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Evaluation ViewAttendees 2

Obsessive Compulsive and Related Disorders
Session Type:: Symposia

Symposium 26 - Characterizing Hoarding Disorder Across the Lifespan: Recent Research from Pediatrics to Geriatrics

Friday, November 21, 2025
5:00 PM - 6:00 PM CST
Location: Bolden 4, Level 2
CE: 1

Keywords: Hoarding, Early Intervention, Social Skills Training
Level of Familiarity: All
Recommended Readings: Cath, D. C., Nizar, K., Boomsma, D., & Mathews, C. A. (2017). Age-specific prevalence of hoarding and obsessive compulsive disorder: a population-based study. The American Journal of Geriatric Psychiatry, 25(3), 245-255.,   Dozier, M. E., Porter, B., & Ayers, C. R. (2016). Age of onset and progression of hoarding symptoms in older adults with hoarding disorder. Aging and Mental Health, 20(7), 736-742. https://doi.org/10.1080/13607863.2015.1033684,   Nix, C. A., Dozier, M. E., Porter, B., & Ayers, C. R. (2024). Clinician Sentiments Related to Implementation of Evidence-Based Treatment for Hoarding in Older Adults. Journal of Psychopathology and Behavioral Assessment, 46, 683–694. https://doi.org/10.1007/s10862-024-10140-5,   Prosser, R. M., Salkovskis, P. M., & Dennis, J. P. (2024). Understanding stigma in hoarding disorder: A systematic review. Journal of Obsessive-Compulsive and Related Disorders, 100872.,   Stumpf, B. P., De Souza, L. C., Mourão, M. S., Rocha, F. L., Fontenelle, L. F., & Barbosa, I. G. (2023). Cognitive impairment in hoarding disorder: a systematic review. CNS spectrums, 28(3), 300-312.

Hoarding disorder is a chronic and progressive psychiatric condition that begins in adolescence and increases in severity and prevalence over the lifespan (Dozier et al., 2016; Cath et al., 2017). Although there has been a proliferation of research on hoarding disorder since it was first codified in the DSM-5 in 2013 (American Psychiatric Association, 2013), there continues to be gaps in our knowledge of how best to identify and treat hoarding. Hoarding is a highly stigmatized condition (Prosser et al., 2024) and clinician sentiments towards patients can be variable (Nix et al., 2024), which can potentially affect access to and quality of treatment. Additionally, hoarding has been associated with certain cognitive deficits which may further impact treatment engagement (Stumpf et al., 2023).

This symposium will highlight recent research on hoarding disorder across the lifespan. The first presentation will report on a recent survey of mental health clinicians’ perspectives of pediatric hoarding, including their history of treating hoarding cases and opinions on current diagnostic criteria. The second presentation will discuss the feasibility of an early intervention group treatment for hoarding in college students, including the integration of social skills training to facilitate both increased alliance among group members and increased interpersonal functioning in general. The third presentation will demonstrate the utility of the All of Us Research Program to provide data from a nationally representative outpatient population diagnosed with hoarding disorder, including genetic data and physical measurements. Finally, the fourth presentation will illustrate the link between hoarding and cognitive impairment in late life, using data from the NIH Cognition Toolbox administered to a treatment-seeking sample of older adults with hoarding disorder. Presenters all have experience researching and treating hoarding disorder across the lifespan and across geographical regions, including California, Mississippi, and Florida.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Identify how current diagnostic criteria for hoarding disorder may be inadequate for use in children and adolescents.
  2. Describe the potential for early intervention for hoarding and the use of social skills training to increase interpersonal functioning.
  3. Discuss the ability of publicly available national datasets to inform research on hoarding disorder.
  4. Consider the impact of cognitive functioning on the presentation of late life hoarding.

Presentations:

  • 5:04 PM - 5:18 PM CST
    (SYM 26) The All of Us Research Program: A Unique Cohort of Individuals Diagnosed with Hoarding Disorder

    Speaker: Ben Porter, Ph.D. (he/him/his) – Mississippi State University

  • 5:18 PM - 5:32 PM CST
    (SYM 26) Cognitive Profiles in Rural-dwelling Older Adults with Hoarding Disorder: Insights from the NIH Toolbox Cognition Battery

    Speaker: Branden J. Schaff, M.A. (he/him/his) – Mississippi State University

    Co-author: Mary E. Dozier, Ph.D. – Mississippi State University

    Co-author: Jarrod Williams, B.S. (he/him/his) – Mississippi State University

  • 5:32 PM - 5:46 PM CST
    (SYM 26) Assessing Mental Health Providers' Perspectives on Youth Hoarding

    Speaker: Seth Downing, M.S. (he/him/his) – University of Florida

  • 5:46 PM - 6:00 PM CST
    (SYM 26) A Feasibility Study of Early Intervention Group Therapy for Hoarding in Emerging Adults

    Speaker: Jarrod Williams, B.S. (he/him/his) – Mississippi State University

    Co-author: Mary E. Dozier, Ph.D. – Mississippi State University