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;