[pipeline_peak]

If there’s one thing I learned watching those Hoarder reality tv shows it’s that you can clean up after them all you want but that’s just a bandaid.

[randycupertino]

I once had a patient in a nursing home who was a hoarder and she would hoard pinecones from outside the facility in her room. Garbage bags upon garbage bags of pinecones. When she would go to dialysis the staff would clean out her room and toss the pinecones. So she started begging the EMTs to bring the garbage bags of pinecones with her to dialysis so they wouldn't get thrown out.

The recovery rate for hoarding is under 5%, it's generally treated by SSRIs and CBT. Recently there is potential that GLP1s may have benefits for hoarding and other addictions.

[bell-cot]

For people like your patient, is it useful to try to give them any sort of physical agency, control, or tasks?

[0cf8612b2e1e]

Is the <5% response rate with treatment or in general?