- acquiring and failing to throw out a large number of items that would appear to have little or no value to others (e.g., papers, notes, flyers, newspapers, clothes)
- severe cluttering of the person's home so that it is no longer able to function as a viable living space
- significant distress or impairment of work or social life
Hoarding does not seem to respond as well to medications such as Anafranil (Clomipramine) or Paxil (Paroxetine) as other forms of OCD. A cognitive behavioral approach may be more effective, as it specifically targets the harmful thoughts that are often present among people who hoard.