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2017 ; 8
(ä): 112
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Hoarding Disorder: A Case Report
#MMPMID28701963
Vilaverde D
; Gonçalves J
; Morgado P
Front Psychiatry
2017[]; 8
(ä): 112
PMID28701963
show ga
Hoarding disorder is characterized by a persistent difficulty discarding items,
the desire to save items to avoid negative feelings associated with discarding
them, significant accumulation of possessions that clutter active living areas
and significant distress or impairment in areas of functioning. We present a case
of a 52-year-old married man who was referred to the psychiatry department for
collecting various objects that were deposited unorganized in the patient's
house. He reported to get anxious when someone else discarded some of these
items. This behavior had started about 20?years earlier and it worsened with
time. The garage, attic, and surroundings of his house were cluttered with these
objects. On admission, in the mental status examination, it was observed that the
patient was vigil, calm, and oriented; his mood was depressed; his speech was
organized, logic, and coherent; and there were no psychotic symptoms. A
psychotherapeutic plan was designed for the patient, including psychoeducation,
cognitive restructuring, and exposure to discarding objects. A pharmacological
treatment with fluvoxamine 100?mg tid and quetiapine 200?mg was added to the
therapeutic plan, with the progressive improvement of the symptoms. Nine months
later, the patient was able to sell/recycle most of the items. Studies evaluating
treatment for HD are necessary to improve the quality of life of the patients and
to reduce the hazards associated with the disorder.
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