Buried in Treasures: Understanding and Treating Hoarding Disorder
What is hoarding?

  • Diagnosis and Assessment
  • DSM-5 Criteria
  •  Assessment Strategies
  • Conceptual model of hoarding
  • Vulnerabilities (biological and psychological)
  • Information Processing Deficits
  • Emotional Attachments to Possessions
  • Beliefs about Possessions
  • Reinforcement Patterns             
  • Enhancing motivation in people with hoarding problems
  • Interventions for hoarding
    • For Excessive Acquisition
    • For Difficulty Discarding
    • For Clutter
    • Self-help and other strategies

                    Workshop Description
This workshop will provide a broad overview of hoarding disorder and useful interventions. Hoarding symptoms include acquiring too many things, difficulty discarding and excessive clutter that interferes with normal use of space and/or causes distress. A model for understanding these hoarding problems will be presented, including recent findings regarding hoarding behaviors, emotional attachments and beliefs about possessions. Application of the model to participants’ cases will be emphasized. DSM-5 diagnostic criteria will be reviewed along with methods for assessing the severity of the problem. Intervention strategies will be reviewed in detail, including ways to enhance motivation among hoarding clients, how to establish goals for treatment, increase skills for organizing and problem solving, how to gain control over excessive acquisition, and how to change beliefs about possessions, foster imagined and experiential exposures to removing possessions by recycling, discarding, selling and giving away items as appropriate. Video clips demonstrating the phenomena as well as strategies for changing attachments to possessions will be utilized. Methods for adapting these principles to self-help support groups will also be presented. Potential roles for family members or friends as “coaches” will be described, along with strategies for preventing future clutter problems.

                        Learning objectives

  1. Identify specific problems associated with hoarding, including typical behaviors, impairments in functioning, especially with regard to health risks and housing problems, and consequences of hoarding.
  2. Understand why hoarding occurs and persists using a cognitive, emotional and behavioral framework.
  3. Learn assessment strategies to identify specific hoarding problems and associated features.
  4. Learn intervention strategies, including motivational enhancement, skills training, cognitive and behavioral methods of treatment for hoarding.

Recommended Reading     **These books will be for sale at the workshop through  Owl's Nest Books**
Frost, R.O. (2010). Treatment of hoarding. Expert Review of Neurotherapeutics, 10, 251-261.
Frost, R.O., Ruby, D., & Shuer, L. (2012). The Buried in Treasures Workshop: Wait list control trial of facilitated self-help for hoarding disorder. Behaviour Research and Therapy, 50, 661-667.
Frost, R.O. & Steketee, G. (2010). Stuff: Compulsive Hoarding and the Meaning of Things. New York:Houghton, Mifflin, Harcourt.
Frost, R.O. & Steketee, G. (Eds., 2014). Oxford Handbook of Hoarding and Acquiring. New York: OxfordUniversity Press.
Steketee, G. & Frost, R.O. (2nd ed., 2014). Compulsive Hoarding and Acquiring: Therapist Guide. NewYork: Oxford University Press.
Steketee, G. & Frost, R.O. (2nd ed., 2014). Compulsive Hoarding and Acquiring: Workbook. New York:Oxford University Press.
Tolin, D.F., Steketee, G., & Frost, R.O. (2nd ed., 2014). Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding. New York: Oxford University Press.

This workshop will qualify for "A" credits. Registered Social Workers can apply for credits through ACSW.

We are pleased to welcome Dr. Randy O. Frost 
 Dr. Randy Frost is the Harold and Elsa Siipola Israel Professor of Psychology at Smith College. He is an internationally recognized expert on obsessive-compulsive disorder and hoarding disorder and has published more than 170 scientific articles, books, and book chapters on these topics. Dr. Frost serves on the Scientific Advisory Board of the International OCD Foundation, and with Dr. Gail Steketee, co-edits the Hoarding Center on the IOCDF website. In 2012 he was awarded the Lifetime Achievement Award for excellence in innovation, treatment, and research in the field of hoarding and cluttering by the Mental Health Association of San Francisco. In 2013 he received a Career Achievement Award from the International OCD Foundation for his work on hoarding.  He has co-authored several books on hoarding including Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding (with Drs. David Tolin and Gail Steketee and published by Oxford University Press). Buried in Treasures received a Self-Help Book of Merit Award from the Association for Behavioral and Cognitive Therapy in 2010. He has also published the Compulsive Hoarding and Acquiring Therapist Guide and Client Workbook: second editions of all three of these books were published in 2014. His best-selling book, Stuff: Compulsive hoarding and the meaning of things (with Gail Steketee), was published in 2010. His newest work, The Oxford Handbook of Hoarding and Acquiring was published in 2014. His work has been funded by the International Obsessive Compulsive Disorder Foundation and the National Institute of Mental Health. Dr. Frost is one of the original members of the Hoarding of Animals Research Consortium and has served as consultant to numerous communities in setting up task forces to deal with the problem of hoarding. 


Buried in Treasures: Understanding and Treating Hoarding Disorder featuring Dr. Randy O. Frost 


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