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Obsessive-compulsive and related

Hoarding disorder

Persistent difficulty getting rid of objects, even if they are of no value, because of the need to keep them. The accumulation even prevents the use of the spaces of the house.

Common signs

Keeping useless itemsIntense distress when throwing things awayRooms that can't be used

Tips

For you

  1. Start with a small area and decide on the spot
  2. Apply the "one in, one out" rule
  3. Seek non-judgemental help; confrontation doesn't work

For family and friends

  1. Don't throw things away without their permission: it causes more anxiety
  2. Offer to help sort out a small area together

When to ask for help

  1. If there is a risk of fire, falls or hygiene problems
  2. If the person lives in isolation

Guidance test

Answer thinking about the last few weeks. There are 8 questions and you get your result straight away. Your answers are not saved or sent.

0 of 8
1. I find it very hard to throw things away, even if I don't use them
2. I feel I'll need them some day
3. Thinking about getting rid of things distresses me
4. There are rooms in my home I can't use
5. I acquire things I don't need
6. I'm embarrassed when people come to visit
7. I have had conflicts because of the clutter
8. The clutter is a risk (falls, fire, hygiene)
Also take the full OCD test →

Free resources

Downloadable PDF sheetSigns, tips and resources to print or saveAll our free guidesFree resource from Clínica Vivaldi

Related disorders

Obsessive-compulsive disorder (OCD)Obsessive-compulsive and relatedBody dysmorphic disorderObsessive-compulsive and relatedTrichotillomania (hair-pulling)Obsessive-compulsive and relatedExorcism disorder (scratching the skin)Obsessive-compulsive and related

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Reviewed by María Teresa Fernández Vicente, health psychologist and neuropsychologist (registration no. CV17304), in November 2026. Educational information prepared by the Clínica Vivaldi team based on the DSM-5-TR classification. It does not replace a professional assessment and cannot be used to diagnose.