Hoarding Self-Help
Self-help for hoarding disorder: Deciding to make a change.
The hardest thing for someone with hoarding disorder is often deciding to address the issue. You may not see your behavior as a problem and so struggle to find the motivation to change. Or you may see change as too overwhelming or scary a proposition. You might think there’s so much mess to clear up that you’ll never get it all done, so what’s the point in even trying?
Whether you’re struggling to get or stay motivated, it can help to start by making a pros and cons list for changing how you acquire and retain possessions. •Some of the advantages of changing your behavior could include being able to entertain friends and family in your home again, preserving your relationship with the person you live with, improving your health, or regaining control over your finances, for example. •The cons or disadvantages could include discarding something you later find a use for, feeling that you’ve been wasteful, or enduring anxiety as you pass up the opportunity to acquire something new.
You can also look to the future and list how your life will look if you continue your hoarding behavior and how it will look if you make a change. Keep your lists on your phone so you can regularly remind yourself what you’re working towards.
Self-help tip 1: Take steps to clear and organize your homeWhen you have hoarding disorder, it’s easy to feel overwhelmed at the prospect of decluttering your home and getting organized. However, there are simple ways to break tasks down into smaller, more manageable steps.
Start easy—and work your way upWe all have some items that we find much harder to discard than others. Old bills or plastic bags, for example, are probably easier to throw away than photographs, greeting cards, or gifts that conjure up lots of memories or emotions.
To make it easier on yourself, create a list of all the different items you’ve been hoarding and rank them from 1 (easiest to discard) to 10 (hardest to discard). Known as a “fear ladder,” your list may look something like this:Sample hoarding fear ladder 1. Boxes, bags, old containers 2. Bills, receipts 3. Newspapers, magazines 4. Ticket stubs 5. Shoes, hats, belts 6. Other clothing 7. Postcards, greeting cards, letters 8. Souvenirs 9. Gifts 10. Photos
Rather than trying to tackle the highest ranked items, those you’re most fearful of throwing away, start with the easier items. Sorting through the first category should make you feel slightly anxious, but not so fearful that you’re unable to attempt it.
As you work through your possessions and build up your tolerance to discarding items, you can gradually move up the fear ladder.
Take it one step at a time.
Starting on the first rung of your fear ladder:Set small but specific goals. Instead of setting yourself the goal of cleaning an entire room, aim to declutter just one shelf, one drawer, or one pile at a time.
Establish a set time to work on your goals each day, even if it’s just for 10 or 15 minutes at a time. It’s easier to stay motivated when you break tasks into bite-size pieces and don’t try to do too much at once.
Turn off your phone and avoid other distractions. It’s easy to lose focus if you try to multitask, so stick to the task at hand for the short time you’ve allotted.
Assign each item to a specific category. You might decide on a “keep” pile, a “garbage” pile, and a “recycle” or “donate” pile. However you label your categories, though, it’s important to decide the outcome for each item, rather than assign things to any type of vague “decide later” category.
Adhere to the “OHIO” rule. Only Handle It Once means that each time you pick up an item, you decide which category it belongs in. You might think that if you come back to an item later you’ll feel better able to decide what to do with it—but that will only add to the chaos. So, OHIO and choose a category.
Go easy on yourself. If you find cleaning a whole shelf or an entire drawer too overwhelming, that doesn’t mean you’ll never make progress or that you’ve somehow failed. Instead, set yourself a smaller goal—half a shelf or a smaller pile, for example—and work towards that.
Be proud of your successes. Taking a moment to acknowledge even small accomplishments can help keep you motivated. Try rewarding yourself with a tasty treat or an episode of your favorite TV show.
Tip 2: Improve your decision makingMaking the decision to part with an item is rarely easy, but people with hoarding disorder tend to struggle with indecision more than most. You may find it hard to resist the temptation to assign things to your “keep” pile just in case you ever need them in the future. It could be that you find it difficult to deal with uncertainty, you’re always expecting the worst to happen, or you’re prone to perfectionism.
Learning to challenge anxious thoughts can help you look at the world in a more balanced, realistic way and cope with the anxiety that often fuels indecision.
You can also ask the following questions as you sort through your possessions: 1. Have I used this object in the last year or do you have a specific plan to use it in the next few months? 2. Do I have enough space for the object? 3. Is the item usable? 4. Do I have time to use (or read) the item? 5. How many similar objects do I already have? 6. Does keeping the item help me achieve your goals? 7. If it’s important enough to keep, is there a way to store the item digitally instead (see below)?
Finding digital alternativesIf you decide to keep an item, technology may be able to offer some alternative solutions: • Photos, books, music, and movies can all be transferred and stored in digital formats. (If you prefer reading physical books or watching movies on disc, you could borrow them from a library rather than buy). • To cut down on paperwork, opt for online billing, bank statements, and receipts wherever possible. • Scan paper documents to store digitally. • If you tend to accumulate newspapers or magazines, look for online subscriptions instead. Many publications also offer back issues as PDF files. • Consider taking digital photos of your possessions and keeping those instead of the objects themselves. It can make discarding them far less painful.
Tip 3: Learn to cope with discomfortAs you sort through your possessions, it’s normal to feel anxious, stressed, or uncomfortable. Discarding an object may trigger difficult memories or emotions. The scale of the task ahead could suddenly seem overwhelming and cause you to feel like giving up. Or the stress could make you want to revert back to your old patterns of behavior and go shopping, for example.
