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CBT for Hoarding Disorder

A Group Therapy Program Workbook

David F. Tolin Blaise L. Worden Bethany M. Wootton Christina M. Gilliam

$59.95

Paperback

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English
Wiley-Blackwell
08 September 2017
Part of a two-component product with a companion therapist's guide, CBT for Hoarding Disorder: Client Workbook guides patients struggling with hoarding disorder who are enrolled in a comprehensive CBT group program through the therapeutic process of addressing and overcoming their difficulties.

Designed for participants in group cognitive-behavioral therapy for hoarding disorder - an evidence-based program created by experts in the field Helps readers to work on the many factors that contribute to ongoing difficulties with clutter, in order to learn how to make quicker, more efficient decisions that are less stressful and draining. Addresses many of the barriers to successful decluttering, such as time management, organizational skills, and problem-solving Shows that while living with hoarding disorder can be frustrating, both for the sufferer and for family and friends, there is a way forward and nobody has to live with clutter.

By:   , , ,
Imprint:   Wiley-Blackwell
Country of Publication:   United States
Dimensions:   Height: 239mm,  Width: 168mm,  Spine: 10mm
Weight:   272g
ISBN:   9781119159247
ISBN 10:   1119159245
Pages:   176
Publication Date:  
Audience:   Professional and scholarly ,  Undergraduate
Format:   Paperback
Publisher's Status:   Active
1 Welcome to the Class 1 1. Welcome to the Declutter Class 1 Class Task: Introduce Yourself! 3 2. Class Rules and Guidelines 3 Treatment Contract 5 Class Confidentiality Contract 6 3. What is Hoarding Disorder? 7 Frequently Asked Questions About Hoarding Disorder 7 4. What Will I Learn in This Class? 8 Learn More About What Contributes to You Having Clutter 9 Learn Evidence‐Based Skills to Reduce the Clutter in Your Home 9 Learn How to Apply the Skills on a Consistent Basis 10 5. How Well Does the Declutter Class Work? 10 6. Homework 10 2 Why Do I Have So Much Stuff? 15 1. Homework Review 15 Class Task: Homework Review 16 2. Rewards 16 Individual Rewards 16 Class Task: Brainstorm Rewards 17 Class Rewards 17 3. Meet the Bad Guys 18 Decision‐Making and Problem Solving 18 Intense Emotions 19 Unhelpful Thinking 20 Waxing and Waning Motivation 20 Class Task: Identifying Your Bad Guys 21 4. Setting Goals 24 SMART Goals 24 Class Task: Setting SMART Goals 25 5. Homework 25 3 Making Decisions and Solving Problems: Part 1 30 1. Homework Review 31 Class Task: Homework Review 31 2. Making Decisions and Solving Problems 31 3. Guidelines for Discarding 32 Class Task: Making Your Own Guidelines 34 4. Scheduling the Time to Work on Discarding 35 Class Task: Identifying the Best Time for Discarding and Planning Your Day 40 Improving Organization 40 How Much is Too Much? 40 Class Task: Identifying if I Have Too Much Stuff 41 Where Do Things Belong? 41 Class Task: Make Your Own Categories 43 5. Putting Skills Together to Discard Better 43 Follow the Flowchart for Discarding 43 Class Task: Using the Flowchart to Help with Discarding 44 6. Homework 44 4 Making Decisions and Solving Problems: Part 2 48 1. Homework Review 49 Class Task: Homework Review 49 2. Making Decisions: Acquiring 49 Understanding High‐Risk Situations 50 Class Task: Identifying High‐Risk Situations 51 Understanding Healthy vs. Unhealthy Acquiring 52 Class Task: Identifying Common Unhealthy Reasons for Acquiring 53 Guidelines for Acquiring 53 3. Solving Problems 54 Class Task: Identifying Problems That Maintain My Clutter Problem 55 Learning How to Solve Problems 55 Class Task: Practice Problem Solving 57 4. Discarding Practice 59 5. Bad Guy Re‐evaluation 59 Class Task: Bad Guy Evaluation 59 6. Homework 60 5 Intense Emotions: Part 1 64 1. Homework Review 64 Class Task: Homework Review 64 2. About Intense Emotions 65 Class Task: Class Discussion About Intense Emotions 66 Class Task: Identifying the Intense Emotions That Lead to Clutter 67 3. Tackling Intense Emotions That Lead to Acquiring 68 Class Task: Identifying Negative Beliefs About Emotions 68 4. Homework 70 6 Intense Emotions: Part 2 73 1. Homework Review 73 Class Task: Homework Review 73 2. Tackling Intense Emotions That Get in the Way of Discarding 74 Accepting Our Emotions and Being Our Own Boss 74 Class Task: Being Your Own Boss: Acquiring 76 Class Task: Being Your Own Boss: Discarding 77 Recognizing When Emotions Are Taking Over 78 3. Bad Guy Re‐evaluation 79 Class Task: Bad Guy Re‐evaluation 79 4. Homework 80 7 Unhelpful Thinking: Part 1 83 1. Homework Review 83 Class Task: Homework Review 83 2. How Thoughts Influence Emotions 84 Class Task: Identifying How Thoughts Lead to Emotions 85 3. Identifying Unhelpful Thoughts 85 Common Unhelpful Thoughts in People with Hoarding Disorder 85 Task: Identifying Unhelpful Thoughts That Lead to Difficulty Discarding 87 4. Homework 88 8 Unhelpful Thinking: Part 2 91 1. Homework Review 91 Class Task: Homework Review 91 2. Tackling Unhelpful Thoughts 92 Question the Thoughts 92 Class Task: Practice Questioning Your Thoughts: Acquiring 93 Class Task: Practice Questioning Your Thoughts: Discarding 94 What Would You Say to a Friend? 94 Class Task: How Would I Advise a Friend? 95 3. Bad Guy Re‐evaluation 95 Class Task: Bad Guy Re‐evaluation 95 4. Homework 96 9 Waxing and Waning Motivation 100 1. Homework Review 100 Class Task: Homework Review 100 2. Improving Motivation 101 The Pros and Cons of Continuing Your Efforts 102 Class Task: Identifying Pros and Cons of Continuing Your Effort 102 3. Acting on Your Top Goals and Values 104 Focusing on Goals and Values 104 Class Task: Identifying My Life Goals and Values 104 Class Task: Are My Life Goals Consistent with My Acquiring and Discarding Behaviors? 105 4. Homework 109 10 Waxing and Waning Motivation: Part 2 112 1. Homework Review 112 Class Task: Homework Review 112 2. Improving Motivation to Discard 113 Visualize Your Decluttered Space 113 Class Task: Using Your Imagination to Visualize Your Decluttered Space 113 3. Being Motivated By Your Values 116 4. Checking In on Long‐Term SMART Goals 118 Class Task: Checking In on Long-Term SMART goals 118 5. Bad Guy Re‐evaluation 118 Class Task: Bad Guy Evaluation 118 6. Homework 119 11 Putting It All Together: Part 1 122 1. Homework Review 122 Class Task: Homework Review 122 2. Troubleshooting Common Barriers 123 Barrier 1: Areas Getting Recluttered 123 Barrier 2: Cannot Access the “Final Home” for Objects 124 3. Putting It All Together 125 Class Task: Putting the Skills Together 125 4. Homework 126 12 Putting It All Together: Part 2 130 1. Homework Review 130 Class Task: Homework Review 130 2. Troubleshooting Common Barriers 131 Barrier 3: Conditions That Interfere with Discarding 131 Barrier 4: Not Having Information About What to Keep or Not Keep 132 3. Putting It All Together 133 4. Homework 134 13 Putting It All Together: Part 3 137 1. Homework Review 137 Class Task: Homework Review 137 2. Troubleshooting Common Barriers 138 Barrier 5: My Family Member Also Has Hoarding Disorder 138 Barrier 6: I Feel Like I Can’t Get Rid of Items If They Are Worth Money 139 3. Putting It All Together 140 4. Homework 141 14 Putting It All Together: Part 4 144 1. Homework Review 144 Class Task: Homework Review 144 2. Troubleshooting Common Barriers 145 Barrier 7: Being Overly Careful When Discarding 145 Additional Barriers (Optional) 146 3. Putting It All Together 147 4. Homework 147 15 Staying Clutter Free in the Future: Part 1 151 1. Homework Review 151 Class Task: Homework Review 151 2. Reviewing Progress 152 What You’ve Learned 152 Choosing How You Think About Progress 153 Class Task: Write Down Your Thoughts About Your Progress 153 3. Practice Discarding 154 Class Task: Discarding Practice 154 4. Homework 154 16 Staying Clutter Free in the Future: Part 2 158 1. Homework Review 158 Class Task: Homework Review 158 2. Maintaining Motivation 159 My Rewards for Working on My Hoarding Problem 160 Class Task: Identify Some Goals and Rewards 160 3. Wrap‐Up and Questions 161 Reward Monitoring Sheet 163 Index 164  

