Clinician s Guide to Severe Hoarding

The Clinician's Guide describes in detail a range of strategies for assisting people with severe hoarding: Strategies for engaging with clients who hoard. Guidelines for assessing harm potential.

Clinician s Guide to Severe Hoarding

Author: Michael A. Tompkins

Publisher: Springer

ISBN: 1493914324

Page: 413

View: 253

The cat lady. The couple who won't let anyone in their apartment. The old man with all that junk in his yard. Their severe hoarding puts them, and often others, at risk for injury, disease, and even death. Most deny needing help, and for this reason, professionals are desperate to find more effective ways to offer and provide assistance to them. In response to this growing public health problem, Clinician's Guide to Severe Hoarding refines our understanding and presents in depth and innovative alternative to traditional interventions. Arguing that although treatment for hoarding can be effective for those who are open to help, people with severe hoarding are not. The Clinician’s Guide to Severe Hoarding describes an alternative strategy to help those who adamantly refuse help and yet face significant health and safety risks due to the hoarding problem – harm reduction. This client-centered approach takes readers through harm reduction plan development, team building, goal setting, client collaboration, and progress assessment. The Clinician’s Guide also explains that a successful harm reduction plan may encourage clients to seek further help, and offers insights into working with special populations such as people who hoard animals and children who exhibit hoarding behavior. The Clinician's Guide describes in detail a range of strategies for assisting people with severe hoarding: Strategies for engaging with clients who hoard. Guidelines for assessing harm potential. Guidelines for creating a harm reduction plan, building a harm reduction team, and conducting and evaluating home visits. Skills for client self-help: decision making, time management, and more. Guidelines for navigating the ethical and legal issues that arise in assisting people who hoard. Readings, links, and other resources. With its practical common-sense approach to a complex problem, Clinician's Guide to Severe Hoarding is a unique volume not only for mental health practitioners, but also other professionals who assist people who hoard, such as home health aides, social workers, and professional organizers.

Hoarding

As we indicated in Chapter 2, hoarding is a chronic condition that is likely to
worsen over time if left untreated. ... The types of assessments presented here
include standardized clinical measures used by mental health professionals, as
well as community- ... in this chapter are encouraged to review Treatment for
Hoarding Disorder: Therapist Guide (2nd edition, 5 How serious is the hoarding
problem?

Hoarding

Author: Gail Steketee

Publisher: Oxford University Press, USA

ISBN: 0190946393

Page: 216

View: 519

Hoarding disorder is the excessive saving of objects and difficulty parting with them to a point that clutter in the home interferes with one's ability to use rooms and furnishings for their intended purpose. Hoarding: What Everyone Needs to Know demystifies this complex problem, what it looks like and why it may develop, and how it can be treated.

Anxiety Disorders in Adults A Clinical Guide

Persons who hoard are usually unable to discard such objects. As with many
other manifestations of OCD, hoarding is encountered on a spectrum from very
mild to extreme, when the person seems completely preoccupied with the
hoarding ...

Anxiety Disorders in Adults A Clinical Guide

Author: Vladan Starcevic, MD, PhD

Publisher: Oxford University Press

ISBN: 0190451416

Page: 480

View: 836

Using the practical yet comprehensive approach found in the first edition, the author considers each anxiety disorder's clinical complexity while simultaneously using an integrative orientation toward finding clinical solutions. The author considers the presentation of each disorder as it occurs and is treated in the "real world" of clinical practice. Finally, the volume addresses effective therapeutic procedures and recommendations, including pharmacological and psychological treatment approaches. A true "must read" for any psychiatrist interested in anxiety disorders.

Clinical Guide to Obsessive Compulsive and Related Disorders

Hoarding Disorder is associated with a particularly chronic course and poor
prognosis for standard treatments using ... This may be due to many individuals
displaying a striking lack of awareness of the severity of their behavior, often
resisting ...

