Hoarding disorder: Kailan nagiging delikado ang pag-iipon ng gamit?

PTVPhilippines

Hoarding disorder: Kailan nagiging delikado ang pag-iipon ng gamit?  For more news, visit:  ►https://www.ptvnews.ph/  Subscribe to our DailyMotion Channel: ►http://www.dailymotion.com/peoples-television-incorporated  Subscribe to our YouTube channel: ►http://www.youtube.com/ptvphilippines  Like our Facebook pages: ►PTV: http://facebook.com/PTVph  ►Rise and Shine Pilipinas: https://www.facebook.com/riseandshinepilipinas  Follow us on Twitter:  ►http://twitter.com/PTVph  Follow us on Instagram: ►https://www.instagram.com/ptvph  Watch our livestream on:  ►http://ptvnews.ph/livestream/ ►https://www.dailymotion.com/PTVPhilippines  Watch our News Programs, every Mondays to Fridays  Rise and Shine Pilipinas - 6:00 - 7:00 am | 7:30 - 8:00 am Balitang Pambansa - 7:00 - 7:30 am | 12:00 - 12:30 pm | 6:00 - 6:30pm | 9:30 - 10:00 pm PTV Sports - 8:00 - 9:00 am Bagong Pilipinas Ngayon - 12:30 - 1:00 pm Sentro Balita - 1:00 pm - 2:00 pm Ulat Bayan - 6:30 pm - 7:00 pm PTV News Tonight -  10:00 pm - 10:30 pm  Saturday & Sunday: ►Sentro Balita Weekend - 1:30 - 2:00 pm ►Ulat Bayan Weekend - 6:15 pm - 7:00 pm

Transcript

00:00For those who usually put things aside even if you're not using it anymore

00:06but because of the strong emotional attachment that you feel that you might need it in the future

00:13you continue to hide it.

00:15Oh my, that's hoarding.

00:17Yes, just like my mother.

00:18And to explain what hoarding and hoarding disorder means,

00:23we will now join the psychiatrist, Dr. Kathleen Tan.

00:27Good morning, doctor.

00:30Hello, good morning to all of you.

00:32Thank you for having me this morning.

00:34For our RSP members, what is hoarding and what are the common signs and symptoms of hoarding disorder?

00:46Like what you pointed out, many of our countrymen have symptoms

00:51where they collect things that they don't need and there's a clutter.

00:57So we call this hoarding disorder because we can see that these symptoms

01:04affect our functionality and our capability to be able to live our lives properly.

01:17So for example, hoarding disorder, there are three things that we have to establish.

01:24So one, you have an urge to collect and keep things that you don't need to use.

01:33So it's common to see paper bags that are too many

01:38because we think that we will use plastic bags,

01:42especially bottles and take-out containers.

01:51So we see that it's very, very common.

01:54And then we also see that because of this collecting, it's too much.

01:59So there's also a clutter.

02:01So we can see that it's chaotic inside the house because it's taking up so much space

02:08and yet it's hard for our patients to let go.

02:13And then finally, we also see that their habits affect their function

02:21and their well-being and lifestyle.

02:27Doc, I feel like we're all guilty here because we have moments like this in life.

02:35Doc, what are the possible causes and triggers of hoarding disorder?

02:43Well, you know what?

02:43Before, they considered hoarding disorder as part of obsessive-compulsive disorder

02:49but they saw that it's not the case.

02:52There are explanations that there is a decrease in function in a particular part of the brain.

02:59But overall, we also see that it's not actually that well understood.

03:07But we also consider that there's a genetic component to it.

03:11It's also noticeable that what we see is more of an advance of age.

03:17So possibly, epigenetics could also be a culprit then.

03:23Because if you notice that these particular generations are products of the world war.

03:31So for example, resources are very scarce and your adaptation is to hoard, to keep things.

03:38Because we're stockpiling for the possibility that things may be scarce again

03:46and we also need it eventually.

03:48So it becomes a habit for us.

03:51And then it's carried over from generation to generation.

03:53Because that's what our parents and grandparents are teaching us.

03:59But there are multifactorial components.

