Virtual reality helps people with hoarding disorder practice decluttering
Many people who dream of an organized, uncluttered home à la Marie Kondo find it hard to decide what to keep and what to let go. But for those with hoarding disorder — a mental condition estimated to affect 2.5% of the U.S. population — the reluctance to let go can reach dangerous and debilitating levels.
Now, a pilot study by Stanford Medicine researchers suggests that a virtual reality therapy that allows those with hoarding disorder to rehearse relinquishing possessions in a simulation of their own home could help them declutter in real life. The simulations can help patients practice organizational and decision-making skills learned in cognitive behavioral therapy — currently the standard treatment — and desensitize them to the distress they feel when discarding.
The study was published in the October issue of the Journal of Psychiatric Research.
A hidden problem
Hoarding disorder is an under-recognized and under-treated condition that has been included in the Diagnostic and Statistical Manual of Mental Disorders — referred to as the DSM-5 — as a formal diagnosis only since 2013. People with the disorder, who tend to be older, have persistent difficulty parting with possessions, resulting in an accumulation of clutter that impairs their relationships, their work and even their safety.
“Unfortunately, stigma and shame prevent people from seeking help for hoarding disorder,” said Carolyn Rodriguez, MD, PhD, professor of psychiatry and behavioral sciences and senior author of the study. “They may also be unwilling to have anyone else enter the home to help.”
Sometimes the condition is discovered through cluttered backgrounds on Zoom calls or, tragically, when firefighters respond to a fire, Rodriguez said. Precarious piles of stuff not only prevent people from sleeping in their beds and cooking in their kitchens, but they can also attract pests; block fire exits; and collapse on occupants, first responders and clinicians offering treatment. More