Augmenting Buried in Treasures with in-home uncluttering practice: Pilot study in hoarding disorder

Omer Linkovski, Jordana Zwerling, Elisabeth Cordell, Danae Sonnenfeld, Henry Willis, Christopher N. La Lima, Colleen Baker, Rassil Ghazzaoui, Robyn Girson, Catherine Sanchez, Brianna Wright, Mason Alford, Andrea Varias, Maria Filippou-Frye, Hanyang Shen, Booil Jo, Lee Shuer, Randy O. Frost, Carolyn I. Rodriguez

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Hoarding disorder is characterized by difficulty parting with possessions and by clutter that impairs the functionality of living spaces. Cognitive behavioral therapy conducted by a therapist (individual or in a group) for hoarding symptoms has shown promise. For those who cannot afford or access the services of a therapist, one alternative is an evidence-based, highly structured, short-term, skills-based group using CBT principles but led by non-professional facilitators (the Buried in Treasures [BIT] Workshop). BIT has achieved improvement rates similar to those of psychologist-led CBT. Regardless of modality, however, clinically relevant symptoms remain after treatment, and new approaches to augment existing treatments are needed. Based on two recent studies - one reporting that personalized care and accountability made treatments more acceptable to individuals with hoarding disorder and another reporting that greater number of home sessions were associated with better clinical outcomes, we tested the feasibility and effectiveness of adding personalized, in-home uncluttering sessions to the final weeks of BIT. Participants (n = 5) had 15 sessions of BIT and up to 20 hours of in-home uncluttering. Reductions in hoarding symptoms, clutter, and impairment of daily activities were observed. Treatment response rate was comparable to rates in other BIT studies, with continued improvement in clutter level after in-home uncluttering sessions. This small study suggests that adding in-home uncluttering sessions to BIT is feasible and effective.

Original languageEnglish
Pages (from-to)145-150
Number of pages6
JournalJournal of Psychiatric Research
StatePublished - Dec 2018
Externally publishedYes

Bibliographical note

Funding Information:
This study was supported by the National Institute of Mental Health K23MH092434 (Dr. Rodriguez) and Stanford Small Grants Program (Dr. Rodriguez).

Publisher Copyright:
© 2018


  • BIT
  • Buried in Treasures
  • CBT
  • Clutter
  • Hoarding disorder
  • Uncluttering


Dive into the research topics of 'Augmenting Buried in Treasures with in-home uncluttering practice: Pilot study in hoarding disorder'. Together they form a unique fingerprint.

Cite this