Abstract
We report two cases of hoarding disorder (HD) to demonstrate course and treatment of the disease supported by literature review. HD features traits of personality and anxiety disorders (obsessive-compulsive spectrum disorders according to DSM-V).
Patients with HD amass a quantity of objects of low economic value or even animals in a haphazard disorderly fashion. Fueled by the subjectively perceived value of their possessions their perceived need in the future or emotional attachment patients with HD fail to dispose of them.
Hoarding results in overcrowding of premises designated for living, social isolation, poses health risks and causes inconvenience to the entire neighborhood, which attempts to protect itself. HD shows limited response to the treatment in a form of pharmacotherapy with SSRI or SNRI, or cognitive-behavioral therapy.
In some cases, therapeutic response can be achieved by atypical antipsychotic drugs.