Hoarding Disorder Treatment | Inpatient Programs for Recovery

When clutter takes over your home, it can feel like life is closing in around you. What may appear to be a disorganized living space could actually be a sign of hoarding disorder: a condition that can lead to unsafe living environments and cause emotional distress. 

Although the thought of reaching out for help may feel overwhelming, know that recovery is possible. Hoarding disorder inpatient treatment provides a safe, structured setting for people to access the specialized care needed to heal. 

A mental health professional can advise on the most suitable treatment type for your symptoms and needs. This page can also help you understand inpatient treatment for hoarding disorder by covering:

  • What hoarding disorder is
  • When inpatient care for hoarding disorder recovery is necessary
  • What to expect from hoarding disorder residential programs
  • Benefits of inpatient care
  • Transitioning from residential to outpatient services
  • Choosing the best program for your needs
  • Where to find support
Man in need of hoarding disorder treatment on a ladder in front of a massive pile of books

Understanding Hoarding Disorder

Many people enjoy hobbies that involve collecting items, such as stamps or film memorabilia. However, hoarding disorder is more than collecting items. 

Hoarding disorder causes persistent difficulty parting with possessions, regardless of their actual value. People with this condition feel a need to save items, and can experience extreme distress when trying to throw them away.
1 For instance, someone with a hoarding disorder may feel similar distress when considering discarding empty plastic bags as they would when thinking about throwing away cherished family photo albums.

For many people, there’s no real harm in occasionally keeping a few extra items here and there. Yet, hoarding can cause possessions to pile up and clutter essential living areas, leaving them inaccessible. For example, a person may not be able to sleep in a bed due to clutter. So, instead, they might be forced to sleep on a living room chair. 

It’s estimated that up to one in seventeen people has a hoarding disorder.
2 Knowing the symptoms of hoarding disorder can help you access the support needed to ease distress and make your house feel like a home again.

Signs of Hoarding 

Recognizing early warning signs of hoarding is often important for receiving effective treatment. However, hoarding exists on a spectrum of behaviors ranging from mild to severe, so people can show different levels of intensity. 

Some of the typical signs of hoarding include:
3
  • Obtaining and keeping too many items you don’t need or have space for
  • Ongoing difficulty discarding possessions, regardless of their value
  • Feeling a need to keep items and becoming distressed at the idea of discarding them
  • Building up clutter in living areas that prevents you from using rooms for their intended purpose
  • Distress or problems in social, work, or other areas of life caused by hoarding

If you, or someone you love, displays some of the signs above, they may have a hoarding disorder. Fortunately, treatment is available for conditions like this. But what causes a person to hoard in the first place?

Risk Factors of Hoarding Disorder

The exact cause of hoarding disorder is currently unknown, as it is a relatively new classification of mental health condition. However, it more frequently occurs in people who have:
3,4
  • A family member with a hoarding problem 
  • Certain personality traits, such as trouble making decisions, problems with attention, issues with organization, or struggles with problem-solving
  • Experienced a stressful life event, such as the death of a loved one
More research is needed to uncover the causes of hoarding. Yet, despite its unknown origin, certain treatments are found to be effective for people with hoarding disorder. For example, studies show that therapy can work for relieving symptoms and helping people to live safer, more enjoyable lives.3

While outpatient treatment, such as therapy, often provides sufficient symptomatic relief for many people, inpatient treatment may become necessary when outpatient support fails to alleviate symptoms effectively. 

Residential hoarding disorder programs can often get to the root of underlying problems. They also help people develop coping techniques for clutter and distress, and change unhelpful beliefs or behaviors that contribute to hoarding. 

People seeking hoarding disorder inpatient treatment typically struggle with unsafe home environments and overwhelming distress. The next section explores when it may be necessary to consider residential treatment. 
Find out about our free hoarding disorder assessment & admissions process

We accept most major insurance providers and can check your coverage levels for you.

If we are not an appropriate provider for care, we will assist in finding a care provider that can help. 

When to Consider Hoarding Disorder Inpatient Treatment

Hoarding disorder can impact every aspect of a person’s life. Clutter may cause crucial issues in the home, such as being unable to prepare food in the kitchen or sleep in a bed. It may also result in serious health and safety risks, for instance, fire hazards.

