Abstract
Hoarding disorder (HD) is characterized by an accumulation of possessions due to excessive acquisition of, or difficulty discarding possessions. Evidence demonstrates an increased cardiovascular response in patients with HD. Cognitive-behavioral therapy modifications are described for HD patients with heart failure to compensate for fatigability, syncope and falls risk.
Key Clinical Message: To ensure heart failure patients are involved in sorting/discarding tasks during cognitive-behavioral therapy for hoarding disorder, modifications are necessary to compensate for high fatigability and reduce the risk for serious adverse events.
Keywords: hoarding disorder; cognitive-behavioral therapy; heart failure; cardiomyopathy; case series;