How major medical classifications list hoarding

[Gawainsgoverness]

THank you Oddsocks. Wish there was a “like post” facility on here.

Have you come across any research on why some hoarders have insight and others do not?

I

[OddsocksParticipant]

Gawainsgoverness wrote:

THank you Oddsocks. Wish there was a “like post” facility on here.

Have you come across any research on why some hoarders have insight and others do not?

I

Thanks for the thanks!

Obviously a key issue about insight, but I havent found anything on that unfortunately. Maybe potential researchers arent interested or just find it too hard to research! To be fair, I can only access things that are free online- there will be lots more!

But I’m continuing to look for more info in general. I would definitely post anything I find about why there is that difference.

[OddsocksParticipant]

**another one only for people particularly interested, who can cope with it all**

I thought it was worth posting the content from one of the classifications I mentioned earlier. Its the official recognition that while hoarding might be linked with OCD, for some people there is a diagnosis of hoarding disorder which isnt . Useful if you have a health professional who doesnt think that can happen- just direct them to this!

ICD-11 https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f1991016628” class=”bbcode_url”>https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f1991016628for the main section Click arrow next to name on list to get the subsections.

Formal and meticulous wording as its an official description for professionals worldwide to use when diagnosing. Rather than written for us!

6B24 Hoarding disorder

Description

Hoarding disorder is characterised by accumulation of possessions due to excessive acquisition of or difficulty discarding possessions, regardless of their actual value. Excessive acquisition is characterized by repetitive urges or behaviours related to amassing or buying items. Difficulty discarding possessions is characterized by a perceived need to save items and distress associated with discarding them. Accumulation of possessions results in living spaces becoming cluttered to the point that their use or safety is compromised. The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.

subsection fair/good insight

All definitional requirements of hoarding disorder are met. The individual recognizes that hoarding-related beliefs and behaviours (pertaining to excessive acquisition, difficulty discarding, or clutter) are problematic. This qualifier level may still be applied if, at circumscribed times (e.g., when being forced to discard items), the individual demonstrates no insight.

subsection Little/absent insight

All definitional requirements of hoarding disorder are met. Most or all of the time, the individual is convinced that that hoarding-related beliefs and behaviours (pertaining to excessive acquisition, difficulty discarding, or clutter) are not problematic, despite evidence to the contrary. The lack of insight exhibited by the individual does not vary markedly as a function of anxiety level.

DSM 5

It includes that there is Hoarding Disorder in the section Obsessive-Compulsive and Related Disorders, but the description isn’t available free online. Can anyone here access it?

https://dsm.psychiatryonline.org/doi/10.1176/appi.books.9780890425596.dsm06” class=”bbcode_url”>https://dsm.psychiatryonline.org/doi/10.1176/appi.books.9780890425596.dsm06

[Gawainsgoverness]

Thanks for the continuing research Oddsocks.

Insight or lack of it fascinates me. I wonder is down to the personality type of the hoarder (or is the personality type driven by the lack of insight.)

Is a lack of insight always real I wonder, or is it just a form of belligerence to gloss over what someone knows is not right?

Might be worth posting the https://dsm.psychiatryonline.org/doi/10.1176/appi.books.9780890425596.dsm06

on R/Scholar over on Reddit – someone there might be able to provide a copy?

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