking for pharmacological alternatives in treatment of obsessive compulsive disorder (OCD) seems necessary.ObjectivesSurveying duloxetine augmentation in treatment of resistant OCD.AimsStudy the effects of serotonin-norepinephrine enhancers for treatment of OCD.MethodsThis augmentation trial was designed as an 8-week randomized controlled, double blind study. Forty-six patients suffering from OCD who had failed to respond to at least 12 weeks of treatment with a selective serotonin reuptake inhibitor (fluoxetine, citalopram or fluvoxamine) were randomly allocated to receive duloxetine or sertraline plus their current anti OCD treatment. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was the primary outcome measure.ResultsForty-six patients (24 of 30 in duloxetine group and 22 of 27 in sertraline group) completed the trial. Both groups showed improvement over the 8-week study period (mean Y-BOCS total score at week 8 as compared with baseline: P < 0.001 and P < 0.001) without significant difference (P = 0.861). Those receiving duloxetine plus their initial medications experienced a mean decrease of 33.0% in Y-BOCS score and the patients with sertraline added to their initial medication experienced a mean decrease of 34.5% in Y-BOCS.ConclusionsOur double blind controlled clinical trial showed duloxetine to be as effective as sertraline in reducing obsessive and compulsive symptoms in resistant OCD patients. However, it needs to be noted that our study is preliminary and larger double blind placebo controlled studies are necessary to confirm the results.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Koro Syndrome in an Obsessive-Compulsive Disorder Patient

2016 ◽  
Vol 33 (S1) ◽  
pp. S496-S496 ◽  
Author(s):  
L. Silva ◽  
C. Raposo-Lima ◽  
C. Soares ◽  
J.J. Cerqueira ◽  
P. Morgado
Keyword(s):  
Behavioral Therapy ◽  
Rare Condition ◽  
The Body ◽  
Obsessive Compulsive ◽  
Optimal Care ◽  
Related Disorder ◽  
Compulsive Disorder ◽  
Western Countries ◽  
Competing Interest ◽  
Psychiatric Department

IntroductionKoro syndrome is a culturally related disorder characterized by intense anxiety that the penis (vulva or nipples in females) is shrinking or retracting and will recede into the body. Usually it occurs in epidemics in Southeastern Asia, being extremely rare in western countries. The condition is more common in males and is classified within Obsessive Compulsive and Related Disorders.Case reportA 27-year-old single man was referred to the psychiatric department. By the age of 23, he began worrying that his penis was shrinking and retracting into the abdomen. He described these thoughts as intrusive, ridiculous and repetitive. During the first months the thoughts were not very disturbing but he progressively developed an urge to verify the length of his penis several times a day. To diminish the anxiety provoked by the obsessive doubts on penis length, he started to have repetitive thoughts and mental images about sexual acts, to consume pornography compulsively and to increase his masturbatory behaviors (from some times a week to several times a day). He described those thoughts and behaviors as unpleasant and uniquely driven to reduce anxiety provoked by obsessions.He was prescribed fluvoxamine 200 mg/day and initiated cognitive behavioral therapy with good response. Y-BOCS score decreased from 30 at initial evaluation to 18 after 3 months of treatment.ConclusionsKoro syndrome is a very rare condition in psychiatry in western countries, usually presenting secondarily to other psychiatric disorders. Awareness of this diagnosis and knowledge on its management are critical to provide optimal care to patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Hoarding Disorder

2017 ◽  
Author(s):  
Christine Lochner ◽  
Dan Stein ◽  
Eileen Thomas
Keyword(s):  
Key Words ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Related Disorder ◽  
Statistical Manual ◽  
Hoarding Disorder ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual

Hoarding disorder is characterized by an obsessive need to acquire, collect, or keep possessions and difficulty in organizing and discarding, resulting in accumulation of clutter, which elicits great concern from family and friends. Functioning is usually impaired in a variety of domains. Obsessive-compulsive disorder is the disorder most closely associated with hoarding. Overvalued ideation regarding the value or usefulness of possessions may make it impossible for individuals to discard items. This review contains 1 table, and 22 references. Key words: clutter, diagnostic and statistical manual, etiology, hoarding, obsessive-compulsive and related disorder

Sign in / Sign up

Export Citation Format

Share Document