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Therapist and patient perspectives on cognitive-behavioral therapy for older adults with hoarding disorder: a collective case study
- Authors:
- AYERS Catherine R., et al
- Journal article citation:
- Aging and Mental Health, 16(7), September 2012, pp.915-921.
- Publisher:
- Taylor and Francis
This study investigated therapist and patient perspectives on a specialised cognitive-behavioural therapy (CBT) protocol for clinically significant hoarding in older adult patients. Data were derived from therapist observation, CBT consultant observation, clinical treatment notes, participant feedback and participant in-session notes and completed homework assignments. Findings revealed that the value of homework, treatment session compliance, and deficits in executive functioning were common themes among participants as viewed by the therapist. Patients reported that exposure exercises and the therapeutic relationship were the most helpful aspects of their treatment, while cognitive strategies had limited success. Treatment for hoarding in older adults may be improved by focusing on exposure therapy elements, providing simplified homework assignments, and decreasing the emphasis or modifying cognitive restructuring techniques. Implications for practice are discussed.