Whatever discomfort you experience, instead of trying to ignore an unpleasant feeling or urge, stay with it until it passes. Known as urge surfing, this technique requires you to ride the “wave” of an uncomfortable emotion like a surfer. Rather than battle, judge, or try to ignore your discomfort, if you allow yourself to experience it, you’ll see just how quickly even an unpleasant feeling will crest, break, and fade away.
The three basic steps of urge surfing: 1.Notice how you’re experiencing the discomfort. Sit in a comfortable position, take a few deep breaths, and focus your attention on your body. Notice where in your body you experience the discomfort or negative urge. What sensations are you experiencing? What do they feel like?
2.Focus on one area where you’re experiencing the discomfort. What are the sensations in that area? Describe them to yourself. For example, perhaps you feel hot, cold, or numb? Maybe your muscles are tense? Notice if the sensations change as you focus on them.
3.Repeat by focusing on each part of your body that experiences the discomfort. Describe to yourself how the sensations change, how the negative emotion comes and goes.
After a few minutes of urge surfing, your discomfort will likely disappear. If you regularly practice the technique, you’ll become more familiar with negative emotions and find it easier to ride them out until they go away naturally.
Adopt a mindfulness practiceA lot of hoarding tendencies stem from worrying about the past—accumulating items that bring back certain memories, judging your past actions negatively—or stressing about the future—ruminating on “what if’s” and saving things that you may one day have a use for. The practice of mindfulness, on the other hand, encourages you to spend time in the present.
By focusing your attention on the present moment and accepting it without judgment, you’re less likely to get caught up in worries about the future or regrets over the past. Practicing mindfulness regularly can help you relieve stress, deal with symptoms of anxiety and depression, and better deal with adverse events.
Tip 4: Identify what triggers you to acquire moreThe first step to changing how you acquire things is to identify your personal triggers. What situations, places, or feelings make you want to acquire items? Perhaps you online shop for clothes after a stressful day at work, browse yard sales when you’re bored, buy books and magazines when you’re feeling lonely, or treat yourself with a new figurine or ornament to celebrate a holiday.
Keeping a diary can help you identify the patterns behind your shopping habits. Whenever you acquire more things—or feel the urge to do so—take a moment to figure out what’s triggering the urge.Once you identify the triggers and patterns in your behavior, you can find healthier ways to deal with the urge to acquire more things.
Manage stress. Stress is one of the biggest triggers to “retail therapy.” Instead of opening your wallet, though, try exercising or practicing a relaxation technique such as meditation, deep breathing, or yoga
Distract yourself. When you feel the urge to shop, engage your attention elsewhere, by taking a walk, calling a friend, enjoying a bath, or watching a movie, for example. Once your attention has switched to something else, the urge often fades away.
Talk to someone. When you notice a craving, turn to a friend or family member you trust, someone who won’t judge you. Sharing what you’re going through is a great way to relieve stress, improve how you feel, and end the craving.
Accept the urge and ride it out. Use the urge surfing technique outlined above. The emotion that triggered the urge will often quickly pass if you allow yourself to simply feel it rather than act on it.Delay. If you don’t feel you’re able to fight the urge to acquire something, try to delay it for just a short time. Walk away and try to hold off for one minute. If you succeed, try to hold off for five minutes. If you can keep stretching it out in this way, you’ll often find the urge passes naturally.
Stick to your shopping list. We all have to shop for groceries, toiletries, and other day-to-day items. Once you’re in the store, though, it’s easy to be tempted to buy other items you don’t need. If you shop weekly, take stock of the items you already have and prepare a list of things you will realistically use that week—and then stick to it. If online shopping isn’t a trigger for you, try ordering your groceries online so you’re less likely to make impulse purchases in-store.
Tip 5: Seek supportIt can be tempting to try to hide your hoarding problem from friends and loved ones out of shame or embarrassment. But opening up to someone you trust can help you feel less alone—and an extra pair of hands can be invaluable in reducing the clutter in your home.If you’ve had bad experiences in the past of others helping you clear up your home, it’s important to set boundaries. Be specific about what you want help with and for how long. While the final decision about whether to discard or keep something should always be yours, being open to other people’s ideas can help you make better decisions or find new solutions.
You can also seek support by:Joining a support group. Talking regularly to others who are facing the same challenges can offer up lots of new coping tips. You can find in-person and online support groups by connecting to local senior centers, searching online, or accessing the resources in the Get more help section below.
Finding a “clutter buddy”. Working through your hoarding issues with someone who understands the problem firsthand is a great way to stay on track. Reach out to a friend or neighbor who may be in the same situation or pair up with someone from a support group. Set up regular times to talk, tackle decluttering tasks together, or offer each other support and encouragement.
Seek professional help. Cognitive behavioral therapy can help treat hoarding disorder by changing the way you think and act. Working with the right therapist can help with decision-making, how you tackle clutter, and resisting urges to acquire more things. When looking for therapist options, you might also consider online therapy.
Seek professional help. Cognitive behavioral therapy can help treat hoarding disorder by changing the way you think and act. Working with the right therapist can help with decision-making, how you tackle clutter, and resisting urges to acquire more things. When looking for therapist options, you might also consider online therapy.