Too Much Stuff: Diagnosis Treatment of Hoarding Disorder
Live Event

Too Much Stuff: Diagnosis Treatment of Hoarding Disorder

Fri, Oct 24th, 2025
10:00am – 5:00pm US Eastern Time
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About the Event

Individuals with hoarding behaviors can be puzzling for clinicians to understand and challenging to treat. Hoarding carries stigma and assumptions which may be perpetuated by clinicians who are not thoroughly informed on the psychological and behavioral aspects of this disorder. This workshop will present methods of assessing hoarding and diagnosing Hoarding Disorder in a systematic and compassionate manner. Differential diagnosis will also be discussed, along with additional factors to consider when conceptualizing hoarding behavior. The treatment of hoarding disorder will be explored by examining Motivational Interviewing, CBT, ERP, and skill building. Attendees will gain knowledge, insight, and clinical skills in their work with clients who hoard.

Live Event
This live online event will be held as a Zoom Webinar. Attendees will have the option to interact through features such as the Chat and Q&A, but cameras and microphones will not be enabled.

Live Event Instructor

Diane Bigler, LCSW, LSCSW

Diane Bigler, LCSW, LSCSW

Diane Bigler, LCSW, LSCSW, is a Licensed Clinical Social Worker in Missouri and Kansas with over 25 years of experience in the mental health field. She has held clinical positions as an outpatient and in-home therapist, and clinical supervisor. Diane was an Adjunct Professor of Social Work for 10 years at The University of Kansas, School of Social Welfare and a Field Liaison and Field Instructor. She has also held administrative positions as a program Director and Coordinator. Diane is a popular local and national trainer on a wide variety of mental health and workplace development topics for clinicians and corporations. Diane is most passionate about providing quality professional development to clinicians, employees, and leaders. For fun, Diane loves to spoil her four Dachshunds and rock out to 80’s music.

Target Audience

This live interactive webinar is intended for behavioral health professionals, including Psychologists, Social Workers, Counselors, MFT's and Addiction Professionals.

Learning Objectives

After taking this activity, you should be able to:

  1. 1 List evidence-based assessment methods for Hoarding Disorder and the DSM-5-TR diagnostic criteria of Hoarding Disorder.
  2. 2 Summarize the etiology of hoarding behavior.
  3. 3 Identify at least two evidenced-based treatment approaches for Hoarding Disorder.
  4. 4 Select appropriate treatment approaches and strategies based on unique client circumstances and needs.
  5. 5 Summarize five best practice considerations in the treatment of Hoarding Disorder.

Chia, K., Pasalich, D. S., Fassnacht, D. B., Ali, K., Kyrios, M., Maclean, B., & Grisham, J. R. (2021). Interpersonal attachment, early family environment, and trauma in hoarding: A systematic review. Clinical psychology review, 90, 102096. https://doi.org/10.1016/j.cpr.2021.102096

Edwards, V., Salkovskis, P. M., & Bream, V. (2023). Do they really care? Specificity of social support issues in hoarding disorder and obsessive–compulsive disorder. British Journal of Clinical Psychology, 62(3), 573-591. https://doi.org/10.1111/bjc.12426

Prosser, R. M., Salkovskis, P. M., & Dennis, J. P. (2024). Understanding stigma in hoarding disorder: A systematic review. Journal of Obsessive-Compulsive and Related Disorders, 100872. https://doi.org/10.1016/j.jocrd.2024.100872

Rodgers, N., McDonald, S., & Wootton, B. M. (2021). Cognitive behavioral therapy for hoarding disorder: An updated meta-analysis. Journal of affective disorders, 290, 128-135. https://doi.org/10.1016/j.jad.2021.04.067

Yap, K., Timpano, K. R., Isemann, S., Svehla, J., & Grisham, J. R. (2023). High levels of loneliness in people with hoarding disorder. Journal of Obsessive-Compulsive and Related Disorders, 37, 100806. https://doi.org/10.1016/j.jocrd.2023.100806

Disclosure to Learners

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Faculty

There are no known relevant financial relationships to disclose.

Commercial support

There is no commercial support for this distance-learning course.

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Event Agenda

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 7:00am US Pacific Time.

10:00 - 11:30am Introduction Overview of Hoarding
  • Hoarder or Messy Person?
  • DSM-5 Criteria
  • Myths and Truths
  • Hoarding and OCD
  • Related Conditions
  • Model of Hoarding
  • Clutter Image Rating Scale
  • Older Adult Hoarding
  • Collecting vs Hoarding
  • Complications


11:30 - 11:45am BREAK 


11:45 - 1:15pm Etiology of Hoarding: Challenges and Treatment 

  • 4 Deficits
  • Stages of Treatment
  • Collaboration
  • Case study: Megan
  • Difficulties/Treatment Success
  • Assessment: HOMES, Hoarding Rating Scale + Acquisition Assessment
  • Stages of Change
  • Group Matching Exercise


1:15 -1:45pm LUNCH


1:45 - 3:15pm Treatment Strategy Review 

  • Motivation
  • Motivational Interviewing
  • The T Chart
  • Harm Reduction, Strategies
  • CBT Approach


3:15 - 3:30pm BREAK 


3:30 - 5:00pm Additional Treatment, Recommendations

  • Gradual Exposure
  • Do's and Don'ts
  • Resources
  • "Hoarders" episode (45 minutes)
  • Case study
  • Closing Q&A

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