hoarding disorder
Persistent difficulty discarding possessions due to perceived need to save them, resulting in accumulation that compromises living spaces.
Full Definition
Hoarding disorder in geriatric populations presents unique challenges as lifetime accumulation patterns become entrenched and physical limitations reduce ability to organize or discard items. The disorder is characterized by persistent difficulty discarding or parting with possessions, regardless of their actual value, due to strong urges to save items and distress associated with discarding. In older adults, hoarding often creates significant safety hazards including fire risks, falls, and unsanitary conditions. The behavior may worsen following major life transitions such as retirement, bereavement, or health changes, and frequently co-occurs with depression, anxiety, or obsessive-compulsive disorder.
Usage
Usage note: Avoid stigmatizing language; focus on functional impairment rather than judgment about cleanliness or lifestyle.
In Context
- "The home assessment revealed hoarding disorder with pathways through rooms blocked by accumulated newspapers and magazines." — Adult protective services report
- "Hoarding disorder often requires coordinated intervention involving mental health, social services, and medical professionals." — Geriatric psychiatry treatment plan