Additionally, the emotional impact of hoarding can be distressing. For example, it can worsen conditions like
depression or anxiety, or make someone feel so ashamed or embarrassed about their situation that they isolate themselves. Hoarding disorder may also impact personal relationships, contributing to strain, conflict, and disagreements.5

When hoarding creates unsafe living conditions or breaks down relationships, residential treatment for hoarding behavior may be an appropriate consideration. For instance, inpatient programs may be particularly useful in the following circumstances:
  • When excessive possessions cause unsafe living conditions, such as fire hazards, difficulties accessing or leaving the property due to entrances being blocked, or pest infestations
  • Being unable to use rooms due to clutter, for instance, the bathroom or the kitchen
  • When self-neglect starts to occur due to clutter, for example, being unable to cook, clean, or wash 
  • If someone is caused significant distress or impairment of functioning as a result of hoarding
  • When a person is at risk of harm
  • When outpatient care is not effective
  • If someone has multiple or complex health needs

If these circumstances sound familiar, inpatient care for hoarding disorder recovery may offer a clear and supportive path forward. The following sections cover what to expect from inpatient programs and the benefits they may bring over outpatient support. 

What to Expect From Hoarding Disorder Inpatient Treatment Programs

You may already have ideas about what residential care for hoarding disorder recovery might involve, but the reality is often different from what people imagine. To help you understand what to expect, the following sections walk you through what these programs usually look like. 

Inpatient Treatment Settings

Hoarding disorder counseling inpatient programs provide people with a safe, comfortable living environment with round-the-clock support and consistent routines, designed to help people heal. 

Facilities often include private or shared bedrooms, relaxing common areas, therapy rooms, dining halls, fitness areas, and outdoor spaces to enhance the recovery journey. 

Program Length

Program length varies based on individual needs and circumstances, ranging from short weekend stays to six months or longer. 

Short-term options – 30 days or less – are designed for people in crisis or experiencing sudden, severe symptoms. Alternatively, long-term programs offer more comprehensive support over a prolonged period for those facing complex or persistent challenges. 

Daily Routines

Hoarding disorder therapy inpatient programs typically create a personalized treatment plan based on your symptoms and needs. Therefore, the treatment team designs a daily schedule focused on your recovery goals. Normally, this includes inpatient counseling for hoarding disorders in the form of one-to-one and group therapy. The most effective therapy for treating hoarding disorders is cognitive behavioral therapy (CBT), although acceptance and commitment therapy (ACT) and peer-related interventions may also be beneficial.6,7 However, more research is needed to determine the best treatment options for hoarding disorders. 

Additionally, residential programs often offer recreational activities to support you through your wellbeing journey. For instance, some of the recreational and off-site experiences offered at AMFM centers include bowling, breathwork, mini-golf, and visits to attractions such as museums or beaches. 

Finally, when appropriate, a qualified mental health professional may provide medication management to support symptom relief. 

With a clearer idea of what inpatient treatment involves, let’s explore the positive changes it may bring to your healing journey. 

Find Hoarding Disorder Treatment Programs

A Mission For Michael (AMFM) provides treatment for adults experiencing various conditions. Hoarding Disorder support is a phone call away – call 866-478-4383 to learn about our current treatment options.

See our residences in Southern California’s Orange County & San Diego County.

Take a look at our homes on the east side of the Metro area in Washington County.

View our facilities in Fairfax County, VA within the DC metro area.

Benefits of Hoarding Disorder Inpatient Treatment

Committing to residential treatment can be a big step, both emotionally and practically. Therefore, you may wonder how it differs from outpatient support and whether this extra commitment is worth the effort. 

There are several benefits that inpatient care can offer, including:

  • Specialized treatment programs geared toward hoarding disorder recovery
  • Access to a range of evidence-based and holistic therapies
  • 24/7 support from a team of mental health specialists
  • Higher levels of support than are available through outpatient care
  • Space and time to focus fully on recovery
  • Personalized treatment plans designed to help you heal

Inpatient care provides a crucial foundation for hoarding disorder recovery. Yet, it is only the beginning of the journey. After residential care, many people transition to outpatient care to continue their recovery. But what does this transition look like?

Life After Residential Treatment

It’s natural to wonder about what awaits you after inpatient treatment. For instance, someone may return home and feel overwhelmed seeing the clutter surrounding them. For this reason, in addition to the skills they learn in the program, people often need continued support. 

Aftercare is a vital part of recovery that all effective hoarding disorder residential treatment programs consider. Aftercare is tailored to your specific needs and may include several outpatient hoarding disorder treatment options. For example, outpatient therapy, peer support groups, medication management, or extra coping strategies. 