Clinical Guide to Obsessive Compulsive and Related Disorders

Author: Jon E. Grant

Publisher: Oxford University Press

ISBN: 0199977771

Page: 256

View: 470

Clinical Guide to Obsessive Compulsive and Related Disorders is a complete, comprehensive overview of OCD and related disorders (trichotillomania, excoriation disorder, hoarding disorder, body dysmorphic disorder, and tic disorders). The book covers underlying causes, clinical presentations and treatments. The book serves as a primer for clinicians in training and those already in practice who have little if any background in these disorders. It discusses the pharmacological and psychosocial treatments for both adults and children with an emphasis on providing practical information for clinicians to use in their everyday practices. Based on the DSM-5, the book uses the latest evidence-based information regarding treatments including medication options, behavioral therapies, alternative treatments, and recent developments in surgical treatment. This book will provide students, residents, interns and even veteran clinicians with a basic understanding of OCD and disorders that are often associated with OCD. In addition, members of the public and those affected by these disorders may use this book to enhance their personal knowledge of the subject matter presented.

Child Maltreatment A clinical guide and reference

... polyphagia , food refusal , food hoarding , drinking from the toilet bowl , eating
from garbage cans , a disturbed sleep ... Although there are no true “ critical
periods ” in human development , the impact of severe , prolonged malnutrition
on ... On the other hand , transient neurologic findings such as 362 Child
Maltreatment — A Clinical Guide and Reference Interactional and
neurodevelopmental aspects.

Child Maltreatment  A clinical guide and reference

Author: Armand E. Brodeur

Publisher: Stm Learning Incorporated

ISBN:

Page: 658

View: 623

This book helps healthcare, law enforcement, and state and federal agencies recognize child maltreatment, identify those children who are at high risk for neglect and abuse, and formulate strategies for preventing or intervening in such situations. Clearly describes indicators of abuse and contrasts them with non-abuse injuries. Outlines steps to take in handling disclosure by a child. Describes the legal and social systems, and walks the reader through the courtroom procedures associated with child abuse. Lists protective services by state and outlines a model abuse investigation protocol. This reference was created to help physicians diagnose child maltreatment, recognize those children at high risk for abuse and neglect, and realize strategies for prevention and intervention in abuse cases. Although the text is approached from a medical point of view, the information contained will also be beneficial to other health care professionals, social service workers, attorneys, law enforcement workers, state agencies, and others who might be involved with abused children. Information concerning physical and psychological abuse, neglect, and sexual abuse, as well as their legal aspects, is collected here in a single volume.

Handbook of Psychological Assessment Case Conceptualization and Treatment Volume 1

Hoarding of animals : An under - recognized public health problem in a difficult -
to - study population . Public Health Reports ... Clinical features and
phenomenology of obsessive compulsive disorder . Psychiatric Annals ...
Obsessive - compulsive hoarding : Symptom severity and response to multimodal
treatment . Journal of Clinical ... Compulsive hoarding and acquiring : Therapist
guide . New York ...

Handbook of Psychological Assessment  Case Conceptualization  and Treatment  Volume 1

Author: Michel Hersen

Publisher: Wiley

ISBN: 9780471779995

Page: 816

View: 213

Edited by recognized experts Michel Hersen and Johan Rosqvist, Handbook of Psychological Assessment, Case Conceptualization, and Treatment, Volume 1, Adults, is a thorough and practical reference for those working with adults. Bringing together the most current theories and evidence-based applications, chapters address issues of importance including ethics, medical issues, panic and agoraphobia, obsessive-compulsive disorder, and posttraumatic stress disorder. Each chapter follows a structured format, opening with an overview of assessment, followed by case conceptualization, and, finally, recommended treatment.

Hoarding Disorder

Printable handouts help busy practitioners. This book is essential reading for clinical psychologists, psychiatrists, psychotherapists, and practitioners who work with older populations, as well as students.

Hoarding Disorder

Author: Chasson, Gregory S.

