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Online Therapists

Photo of Mary L Testa - Aspire Counseling and Coaching by Mary Testa, LMHC, LMHC, MS, Ed, NCC, Counselor
Aspire Counseling and Coaching by Mary Testa, LMHC
Counselor, LMHC, MS, Ed, NCC
Verified Verified
2 Endorsed
Rochester, NY 14618
I believe that everyone can benefit from personal growth. I can connect with anyone of any race, socioeconomic status, religion or sexual orientation. I work with healthy individuals with life challenges as well as those suffering from depression, anxiety, relationship problems and parenting issues. I am adept at working with PTSD and Sexual Abuse Survivors. I love working with High School students, College age and beyond. I can assist you with your career and life direction. I am easy to connect with as I am not only approachable, and you will find me casual and laid back in a comfortable, non-intimidating environment.
I believe that everyone can benefit from personal growth. I can connect with anyone of any race, socioeconomic status, religion or sexual orientation. I work with healthy individuals with life challenges as well as those suffering from depression, anxiety, relationship problems and parenting issues. I am adept at working with PTSD and Sexual Abuse Survivors. I love working with High School students, College age and beyond. I can assist you with your career and life direction. I am easy to connect with as I am not only approachable, and you will find me casual and laid back in a comfortable, non-intimidating environment.
(585) 447-5207 View (585) 447-5207
Hoarding Therapists

What is the most effective treatment for hoarding?

Cognitive behavior 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.