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Medications are thus<br />

intended to treat the anxiety,<br />

OCD or depressive condition<br />

rather than the<br />

hoarding condition.<br />

The intention is to rehabilitate the individual by reinforcing low<br />

acquisition habits while practicing regular discarding through<br />

self-talk. Discussions of treatment involving medications have<br />

recently become a potential option, however these cases often<br />

describe the presence of a comorbid condition. Medications are<br />

thus intended to treat the anxiety, OCD or depressive condition<br />

rather than the hoarding condition. Rehabilitation without<br />

relapse is the end goal. The claims made for hoarding in a<br />

medical sphere have combined to produce a medicalized definition<br />

of hoarding behaviour. Mentioned at the beginning of<br />

this publication, the definition by Frost and Gross emphasizes<br />

distress and impairment on the part of the hoarder and suggests<br />

an unliveable space. This definition reinforces the progression<br />

in the medical sphere to list hoarding not only as a problem but<br />

as one that requires help or assistance, in this case by medical<br />

professionals. Although the Frost and Gross definition came<br />

early in the process of establishing hoarding as a medical behaviour,<br />

it has been continually used in the literature and most<br />

recently was included in the definition of hoarding behaviour<br />

in the 2013 publication of the Diagnostic and Statistical Manual<br />

of Mental Disorders (DSM). The 17-year lapse between<br />

55

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