Imaginal Exposure for Hoarding Disorder

Trial ID or NCT#



not recruiting iconNOT RECRUITING


The present study will test a potential new treatment strategy, imaginal exposure, for hoarding disorder. Although cognitive behavioral therapy often reduces hoarding, some people do not want to start, or cannot handle, that option. To help such individuals, the present study will provide imaginal exposure therapy to people with hoarding disorder, wherein they imagine discarding possessions as a way of becoming acclimated to the idea. We predict that imaginal exposure will improve hoarding symptoms as well as two psychological experiences linked to the condition: intolerance of uncertainty and emotional avoidance.

Official Title

Efficacy and Feasibility of Intensive Imaginal Exposure for Hoarding Disorder

Eligibility Criteria

Ages Eligible for Study: Older than 18 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers: No
Inclusion Criteria:
  1. 1. Age 18 and older2. Any gender and all ethno-racial categories3. Hoarding Disorder primary condition4. Willing and able to understand and complete consent and study procedures5. English speaking
Exclusion Criteria:
  1. 1. Severe depression2. Clinically at risk of suicide with Columbia Suicide Severity Rating Scale (C-SSRS) Suicidal Ideation Subscale of 4 or higher (i.e. suicidal intent without specific plan)3. Currently receiving Cognitive Behavioral Therapy (CBT)


Katie Fracalanza
Clinical Associate Professor, Psychiatry and Behavioral Sciences

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Tatevik Avanesyan, MD