Group Treatment for Hoarding Disorder: Therapist Guide

Paperback | March 3, 2014

byJordana Muroff, Patty Underwood, Gail Steketee

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For the first time, Hoarding Disorder (HD) is now recognized as a distinct disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), separate from OCD. HD has also received much more attention and exposure in recent years. Consequently, more peoplewill be recommended for treatment, increasing the demand and need for clinicians who deliver this specialized intervention.Group Treatment for Hoarding Disorder: Therapist Guide outlines a cognitive-behavioral therapy program for HD using a group model. Clinicians deliver group therapy over 20 weekly sessions of 1.5 to 2 hours each. A single experienced clinician can lead the group or a co-therapy model can be used withtwo clinicians, one experienced and one in training. Groups of 6 to 8 participants:* receive education about HD and about the CBT model* discuss therapy goals and personal values* practice motivational enhancement methods including identifying barriers to progress* receive training in organizing and problem-solving about hoarding problems* learn cognitive therapy strategies to reduce problematic hoarding beliefs and to replace acquiring with more adaptive behaviors* practice sorting, removing clutter, and not acquiring, beginning with easier tasks* and identify in-home supports.Final sessions focus on reviewing the most effective therapy methods, coping with change, and highlighting strategies for maintaining gains. Group members use the Treatment for Hoarding Disorder: Workbook, Second Edition to assist with practice exercises. All of the necessary forms and worksheetsare provided in the books and online. Treatment proceeds in a flexible session-by-session fashion with attention to group process. Written for psychologists, social workers, psychiatrists, counselors, and psychiatric nurses, this Therapist Guide will promote effective group treatment of people withhoarding disorder.

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For the first time, Hoarding Disorder (HD) is now recognized as a distinct disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), separate from OCD. HD has also received much more attention and exposure in recent years. Consequently, more peoplewill be recommended for treatment, increasing t...

Jordana Muroff, PhD, is an Assistant Professor at Boston University School of Social Work in the Clinical Practice Department. Trained in cognitive behavioral therapy methods (CBT), Dr. Muroff is a licensed social worker and trained psychologist with extensive clinical experience. Her research on mental health interventions has establi...
Format:PaperbackDimensions:368 pages, 10 × 7 × 0.68 inPublished:March 3, 2014Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:019934096X

ISBN - 13:9780199340965

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Table of Contents

Acknowledgments1. Introduction2. Group Formation and Assessment3. Group Process4. Session 1: Introduction and Education5. Session 2: Model Building6. Session 3: Motivation7. Session 4: Goals and Treatment Planning8. Session 5: Reducing Acquisition9. Session 6: More on Acquisition10. Session 7: Exposure Practice for Non-Acquisition11. Session 8: Decisions about Saving and Discarding12. Session 9: More on Decisions about Saving and Discarding13. Session 10: Skills Training for Organizing14. Session 11: Organizing Paper15. Session 12: Cognitive Strategies16. Session 13: Cognitive Therapy Skills for Letting Go17. Session 14: Coaching and Letting Go18. Session 15: Non-Acquisition Practice19. Session 16: Barriers to Progress20. Session 17: Maintaining Systems and Gains21. Session 18: Review of Treatment Methods22. Session 19: Assessment and Review of Progress23. Session 20: Graduation and Next StepsAppendices1. Hoarding Interview2. Hoarding Rating Scale3. Saving Inventory - Revised (SI-R)4. Clutter Image Rating (CIR) Instructions, and pictures of LR, Kit, BR5. Saving Cognitions Inventory (SCI)6. Activities of Daily Living for Hoarding (ADL-H)7. Safety Questions8. Home Environment Inventory (HEI)9. Binder Information Sheet (Session 1)10. Session schedule (Session 1)11. Group Session Forms [samples for each session]12. Group Session Form [blank]13. Confidentiality contract (Session 1)14. Hoarding Disorder DSM-5 Criteria (Session 1)15. Clinician's Group Progress Notes16. Clinician's Group Progress Note [Example]17. Blank Hoarding Model (Workbook, Ch. 3, p.31)18. Brief Thought Record (Workbook, Ch. 3, p. 37)19. Clutter Visualization Form (Workbook Ch. 4, p. 44)20. Unclutter Visualization Form (Workbook, Ch. 4, p. 45)21. Table of Signals of Ambivalence and Strategies (Session 3)22. Table of Motivational Enhancement Strategies (Session 3)23. Advantages and Disadvantages of Change Worksheet (Session 3)24. Instructions to Coaches25. Acquiring Form (Workbook, Ch. 5, p. 52)26. Acquiring Visualization Form (Workbook, Ch. 4, p. 46)27. Thought Listing Exercise Form (Session 8)28. Behavioral Experiment Form (Workbook, Ch. 7, p. 83)29. Table of Problematic Thinking Styles (Session 12; Workbook, Ch. 8, p. 86)30. Thought Record (Workbook, Ch. 8, p. 93)31. Non-acquiring Help Card (Session 15)32. Practice Form (Workbook, Ch. 4, p. 47)33. Personal worksheet for managing barriers (Session 16)34. Family Response to Hoarding Scale (FRHS) (Session 16)35. Weekly Scheduler (Session 17)36. List of Treatment Techniques (Session 18)37. Certificate of completion (Session 20)ReferencesReadings and ResourcesAbout the AuthorsIndex