Publisher: Hogrefe Verlag

ISBN: 1613344074

Page: 84

View: 581

Hoarding disorder, classified as one of the obsessive-compulsive and related disorders in the DSM-5, presents particular challenges in therapeutic work, including treatment ambivalence and lack of insight of those affected. This evidence-based guide written by leading experts presents the latest knowledge on assessment and treatment of hoarding disorder. The reader gains a thorough grounding in the treatment of choice for hoarding – a specific form of CBT interweaved with psychoeducational, motivational, and harm-reduction approaches to enhance treatment outcome. Rich anecdotes and clinical pearls illuminate the science, and the book also includes information for special client groups, such as older individuals and those who hoard animals. Printable handouts help busy practitioners. This book is essential reading for clinical psychologists, psychiatrists, psychotherapists, and practitioners who work with older populations, as well as students.

Compact Clinical Guide to Critical Care Trauma and Emergency Pain Management

... addiction include: □ Requesting specific drugs □ Aggressive complaining
about the need for higher doses □ Drug hoarding during periods of reduced
symptoms □ Unapproved ... The behaviors are more pronounced and severe in
nature.

Compact Clinical Guide to Critical Care  Trauma  and Emergency Pain Management

Author: Yvonne M D'Arcy, MS, CRNP, CNS

Publisher: Springer Publishing Company

ISBN: 0826108083

Page: 376

View: 630

"This is an excellent resource for nurses practicing in critical care units, emergency departments, and trauma units, as well as for midlevel providers who manage these patients.--Doody's Medical Reviews "Compact ClinicalGuide to Critical Care,Trauma, and EmergencyPain Management is aconcise, easy-to-readresource for nurses whowant to reinforce theirfoundational knowledgein this area."--Critical Care Nurse This addition to Springer Publishingís Compact Clinical Guide to Pain Management Series presents evidence-based national guidelines and treatment algorithms for managing pain in patients in the critical care, trauma, and emergency room settings. Such patients often present with co-morbid and complex conditions which often make accurate pain assessment and treatment a challenge. In an easy-to-use, bulleted format, the book provides the most current information on assessing and managing pain in a variety of critical conditions. Both pharmacological management therapies and non-pharmacologic interventions are included along with information about pain assessment screening tools for special populations. Topics covered include the basics of pain physiology in critical, emergency, and operative care patients, assessing pain in the critically ill, medications and advanced pain management techniques useful with this population, and commonly occurring conditions in the various care environments. Also addressed are the management of particularly challenging patients (elderly, obese) and conditions (chronic pain, renal failure, chemically dependent patients, and burn patients). The book contains tables that efficiently summarize information and figures to illustrate key concepts. Pain rating scales and a helpful equi-analgesic conversion table are included in the Appendix. Key Features: Provides evidence-based information on treating pain in critical care, trauma, and emergency room patients for all practice levels Organized for quick access to pertinent clinical information on treatment options and pain types Provides cross-referenced indexing and easy-to-use assessment and screening tools Includes information for treating especially challenging and difficult to manage patient pain scenarios

Treatment for Hoarding Disorder

Therapist Guide Gail Steketee, Randy O. Frost ... The clients who received
treatment exhibited moderate to severe hoarding behaviors and substantial
comorbidity such as that described earlier ... Although we recommend that clients
with severe symptoms be treated by more experienced clinicians who can field
the range of ...

Treatment for Hoarding Disorder

Author: Gail Steketee

Publisher: Oxford University Press

ISBN: 019933496X

Page: 262

View: 797

Revision of: Compulsive hoarding and acquiring. 2007.

The Hoarding Handbook

This user-friendly guide provides tools to assess the problem, to coordinate and delegate tasks among helping professionals, and to work directly with reluctant hoarders and those affected by the hoarding.