Furthermore, aftercare doesn’t have to look like traditional weekly outpatient support. There are step-down options from residential care, such as partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs). 

PHPs allow people to participate in comprehensive mental health support in a safe, supportive environment during the day while returning home for nights and weekends. These programs often provide five days a week support, for around five hours a day. 8

Alternatively, IOPs may suit people seeking a flexible – yet intensive – support plan that can fit around their return to daily routines. IOPs require less time commitment than PHPs, typically two to three hours a day, across three to five days every week.
8

Aftercare plans provide the essential support needed to ensure long-term recovery. In the next section, we will explore what to consider when searching for inpatient programs for hoarding disorder. 

Choosing the Best Hoarding Disorder Treatment Centers for Your Needs

Choosing the right hoarding disorder inpatient treatment center can feel like a big decision; it’s natural to feel uncertain about where to begin, especially with so many options available. 

To help you make a confident decision about which treatment center to choose, some factors you may want to consider include:

  • Whether the facility offers hoarding disorder programs
  • If the team creates individualized treatment plans
  • Whether the therapeutic approaches offered are evidence-based
  • If holistic therapy options are included
  • Whether recreational activities are scheduled
  • The length of the program
  • What a typical day in the program is like
  • If they accept your insurance, or what the costs are if paying privately
  • Typical age range of people in their programs
  • What you can/can’t bring with you
  • The sleeping arrangements 
  • Whether they can cater to specific dietary requirements
  • If visitors are allowed
  • What the admissions process is like
  • Where their treatment centers are located
  • What aftercare plans are offered

Finding the right residential treatment program for hoarding disorder may feel overwhelming, but it doesn’t have to. Knowing what you are looking for can make the process feel less intimidating and more manageable, allowing you to have confidence in your decisions. 

Professional Help for Hoarding Disorder Through AMFM

Living with a hoarding disorder can be challenging, but with the right support and treatment, recovery is possible. If you or someone you love is seeking inpatient recovery programs for hoarding, we’re here to help.

At AMFM Healthcare, we offer specialized residential treatment designed to provide compassionate care, evidence-based therapies, and a safe, structured environment to support healing from hoarding disorder. 

If you or a loved one is struggling to cope with hoarding, don’t delay seeking help. Contact us today to learn more about our residential recovery programs and start your healing journey. We are here to support you every step of the way. 

Request a Call from Our Admission Team

Complete the form to receive a prompt call back from a member of our experienced and compassionate admissions staff. All communication is 100% confidential.

"*" indicates required fields

This field is hidden when viewing the form
This field is hidden when viewing the form
  1. Substance Abuse and Mental Health Services Administration (US). (2016, June 1). Table 3.29. DSM-IV to DSM-5 conduct disorder comparison — DSM-5 changes — NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t29/
  2. International OCD Foundation (IOCDF). (2024, May 20). Who gets Hoarding Disorder? https://hoarding.iocdf.org/about-hoarding/who-gets-hoarding-disorder/
  3. American Psychiatric Association. (2024, September). What is Hoarding Disorder? https://www.psychiatry.org/patients-families/hoarding-disorder/what-is-hoarding-disorder
  4. Mayo Clinic. (2023, January 26). Hoarding disorder – Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/hoarding-disorder/symptoms-causes/syc-20356056
  5. National Health Service (NHS). (2025, June 20). Hoarding disorder. https://www.nhs.uk/mental-health/conditions/hoarding-disorder/
  6. Davidson, E. J., Dozier, M. E., Pittman, J. O. E., Mayes, T. L., Blanco, B. H., Gault, J. D., Schwarz, L. J., & Ayers, C. R. (2019). Recent advances in research on hoarding. Current Psychiatry Reports, 21(9). https://doi.org/10.1007/s11920-019-1078-0
  7. O’Brien, E., & Laws, K. R. (2024). Decluttering Minds: Psychological Interventions for Hoarding Disorder – A Systematic Review and Meta-Analysis. Journal of Psychiatric Research, 181, 738–751. https://doi.org/10.1016/j.jpsychires.2024.12.029
  8. Blanchfield, T. (2024, December 12). How an intensive outpatient program (IOP) works. Verywell Mind. https://www.verywellmind.com/what-is-an-iop-intensive-outpatient-program-5521766