CBT for Hoarding Disorder
A Group Therapy Program Workbook
1. Auflage September 2017
176 Seiten, Softcover
Wiley & Sons Ltd
ISBN:
978-1-119-15924-7
John Wiley & Sons
Kurzbeschreibung
Comprised of a therapist manual and client workbook, CBT for Hoarding Disorder guides group leaders through a comprehensive CBT group program for patients with hoarding disorder (HD). The therapist manual provides step-by-step, evidence-based guidance for treating HD with a focus on proven methods for behavior change rather than complex cognitive interventions. The client workbook features accessible, straightforward content, including coping cards that summarize key lessons, homework assignments, motivational tools, and practice exercises for decision-making and emotion regulation skills.
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.
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
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 Tolin is Founder and Director of the Anxiety Disorders Center/Center for Cognitive Behavioral Therapy at The Institute of Living, USA. He is also Adjunct Professor of Psychiatry at Yale University School of Medicine. He was the 2014 President of clinical psychology division of the American Psychological Association, and the recipient of the awards for Distinguished Contribution to the Science of Psychology, Distinguished Contribution to the Practice of Psychology, and 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 Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding (second edition, 2014), as well as Doing CBT: A Comprehensive Guide to Working with Behaviors, Thoughts, and Emotions (2016), Face Your Fears: A Proven Plan to Beat Anxiety, Panic, Phobias, and Obsessions (Wiley, 2012),and Treating Trichotillomania: Cognitive Behavior Therapy for Hair Pulling and Related Problems (2007). He was a featured expert on the A&E series Hoarders and the host of the VH-1 series The OCD Project. He has been a recurrent guest on programs such as The Dr. Oz Show and The Oprah Winfrey Show.
Blaise Worden is a clinical psychologist at the Anxiety Disorders Center/Center for Cognitive Behavioral Therapy 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.
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.
Christina Gilliam is a clinical psychologist and Director of Educational Programs at the Anxiety Disorders Center/Center for Cognitive Behavioral Therapy 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.
Blaise Worden is a clinical psychologist at the Anxiety Disorders Center/Center for Cognitive Behavioral Therapy 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.
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.
Christina Gilliam is a clinical psychologist and Director of Educational Programs at the Anxiety Disorders Center/Center for Cognitive Behavioral Therapy 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.