The Hoarding Handbook

Author: Christiana Bratiotis

Publisher: Oxford University Press

ISBN: 0195385519

Page: 237

View: 704

This user-friendly guide provides tools to assess the problem, to coordinate and delegate tasks among helping professionals, and to work directly with reluctant hoarders and those affected by the hoarding.

Handbook of Evidence Based Practice in Clinical Psychology Adult Disorders

For a comprehensive list of other measures, please see the Practitioner's Guide
to Empirically Based Measures of Anxiety (Antony, Orsillo, & Roemer, 2001). ...
The Y-BOCS consists of a checklist of obsessions and compulsions and a 10-
item severity scale. ... aggressive (fear of harming others), contamination, sexual,
hoarding/saving, religious, symmetry or exactness, somatic, and miscellaneous.

Handbook of Evidence Based Practice in Clinical Psychology  Adult Disorders

Author: Michel Hersen

Publisher: John Wiley & Sons

ISBN: 1118144759

Page: 768

View: 241

Handbook of Evidence-Based Practice in Clinical Psychology, Volume 2 covers the evidence-based practices now identified for treating adults with a wide range of DSM disorders. Topics include fundamental issues, adult cognitive disorders, substance-related disorders, psychotic, mood, and anxiety disorders, and sexual disorders. Each chapter provides a comprehensive review of the evidence-based practice literature for each disorder and then covers several different treatment types for clinical implementation. Edited by the renowned Peter Sturmey and Michel Hersen and featuring contributions from experts in the field, this reference is ideal for academics, researchers, and libraries.

Women s Mental Health

A Clinical Guide for Primary Care Providers Joan C. Urbancic Carla J. Groh ... It is
specifically recommended for use when a person has extreme physiologic
arousal to a discrete public event at which ... Compulsions are behaviors that are
repeated or ritualistic ( e . g . , excessive washing of hands , hoarding , or keeping
 ...

Women s Mental Health

Author: Joan C. Urbancic

Publisher: Lippincott Williams & Wilkins

ISBN:

Page: 535

View: 695

Written for advanced practice registered nurses, certified nurse midwives, physician assistants, and other primary care providers, this book is the first comprehensive reference on women's mental health in primary care settings. The book provides all the information needed on psychosocial assessment, evaluation of mental health, and treatment of mental health problems. Coverage includes assessment and screening tools, comparison tables of psychotropic drugs, resource materials for professionals and patients, and listings of relevant Websites for practitioners and patients.

Abnormal Psychology

DSM - IV Case studies : A clinical guide to differential diagnosis . Washington ,
DC ... Callous - unemotional traits and conduct problems in the prediction of
conduct problem severity , aggression , and self - report of delinquency . J.
Abnorm .

Abnormal Psychology

Author: James Neal Butcher

Publisher: Pearson College Division

ISBN:

Page: 632

View: 817

The esteemed author team of Jim Butcher, Jill Hooley, and Sue Mineka offers students the most thoroughly researched, engaging, and up-to-date explanation of psychopathology, creating a learning experience that provokes thought and increases awareness. By adopting a comprehensive bio-psycho-social perspective, this text takes students to levels of understanding that other books do not offer.

Using DSM IV

A Clinician's Guide to Psychiatric Diagnosis Anthony L. LaBruzza, José M.
Méndez-Villarrubia ... Common compulsive behaviors include handwashing ,
bathing , touching , cleaning , checking , hoarding , counting , avoiding stepping
on cracks , and arranging things in an ... Impairment from OCD ranges from mild
to severe .

Using DSM IV

Author: Anthony L. LaBruzza

Publisher: Jason Aronson

ISBN:

Page: 459

View: 753

DSM-IV is here, and mental health professionals--whether they applaud its rigor or decry its rigidity--will have to know how to use it. Like its predecessor, DSM-III, DSM-IV is empirically based and atheoretical. The psychodynamics of mental disorders and their etiologies are not considered. Its principal advantage is that it provides a reliable system of diagnosis. Its principal flaw is that it can lead the clinician to focus too exclusively on categorizing symptom clusters rather then on empathically understanding the person who is suffering the symptoms. In Using DSM-IV: A Clinician's Guide to Psychiatric Diagnosis, LaBruzza and Mendez-Villarrubia offer the needed supplement to the DSM-IV. Their book, a veritable road map for DSM-IV, explains the technical language and hierarchical classifications of DSM-IV while it demonstrates how the system can be adapted to a clinical approach.

