Community Partnership in Response to Hoarding Disorder in Montreal.

Clinical management of hoarding disorder is challenging because of the weak insight of people with hoarding disorder, the lack of available tools for disease management in the health care system, and the absence of communication between health care and primary responders. To tackle this communication gap and, hence, improve clinical management of hoarding disorder, a community partnership initiated by people with hoarding disorder took place in Montreal. This initiative could profitably offer guidelines for other communities facing hoarding disorder challenges.

Group cognitive-behavioural treatment with long-term follow-up and targeting self-identity for hoarding disorder: An open trial.

BACKGROUND: Group cognitive-behavioural therapy (G-CBT) for hoarding disorder (HD) may be an intervention of choice, considering its efficacy, low costs, and impact on comorbid anxiety and depression. But although G-CBT and modifications of G-CBT have been applied, none has assessed G-CBT efficacy at follow-up. In the current open-label pilot study, we tested the efficacy of G-CBT at posttreatment and 6-month follow-up and whether the inclusion of targeted reasoning and self-identity components added to G-CBT efficacy. METHODS: Participants (n = 16) with the HD according to the DSM-5 criteria without major comorbid conditions and not requiring immediate medical intervention were retained. The intervention included a 20-week G-CBT with the inclusion of modules on reasoning and self-identity. RESULTS: Very large/large effect sizes, depending on the outcome measure, were observed at posttreatment. Also, HD severity decreased from posttreatment to 6-month follow-up. All participants showed reliable change from pretreatment to follow-up. CONCLUSIONS: The results emphasize the efficacy of G-CBT with additional targeted reasoning and self-components.