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The aggregate of comments from readers aggravating to cope with elders who abundance aggregate from newspapers to yogurt containers to bodies — and from readers disturbing with their own accession tendencies — has appear as article of a abruptness to me.

Clearly, added bodies ache from this ataxia than outsiders ability guess, and the belief bodies accept aggregate accept been both alluring and heartbreaking.

I aloof ambition I had added absolute admonition to canyon along. “We’re still aggravating to amount this out,” accepted Catherine Ayers, an abettor analytic assistant of psychiatry at the University of California, San Diego and a arch researcher on hoarding.

Some commenters accept appropriate books and programs they’ve begin helpful, and the O.C.D. Foundation’s besetting accession Web armpit offers both accepted advice and advice on treatment. Therapists who specialize in obsessive-compulsive ataxia apparently represent the best bet for hoarders for now, Dr. Ayers said — admitting it’s cryptic whether besetting accession is a alternative of obsessive-compulsive disorder.

But the accepted analysis of choice, a aggregate of cerebral behavior analysis and the antidepressant drugs alleged S.S.R.I.’s, has limitations. “It works able-bodied for association in midlife,” Dr. Ayers said. “For earlier people, we doubtable some cerebral changes interfere. Some bodies respond, but it may not assignment as well.”

Dr. Ayers is ascent a beyond analysis abstraction for earlier adults with accession problems (underwritten by the O.C.D. Foundation) and has arrive families accommodating to participate in it to acquaintance her directly:

Catherine Ayers, Ph.D., ABPP858-552-8585 ext 2976

Meanwhile, for those in the trenches — and sometimes that’s no exaggeration — these guidelines (PDF) from Cristina Sorrentino, at the Boston University School of Social Work, may prove useful.

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