That Hoarder: Overcome Compulsive Hoarding

#126 Insight and hoarding with Dr Jan Eppingstall: Unravelling anosognosia, clutter blindness, denial, psychological reactance and overvalued ideation

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Today with Dr Jan Eppingstall I explore the nuanced concept of insight in hoarding. From defining overvalued ideation to understanding the levels of insight, we unravel the challenges individuals face in recognising and addressing their hoarding behaviours. Through personal experiences, expert advice, and valuable research insights, this episode sheds light on personalised treatment approaches, effective communication strategies, and the importance of empathy and compassion. Get ready to gain a deeper understanding of hoarding disorder and discover practical ways to support individuals on their journey to overcoming compulsive hoarding.


  • Insight into Hoarding
  • Levels and Types of Insight
  • Insight Variability Among Individuals
  • Factors Influencing Insight (e.g. Comorbidity, Trauma, Life Experiences)
  • Insight Study by Helena Drury and Colleagues
  • Insight in Diagnosis of Hoarding Disorder
  • Relationship Between Hoarding Severity, Self-Criticism, Shame, and Preservation of Self-Concept
  • Overcoming Clutter Blindness
  • Getting Rid of Things and Challenging Thoughts
  • Taking Photographs of Living Spaces
  • Vulnerability in Showing Spaces to Someone Else
  • Exposing Oneself to Getting Rid of Things and Challenging Thoughts
  • Identifying and Addressing Lack of Insight
  • Anosognosia and Overvalued Ideation
  • Reflecting Feelings and Thoughts
  • The LEAP Technique for Support People, Coaches, and Therapists
  • Understanding Hoarding Behaviour
  • Motivations Behind Hoarding Tendencies
  • Defensive Denial and Psychological Reactance
  • Demographics and Characteristics of Hoarders in Research Settings and Community Services
  • Neurocognitive Damage and Insight into Hoarding Behavior
  • Communication and Approach in Supporting Hoarders
  • Validating Concerns and Correcting Misunderstandings
  • Empathetic and Compassionate Approach
  • Using "Yes, And" Technique in Conversations
  • Tailoring Therapy Approach for Hoarding Clients
  • Treating things as an Experiment
  • Importance of Curiosity and Playfulness in Therapy Approach
  • Limitations of Manualised Treatments

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