Group Treatment for Hoarding Disorder: Therapist Guide
Oxford University Press, 2014 - Psychology - 364 pages
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 people will 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 with two 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 worksheets are 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 with hoarding disorder.
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Chapter 1 Introduction
Chapter 2 Group Formation and Assessment
Chapter 3 Group Process
Introduction and Education
Goals and Treatment Planning
Cognitive Therapy Skills for Letting Go
Coaching and Letting Go
Barriers to Progress
Maintaining Systems and Gains
Review of Treatment Methods
Assessment and Review of Progress
Graduation and Next Steps
More on Acquisition
Exposure Practice for NonAcquisition
Decisions about Saving and Discarding
More on Decisions about Saving and Discarding
Skills Training for Organizing
Other editions - View all
Appendix 12 Ask clients assessment avoid barriers behavioral experiment can’t Carl Charlie check-in client Workbook Clinician’s Group Progress clutter coach cognitive therapy Compulsive Hoarding Conceptual Hoarding Model consignment shop decision-making decisions develop difficulty discarding discomfort discussion distress Downward Arrow emotions example family members feel filing Form Workbook Chapter Frost functional analysis goals group leaders Group Progress Notes Group Session Form group treatment help clients help group members hoarding disorder hoarding problem hoarding symptoms home commitment home visit identify Jennifer Joseph keep Let’s Maria motivation motivational interviewing mutual aid Need versus Want non-acquiring non-acquisition Objective Obsessive Compulsive Disorder obsessive-compulsive disorder Okay organizing person practice problem-solving problematic thinking styles Questions about Possessions Rating recycle Sally saving scores Session 12 Session 9 skills sorting Steketee things Thought Listing exercise Tolin trash Vignette Worksheet