Goals of therapy for hoarders, health/fitness-The Oklahoman-Friday, November 30, 2007

-- Avoid repeatedly asking: "Why? Why do I hoard?" Recovery doesn't require an answer to "Why?" Remember: obsessive-compulsive disorder is not logical. Ask instead: "What is my objective? How can I best get there?"

-- Develop an ability to tolerate intense emotions. Rate intensity of feelings on a scale of 1 to 10. Observe changes in intensity of feelings. Notice that feelings come and go; saving things is not required to reduce anxiety.

-- Only Handle It Once. Deal with each item only once as soon as it comes into the house, instead of storing items to check more thoroughly later. Do not retrieve items from the trash when second thoughts raise doubt.

-- Simplify decision-making. Limit choices, (e.g., keep, recycle, sell, give or throw away). Make clear decision rules for each choice, (e.g., keep only 10 plastic bags, dispose of or recycle others). Use broad categories instead of many specific ones. Accept that others, including experts, may do things differently.

-- Buy and keep "just enough." Sales will be repeated. If you run out, it is not a disaster. Keep items you use, dispose of others.

-- Focus on functionality. Select a target, for example, an area such as the kitchen or a corner of a room. "Excavate" the target by throwing away and organizing items. Maintain clear space. Use the cleared space only for its intended purpose.

-- Seek assistance or another opinion. Hoarders have a hard time determining what is "important vs. unimportant," "just enough vs. excessive" or "necessary vs. inconsequential." Seek guidance from a friend or professional. Persevere with your goals. -Source: www.anxietyandstress.com