04:01But overall, when we're talking about hoarding disorder,

04:07the statistics are high.

04:09They estimate about 3 to 5 percent of the general population

04:14with a lifetime prevalence of 14 percent.

04:16So it's actually quite a common court condition.

04:21But what's concerning is that sometimes these habits are so severe

04:26that it can also cause health problems or hazards.

04:33Like for example, if there's a lot of clutter inside the house

04:39and we're wearing an earthquake belt.

04:43For example, if it's hot and we don't have enough water.

04:49It's also a fire hazard.

04:50It can catch fire and it can also be dangerous.

04:54And then it can also be a falling hazard.

04:57For example, if there's a lot of stuff, it can fall

05:01and it's hard to navigate your way inside the house.

05:06And then there's also a health risk because it attracts pests.

05:09Rodents.

05:10And then for some extreme cases, we've been collecting things that are

05:19very infectious already.

05:23I do recall watching a particular TV series called Hoarders.

05:28And there was an episode where this person was collecting already used diapers

05:32and it piled up in the bathtub.

05:34So it could be extreme measures.

05:36And then it can cause disease and death.

05:39Especially hoarding.

05:41It's not limited to the use alone.

05:44It can also be animals, pets, strays that are rescued.

05:50But unfortunately, they are neglected.

05:53So yeah, it's a very concerning condition actually.

06:07My mom likes to put things next to her.

06:09I like to put less and less so it's always clean.

06:12But here's the thing.

06:13Some of our fellow countrymen are just sentimental.

06:17Yes.

06:17So what's the difference between being simply sentimental

06:21or really fond of collecting and disorder of hoarding?

06:27Well, like what you pointed out when it comes to hoarding.

06:29What we hoard are useless items.

06:34And then it accumulates to significant numbers already.

06:41So how much paper bags do we actually need through the years?

06:45So for example, it's a whole room full of paper bags already that you don't use.

06:50Maybe you have to reconsider.

06:52But for example, we're talking about a collection.

06:55So for example, people collect sneakers, figurines.

06:59That would be a different case.

07:01It's probably displayed properly, organized, and with intent.

07:06And like you pointed out, there is probably some value to it.

07:12But for hoarding, what we usually see is we tend to collect things of insignificant value.

07:20Like you pointed out, pieces of mail that are 10 years old already.

07:25Newspapers that are stockpiling already.

07:30Now what good would it be for?

07:32And I also mentioned that it has to establish the three criteria

07:37that there is a collection of useless things and the inability to let it go.

07:46And then there will be clutter in the house.

07:49So the emphasis is on the word clutter.

07:51And then the third is it also causes dysfunction in our capacity.

07:59It impedes our daily function, our daily lives.

08:14Well, unfortunately for hoarding disorder,

08:17when we talk about hoarding disorder,

08:18I'm talking about the actual psychiatric diagnosis.

08:22Because hoarding can be used as a verb.

08:25Like okay, I'm hoarding or stockpiling canned goods just in case something happens

08:32and I'm not able to refill our groceries.

08:36Although like I pointed out, hoarding has insignificant value.

08:44But talking about the psychiatric disorder itself,

08:47unfortunately hoarding disorder is treatment resistant.

08:51So studies show that although the prognosis is very poor,

08:55but the recommendation is to consider psychotherapy.

08:59So a particular type of psychotherapy that is recommended is cognitive behavioral therapy.

09:04And then another, in terms of medication,

09:08we can also consider antidepressants usually from the family of SSRI,

09:15Selective Serotonin Reuptake Inhibitors.

09:18Again, our expectations are very limited.

09:23Because probably one factor that could make this condition quite difficult to manage

09:32is usually we diagnose it late.

09:34So usually it's advance of age and then we see,

09:39wow, there are so many and the house is so tight and the house is already in a danger zone.

09:46And then sometimes it could be extremes already,

09:49that our patients are already being evicted

09:51because when the landlord saw it, it's already dangerous to be inside the house

09:59and it's very unsanitary already.

10:01So unfortunately, these are our challenges when managing hoarding disorder.

10:06There.

10:25You are most welcome and thank you for having me.

Category

Transcript

Recommended