Üsküdar University NP Feneryolu Medical Center Psychiatry Specialist. Dr. Erman Şentürk made an assessment about hoarding, which came to the agenda with the garbage house that emerged in Bursa.
Psychiatry Specialist Dr. Erman Şentürk said, “There is no similarity or connection between the items collected in stacking disorder and the items that cannot be thrown away. Accumulated items can consist of old newspapers or magazines, plastic items, old clothes, letters, mail, bags, garbage, bags, cardboard, and anything else imaginable. Almost all of them are the result of an irregular and scattered collection feature.
The thought of losing and discarding the accumulated objects creates intense anxiety in the person. There may even be a reaction to others touching, borrowing, or relocating these items. The difficulty in disposing of what they have and the accumulation of collected objects limit the person's living space after a point. While the accumulated items begin to disrupt the functionality of daily life, the person may experience problems with his environment and even health problems may occur in the person. warned.
Noting that hoarding disorder is seen equally in men and women, Psychiatrist Specialist. Dr. Erman Senturk said:
“Clearness and difficulty in throwing do not differ in both sexes, while hoarding of worthless things is more common in men. While hoarding symptoms first appear at the age of 12-13 years in childhood or early adolescence, they become increasingly severe with age and begin to interfere with the individual's order and work in the mid-30s. The diagnosis of the disease is usually made in the 40s and its course usually shows a chronic course. Studies have reported that the severity of hoarding symptoms increases with age. Therefore, clinically significant stacking problems are more common in the elderly. People diagnosed with hoarding disorder are generally individuals who live a lonely and isolated life, do not have a partner, have financial problems, have a neglected childhood, and have hoarding disorder in their family.
The most common psychiatric disorders accompanying hoarding disorder are severe depression, generalized anxiety disorder, social phobia, obsessive compulsive disorder, attention deficit and hyperactivity disorder, impulse control disorder, and post-traumatic stress disorder. Although rare, psychiatric disorders such as dependent, paranoid or schizotypal personality disorders, dementia and psychosis can also be seen in people with hoarding disorder.
Those with hoarding disorder cite a stressful or traumatic life event prior to the onset of the illness or periods of increased symptoms. Hoarding behavior is more common in individuals who have experienced traumatic life events such as sexual abuse and physical abuse, and the symptoms may be more severe. At the same time, childhood emotional abuse and physical neglect (not meeting the physical needs of the child by the parents or the adults who are responsible for the child) are significantly associated with hoarding disorder. said.
Noting that hoarding disorder is more common in individuals with family members with hoarding disorder, Psychiatrist Specialist. Dr. Erman Şentürk concluded his words as follows:
“Half of individuals with hoarding behavior have a first-degree relative with similar hoarding problems, suggesting that the behavior is inherited. Twin studies also show that about 50% of hoarding behavior can be attributed to genetic factors. While these results are interesting, it is important to keep in mind that hoarding findings are not always a stand-alone problem, but are often associated with other psychiatric disorders.
This is due to the fact that most people suffering from hoarding behavior do not see hoarding disorder as a disease. Therefore, patients' compliance with treatment is generally low. Psychoeducation, cognitive behavioral therapy and support groups have an important place in treatment. With certain techniques used in the therapy process, various studies are carried out on understanding the reasons that force the hoarding behavior, developing decision-making skills and confrontation. In cases deemed appropriate by the psychiatrist, drug therapy is also an option.”
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