That Hoarder: Overcome Compulsive Hoarding

#126 Insight and hoarding with Dr Jan Eppingstall: Unravelling anosognosia, clutter blindness, denial, psychological reactance and overvalued ideation

Feb 2, 2024

Dr Jan Eppingstall, an expert in hoarding and personalized treatment approaches, discusses insight in hoarding, levels of insight, factors influencing insight, and comorbidity. They also talk about overcoming clutter blindness, challenging thoughts, anosognosia, and the LEAP technique for support. The podcast explores the psychology behind hoarding, including denial, self-concept preservation, and shame, and emphasizes the importance of empathy, compassion, and personalized treatment approaches for overcoming compulsive hoarding.

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Introduction

00:00 • 2min

The Importance of Using Possessions

01:43 • 23min

Understanding Insight in Hoarding: Genuine Belief or Denial?

24:42 • 3min

Hoarding and the Psychology Behind It

27:32 • 13min

Approaching Goals with Curiosity and Adaptability

40:56 • 19min

Approaching Difficult Conversations with Dementia Patients

01:00:18 • 13min

Feedback, Ad, Shoutout, and Anticipation's Effect on Happiness

01:13:30 • 2min

Anticipating Good Things and Supporting the Podcast

01:15:30 • 2min

The Importance of Professional Support and Affordable Therapy for Hoarders

01:17:11 • 2min

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Today with Dr Jan Eppingstall I explore the nuanced concept of insight in hoarding. From defining overvalued ideation to understanding the levels of insight, we unravel the challenges individuals face in recognising and addressing their hoarding behaviours. Through personal experiences, expert advice, and valuable research insights, this episode sheds light on personalised treatment approaches, effective communication strategies, and the importance of empathy and compassion. Get ready to gain a deeper understanding of hoarding disorder and discover practical ways to support individuals on their journey to overcoming compulsive hoarding.

Insight into Hoarding
Levels and Types of Insight
Insight Variability Among Individuals
Factors Influencing Insight (e.g. Comorbidity, Trauma, Life Experiences)
Insight Study by Helena Drury and Colleagues
Insight in Diagnosis of Hoarding Disorder
Relationship Between Hoarding Severity, Self-Criticism, Shame, and Preservation of Self-Concept
Overcoming Clutter Blindness
Getting Rid of Things and Challenging Thoughts
Taking Photographs of Living Spaces
Vulnerability in Showing Spaces to Someone Else
Exposing Oneself to Getting Rid of Things and Challenging Thoughts
Identifying and Addressing Lack of Insight
Anosognosia and Overvalued Ideation
Reflecting Feelings and Thoughts
The LEAP Technique for Support People, Coaches, and Therapists
Understanding Hoarding Behaviour
Motivations Behind Hoarding Tendencies
Defensive Denial and Psychological Reactance
Demographics and Characteristics of Hoarders in Research Settings and Community Services
Neurocognitive Damage and Insight into Hoarding Behavior
Communication and Approach in Supporting Hoarders
Validating Concerns and Correcting Misunderstandings
Empathetic and Compassionate Approach
Using "Yes, And" Technique in Conversations
Tailoring Therapy Approach for Hoarding Clients
Treating things as an Experiment
Importance of Curiosity and Playfulness in Therapy Approach
Limitations of Manualised Treatments

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