David F. Tolin is Founder and Director of the Anxiety Disorders Center at The Institute of Living, USA, and an Adjunct Professor of Psychiatry at Yale University School of Medicine. He was the 2014 President of the Clinical Psychology division of the American Psychological Association, and is a recipient of the Award for Lifetime Contribution to Psychology from the Connecticut Psychological Association. An internationally recognized expert in the study and treatment of hoarding disorder, Dr. Tolin is the author of over 150 scientific journal articles and several books. He was a featured expert on the A&E series Hoarders, hosted the VH-1 series The OCD Project, and has been a recurrent guest on programs such as The Dr. Oz Show and The Oprah Winfrey Show. Bethany M. Wootton is a clinical psychologist and Senior Lecturer in Clinical Psychology at the University of New England, Australia. She has an interest in the treatment of anxiety and related disorders. Her research focuses on the development and evaluation of remote treatments in order to improve access to evidence-based treatments for these conditions. Blaise L. Worden is a clinical psychologist at the Anxiety Disorders Center at the Institute of Living, USA, where she runs and directs cognitive-behavioral treatment groups for hoarding disorder. She has co-authored book chapters on the phenomenology of both hoarding and obsessive-compulsive disorder, and provides educational talks to community organizations about HD treatment. Christina M. Gilliam is a clinical psychologist and Director of Educational Programs at the Anxiety Disorders Center at the Institute of Living, USA. She is an expert in providing and training others in cognitive behavioral therapy for anxiety disorders, obsessive compulsive and related disorders, and she has published journal articles and book chapters in these areas.

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