Oncology

Repeatedly seeking prescriptions from other clinicians or from emergency rooms
without There is a need for empiric data that informing ... effects and chronic
noncancer pain ) to help guide clinical thinking about behaviors Aberrant Drug -
Related Behaviors Less Suggestive ... Aggressive complaining about the need
for more drugs Use Despite Harm Drug hoarding during periods of reduced
symptoms ...

Oncology

Author:

Publisher:

ISBN:

Page:

View: 113

Griffith s 5 Minute Clinical Consult 2002

Clinical studies are ongoing . • Use as few drugs as possible No drugs are
helpful for – wandering , restlessness , fidgeting , uncooperativeness , hoarding ,
irritability . Use behavioral ... Rivastigmine found effective in more severe cases
and in Lewy body dementia . Only 30 % of patients will ... Diagnosis ,
management and treatment of dementia - a practical guide for primary care
physicians . Guttman ...

Griffith s 5 Minute Clinical Consult  2002

Author: Mark R. Dambro

Publisher:

ISBN:

Page: 1338

View: 592

Griffith's 5-Minute Clinical Consult, 2002 is a quick reference for current medical diagnosis and treatment. The text covers more than 1000 medical / surgical conditions in a two-page format that includes basics, diagnosis, treatment, medications, follow-up, and miscellaneous considerations. Topics are arranged alphabetically and cross-indexed to synonyms. Written by over 330 experienced clinicians, this edition has been updated to reflect contemporary practice norms.

Griffith s 5 Minute Clinical Consult 2001

No drugs are helpful for- wandering, restlessness, fidgeting, uncooperativeness,
hoarding, irritability. ... or buspirone, but efficacy unproven • For severe
aggressive agitation, especially if psychotic features present (delusions,
hallucinations), use low dose butyrophenones or phenothiazines. Risperidone ...
Diagnosis, management and treatment of dementia - a practical guide for primary
care physicians.

Griffith s 5 Minute Clinical Consult 2001

Author: Mark R. Dambro

Publisher:

ISBN: 9780781725651

Page: 1328

View: 206

This quick reference for current medical diagnosis and treatment covers more than 1,000 medical/surgical conditions in a fast-access format that includes basics, diagnosis, treatment, medications, and more. This edition is thoroughly updated to reflect contemporary practice norms, and includes expanded indexes and listings of Web sites.

Group Treatment for Hoarding Disorder

Therapist Guide Jordana Muroff, Patty Underwood, Gail Steketee ... Accordingly,
if the baseline office assessment indicates that such conditions might be present,
clinicians should warn clients ... Extreme hoarding cases with substantial squalid
conditions may require aid from a sanitation crew to remove waste that could ...

