Hoarding Disorder

Abstract

Hoarding disorder affects approximately 5% of the U.S. population, roughly 16 million people. The average age of onset is between 11-20, but the average age of patients in treatment is 50. It is estimated that up to 84% of those with hoarding disorder have a first degree family member who exhibits hoarding behaviors, possibly reflecting a genetic predisposition. Hoarding disorder occurs in all cultures and socioeconomic levels. Gender prevalence is unclear, though women are more likely to seek treatment. Depending on its severity, hoarding can present serious health and safety risks for older adults. These include higher rates of falls, infections and respiratory problems; limited ability to move around in, or access parts of, the home; and a higher risk of fire with decreased ability to escape if fire occurs. Deaths have been reported as a result of these problems. Furthermore, hoarding can result in eviction and homelessness. Adult protective service agencies can intervene when individuals demonstrating hoarding behaviors lack decision-making capacity.