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  • Group Treatment for Hoarding Disorder: Therapist Guide

    Group Treatment for Hoarding Disorder by Muroff, Jordana; Underwood, Patty; Steketee, Gail;

    Therapist Guide

    Series: Treatments That Work;

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    Product details:

    • Publisher OUP USA
    • Date of Publication 17 April 2014

    • ISBN 9780199340965
    • Binding Paperback
    • No. of pages384 pages
    • Size 251x175x27 mm
    • Weight 612 g
    • Language English
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    Short description:

    Group Treatment for Hoarding Disorder: Therapist Guide outlines a cognitive-behavioral therapy program for HD using a group model.

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    Long description:

    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:

    DT receive education about HD and about the CBT model
    DT discuss therapy goals and personal values
    DT practice motivational enhancement methods including identifying barriers to progress
    DT receive training in organizing and problem-solving about hoarding problems
    DT learn cognitive therapy strategies to reduce problematic hoarding beliefs and to replace acquiring with more adaptive behaviors
    DT practice sorting, removing clutter, and not acquiring, beginning with easier tasks
    DT 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.

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    Table of Contents:

    Acknowledgments
    Chapter 1 Introduction
    Chapter 2 Group Formation and Assessment
    Chapter 3 Group Process
    Chapter 4 Session 1: Introduction and Education
    Chapter 5 Session 2: Model Building
    Chapter 6 Session 3: Motivation
    Chapter 7 Session 4: Goals and Treatment Planning
    Chapter 8 Session 5: Reducing Acquisition
    Chapter 9 Session 6: More on Acquisition
    Chapter10 Session 7: Exposure Practice for Non-Acquisition
    Chapter 11 Session 8: Decisions about Saving and Discarding
    Chapter 12 Session 9: More on Decisions about Saving and Discarding
    Chapter 13 Session 10: Skills Training for Organizing
    Chapter 14 Session 11: Organizing Paper
    Chapter 15 Session 12: Cognitive Strategies
    Chapter 16 Session 13: Cognitive Therapy Skills for Letting Go
    Chapter 17 Session 14: Coaching and Letting Go
    Chapter 18 Session 15: Non-Acquisition Practice
    Chapter 19 Session 16: Barriers to Progress
    Chapter 20 Session 17: Maintaining Systems and Gains
    Chapter 21 Session 18: Review of Treatment Methods
    Chapter 22 Session 19: Assessment and Review of Progress
    Chapter 23 Session 20: Graduation and Next Steps
    Appendices
    1. Hoarding Interview
    2. Hoarding Rating Scale
    3. Saving Inventory - Revised (SI-R)
    4. Clutter Image Rating (CIR) Instructions, and pictures of LR, Kit, BR
    5. Saving Cognitions Inventory (SCI)
    6. Activities of Daily Living for Hoarding (ADL-H)
    7. Safety Questions
    8. Home Environment Inventory (HEI)
    9. Binder Information Sheet (Session 1)
    10. Session schedule (Session 1)
    11. Group Session Forms [samples for each session]
    12. Group Session Form [blank]
    13. Confidentiality contract (Session 1)
    14. Hoarding Disorder DSM-5 Criteria (Session 1)
    15. Clinician's Group Progress Notes
    16. Clinician's Group Progress Note [Example]
    17. Blank Hoarding Model (Workbook, Ch. 3, p.31)
    18. Brief Thought Record (Workbook, Ch. 3, p. 37)
    19. Clutter Visualization Form (Workbook Ch. 4, p. 44)
    20. Unclutter Visualization Form (Workbook, Ch. 4, p. 45)
    21. Table of Signals of Ambivalence and Strategies (Session 3)
    22. Table of Motivational Enhancement Strategies (Session 3)
    23. Advantages and Disadvantages of Change Worksheet (Session 3)
    24. Instructions to Coaches
    25. Acquiring Form (Workbook, Ch. 5, p. 52)
    26. Acquiring Visualization Form (Workbook, Ch. 4, p. 46)
    27. Thought Listing Exercise Form (Session 8)
    28. Behavioral Experiment Form (Workbook, Ch. 7, p. 83)
    29. Table of Problematic Thinking Styles (Session 12; Workbook, Ch. 8, p. 86)
    30. Thought Record (Workbook, Ch. 8, p. 93)
    31. Non-acquiring Help Card (Session 15)
    32. Practice Form (Workbook, Ch. 4, p. 47)
    33. Personal worksheet for managing barriers (Session 16)
    34. Family Response to Hoarding Scale (FRHS) (Session 16)
    35. Weekly Scheduler (Session 17)
    36. List of Treatment Techniques (Session 18)
    37. Certificate of completion (Session 20)
    References
    Readings and Resources
    About the Authors
    Index

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