Group Treatment for Hoarding Disorder

Author: Jordana Muroff

Publisher: Oxford University Press

ISBN: 0199340978

Page: 128

View: 566

For the first time, Hoarding Disorder (HD) is now recognized as a distinct disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), separate from OCD. HD has also received much more attention and exposure in recent years. Consequently, more people will be recommended for treatment, increasing the demand and need for clinicians who deliver this specialized intervention. Group Treatment for Hoarding Disorder: Therapist Guide outlines a cognitive-behavioral therapy program for HD using a group model. Clinicians deliver group therapy over 20 weekly sessions of 1.5 to 2 hours each. A single experienced clinician can lead the group or a co-therapy model can be used with two clinicians, one experienced and one in training. Groups of 6 to 8 participants: · receive education about HD and about the CBT model · discuss therapy goals and personal values · practice motivational enhancement methods including identifying barriers to progress · receive training in organizing and problem-solving about hoarding problems · learn cognitive therapy strategies to reduce problematic hoarding beliefs and to replace acquiring with more adaptive behaviors · practice sorting, removing clutter, and not acquiring, beginning with easier tasks · and identify in-home supports. Final sessions focus on reviewing the most effective therapy methods, coping with change, and highlighting strategies for maintaining gains. Group members use the Treatment for Hoarding Disorder: Workbook, Second Edition to assist with practice exercises. All of the necessary forms and worksheets are provided in the books and online. Treatment proceeds in a flexible session-by-session fashion with attention to group process. Written for psychologists, social workers, psychiatrists, counselors, and psychiatric nurses, this Therapist Guide will promote effective group treatment of people with hoarding disorder.

Medical Hypnosis

An Introduction and Clinical Guide Roberta Temes. BURNS potent medicines are
not lowering the mortality rate but are producing serious side effects in some
people . Few things are ... blow it out " ( asthmatics hoard air ) ... " breathe easy ...

Medical Hypnosis

Author: Roberta Temes

Publisher:

ISBN:

Page: 166

View: 238

This unique resource presents abundant, specific ways in which hypnosis can be incorporated into medical specialty practices. It explores the history of clinical hypnosis as well as today's cutting-edge applications. Grounded in solid scientific research, well-respected, world-class practitioners explain how they apply this noninvasive, non-pharmacologic technique to dentistry, nursing, psychotherapy, surgery, oncology, emergency medicine, pediatrics and other specialties. Organized by specialty area for quick reference to relevant information. Discusses how hypnosis makes patient management easier, relieving claustrophobia during an MRI and relaxing the child or emergency room patient. Shows how hypnosis aids pain management, patient compliance to medical regimens, reduces nausea in pregnancy, and prepares mothers for childbirth. Considers the special needs of the asthmatic patient and what the hypnotist should avoid saying. Provides case studies of situations well-suited for hypnosis. Reports on the latest research in mind/body studies including psychoimmunology and intentional immunomodulation. Explains the many benefits of pre-surgical hypnosis such as faster recovery times, and less post-surgical medication.

Concise Guide to Anxiety Disorders

The Y - BOCS severity scale may be helpful for quantifying the severity . ... If a
person has demonstrated significant symptomatic improvement but remains
disproportionately impaired , the clinician must ... For example , some patients
with OCD can sometimes show improvement in other areas but continue to hoard
in ways ...

Concise Guide to Anxiety Disorders

Author: Eric Hollander

Publisher: American Psychiatric Pub

ISBN:

Page: 252

View: 228

Concise Guide to Anxiety Disorders summarizes the latest research on anxiety disorders and translates it into practical treatment strategies for the best clinical outcomes. Designed for daily use in the clinical setting, it serves as an instant library of current information, quick to access and easy to understand. Anxiety disorders are the most common of all psychiatric illnesses, causing significant functional impairment and distress. Yet, unlike patients with other psychiatric illnesses, patients with anxiety disorders are often quick to respond to proper treatment -- making their treatment gratifying to clinicians. Concise Guide to Anxiety Disorders runs the gamut of anxiety-related illnesses: panic disorder, obsessive-compulsive disorder, generalized anxiety disorder, posttraumatic stress disorder, social phobia, and specific phobias. The discussion of each disorder includes information on etiology, diagnosis and differential diagnosis, course and prognosis, biological and psychological theories, medications and interventional treatments, psychotherapeutic treatments, and combined treatments. Strategies and methods are based on findings from an explosion of current research on the subject that has made the long-term outlook for patients with anxiety disorders more optimistic than ever before. Every clinician who diagnoses and treats patients with anxiety disorders -- including psychiatrists, residents and medical students, psychologists, and mental health professionals -- will find Concise Guide to Anxiety Disorders invaluable for making informed treatment decisions.