Pay for Treatment Costs
Hoarding is actually a physical manifestation of mental health issues such as Obsessive Compulsive Disorder (OCD) and Impulsive Control Disorder (ICT).

This means that there are underlying causes that go much deeper than a simple unwillingness to get rid of possessions. Hoarding treatment follows a similar protocol as the treatment of OCD and ICT and focuses on addressing and treating those underlying problems that lead to the behavior. Hoarding shows on television may portray household cleanup as part of the treatment process, but typically that is a different component. Although, treatment may use objects that a hoarder has to force them to confront their issues. This can help hoarders stop attributing such value upon on object and focus on their emotional recovery instead.

The costs of hoarding treatment depend upon the treatment pursued. Like most mental health recovery treatment programs, it’s possible for hoarders to receive care on an inpatient or outpatient basis. The costs are also dependent upon the intensity of hoarding treatment required, and all this can be determined by an intake specialist at a mental health facility or a psychotherapist that specializes in hoarding that can setup a treatment protocol. Like any therapy, the specific costs are hard to estimate and they can range from a few thousand dollars to tens of thousands. Hoarders can work with mental health professionals to understand their treatment options and choose the ones most appropriate for them on a financial level as well.

Hoarding Treatment Options

There are three main categories of treatment for hoarding, and they can include the following:

  • Inpatient hoarding treatment – hoarders enter into a mental health facility in order to receive complete care. The protocol depends upon the patient, but can include both medication therapy and psychological care. Because care is so intensive, this option can be the most costly, but does have great benefit to the recovery of hoarders.
  • Outpatient hoarding treatment – typical outpatient hoarding treatment involves attending sessions with a psychotherapist on a predetermined schedule as deemed necessary. Group sessions lead by a mental health professional can also be conductive. In this case, required medications can be prescribed by a psychotherapist for the benefit of the patient. With this treatment structure, the cost of hoarding care can depend upon the specific schedule as well as the cost of the medications.
  • Self-care hoarding treatment – informal groups not necessarily lead by a mental health professional are beginning to form where hoarders and other individuals struggling with mental health problems can lend support to one-another. This is not typically recommended as the sole treatment option for hoarders, but it can help them feel less isolated and keep them on track if it’s simply supplementing their other care options.

There are greater costs associated with psychotherapy care for hoarding, but it’s important that individuals recognize that this type of treatment also brings some of the greatest recovery benefits to hoarders.

Benefits of Psychotherapy to Hoarders

Hoarders may believe that they can work through the treatment process on their own, or with the support of other individuals struggling with their mental health. However, since hoarding is rooted in serious mental health issues, it’s essential that proper treatment is sought with a psychotherapist, whether it’s on an inpatient or outpatient basis.

Typically, psychotherapy consists of cognitive behavior therapy and exposure response prevention.

Cognitive behavior therapy for hoarders includes information processing, where the therapist helps hoarders to enhance the organizational and decision making skills; addresses emotional attachment to possessions, where the therapist challenges the reasons why a hoarder has personal attachment to specific objects; and behavior avoidance where the therapist challenges the core beliefs of hoarding and forces hoarders to face their fears about making decisions, mistakes, and interacting with others rather than just objects. Cognitive behavior therapy is the more traditional psychotherapy approach used to treat hoarding and it truly gets to the root of the problems, proving its importance and justifying the costs of treatment.

The other psychotherapy treatment for hoarding is exposure and response prevention, which is based on the cognitive behavior therapy approach.  The difference here is that hoarders are actually asked to provide some of their behaviors and compulsions related to hoarding outright. After they’ve been asked to make a list, the therapist helps hoarders find better responses to the emotions and circumstances that trigger the hoarding behavior.

Finding Hoarding Treatment

Mental health treatment facilities in all communities offer treatment for hoarding since it has roots in OCD. A family physician can also provide referrals to an appropriate facility or mental health professional.