#differentiation

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In reply to
@likelyjanlukas@mstdn.ca · Mar 29, 2026
If the only thing you know about people with #HoardingDisorder is something from #RealityTV, I strongly encourage you to learn the actual reality. I'm no expert on the #diagnostic side but my understanding of the condition and it's history in the relevant #medical #literature is that hoarding was once considered a manifestation(?) of #OCD, but over the years experts noted a key distinguishing factor for hoarding vs OCD in particular: When people with OCD are engaging in a repetitive behaviour (eg: excessive handwashing) they feel terrible about it. They want desperately to stop *in the moment* but cannot do so. People with hoarding disorder, OTOH, feel good, perhaps even fabulous, in the moment(s) of acquiring new things. The bad feeling only comes after and/or when trying to de-accumulate. And a full-abstinence, AA-type approach cannot work, as people NEED to aquire things to survive: groceries don't buy themselves, after all! 😐 14/x #differentiation #difference #characteristic
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In reply to
@likelyjanlukas@mstdn.ca · Mar 29, 2026
And because of that key characteristic--acquiring things makes people who hoard feel good whilst people engaging in OCD behaviours feel horrible--#HoardingDisorder is no longer #classified as a type or manifestation(?) of #OCD in the DSM. Hoarding Disorder is a separate, specific condition with specific #diagnostic #criteria in the more recent editon(s) of the #DSM. 15/x #differentiation #distinction #unique #diagnosis
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