Photo of Erin Fischer, MEd, Psychologist
Erin Fischer
Psychologist, MEd
Verified Verified
2 Endorsed
Edmonton, AB T6W
I love working with trauma and have specialized experience with first responders. I get how it changes the way you think, feel and act so can work with emotional dysregulation and behavioural issues too. Addiction is common, and often a way to cope, and it's the underlying issues I enjoy nurturing and healing. At times, I work with people struggling in relationships, sometimes with themselves, or as they adjust to relational changes or losses. Other times I support people as they navigate life transitions like career changes, pregnancy/parenthood, health issues, or the effects of aging.
I love working with trauma and have specialized experience with first responders. I get how it changes the way you think, feel and act so can work with emotional dysregulation and behavioural issues too. Addiction is common, and often a way to cope, and it's the underlying issues I enjoy nurturing and healing. At times, I work with people struggling in relationships, sometimes with themselves, or as they adjust to relational changes or losses. Other times I support people as they navigate life transitions like career changes, pregnancy/parenthood, health issues, or the effects of aging.
(587) 850-0507 View (587) 850-0507

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What is the most effective treatment for hoarding?

Cognitive behaviour therapy (CBT) has been well-studied in the treatment of hoarding. This type of therapy includes changing beliefs surrounding possessions, as well as learning how to discard items and reduce acquisitions. The hoarder may also gain much-needed organizational skills. Another useful therapy may be compassion-focused therapy, which can address emotion regulation and negative self-perception.

How long does therapy for hoarding take?

Although treatment can vary, most people demonstrate improvement after 23 sessions, with some showing improvement after just a few sessions. Researchers have developed a 26-session cognitive behavioral program. People who hoard may need “maintenance” sessions over the years if the problem arises repeatedly.

Are there medications for hoarding?

The more commonly-prescribed medications for hoarding are including antidepressants, including selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs). This can include drugs such as venlafaxine and paroxetine. And because hoarding disorder is related to obsessive-compulsive disorder, medications for OCD, such as clomipramine, may be effective for hoarding as well.

Can hoarding come back after treatment?

Hoarding is a chronic disorder and it can last throughout an individual’s lifetime. Regularly checking in with a psychotherapist can help manage symptoms long-term. A good therapist will help the person learn needed skills including decision-making, organization, and stress reduction. The patient will gain a better perspective and the need to cling to useless items will lessen.