Pre-Conferene Training

Pre-Conference Training

CBT and Motivational Enhancement Techniques to Help Clients De-Clutter their Lives

Hoarding is the acquisition and failure to discard a large number of possessions that appear to be useless or of limited value in attempt to postpone or decrease distress or anxiety. Hoarding disorder is a significant problem for 4-5% of the population who often face significant health and safety risks, including the risk of homelessness.

In this one-day training, Dr. Michael A. Tompkins will cover the basics of two major topics important to anyone working directly with clients dealing with hoarding challenges: cognitive behavioral therapy and motivational enhancement.

The first half of the day will present an overview of hoarding disorder and cognitive-behavioral therapy for hoarding disorder, the psychological treatment of choice for the condition. Attendees will learn strategies to assist clients to sort, organize, and make decisions regarding their possessions and to change thoughts and beliefs that maintain hoarding behaviors.

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In the second half of the day, Dr. Tompkins will present an overview of motivational enhancement strategies to engage people who hoard in treatment of their condition. Low motivation and the refusal for clients to accept help is one of the most frustrating and demoralizing features of hoarding disorder to clinicians. Attendees will learn the role of low insight in hoarding disorder and several strategies to build and maintain the motivation of clients who are in treatment for their condition. The workshop will include didactic and videos, as well as exercises as time allows.

Registration

Registration Fee: $200 per person

Learning Objectives

  • Attendees will be able to describe the essential features of hoarding disorder.
  • Attendees will able to describe strategies to teach sorting and decision-making skills.
  • Attendees will be able to describe strategies to change hoarding thoughts and beliefs.
  • Attendees will be able to describe the role of insight and motivation in hoarding disorder.
  • Attendees will be able to describe two strategies to build motivation of people who hoard.
  • Attendees will able to describe two strategies to maintain motivation of people who hoard.

Agenda

Time Topic
09:00am-9:15am Essential Features of Hoarding Disorder
Definition, Diagnostic Criteria, Onset, Prevalence, and Course
9:15am-10:15am Cognitive-Behavioral Model of Hoarding Behavior
Exercise – The Cognitive-Behavioral Model from the Inside Out
10:15am-10:30am Break
10:30am-12:00pm Skills Training
Organizing and Decision-Making Skills
Cognitive Change Strategies
Typical Thoughts and Beliefs that Maintain Hoarding Behavior
Video – Downward Arrow and Behavioral Experiments
Beliefs About Perfection and Possessions
Video - Need Versus Want (Ray)
12:00pm-1:00pm Lunch
1:00pm-01:15pm Insight and Motivation in Hoarding Disorder
Faces of Precontemplation
1:15pm-2:15pm Building Motivation for Change
Open-Ended Questions and Affirmations
Effective Affirmations
Reflective Listening
Exercise - Testing, Forming, and Deepening Reflections
2:15pm-2:30pm Break
2:30pm-3:30pm Preparatory and Mobilizing Change Talk
Exercise - Recognizing Change Talk
Using Readiness for Change Rulers
3:15pm-4:00pm Responding to Resistance
Basic Strategies with Working with Resistance
Exercise - Finding and Picking the Flowers
The Key Question
4:00pm Adjourn

Course References

Arkowitz, H., Westra, H. A., Miller, W. R., & Rollnick, S. (Eds.) (2008). Motivational interviewing in the treatment of psychological problems. New York: Guilford Press.

Frost, R. O., & Steketee, G. (Eds.) (2014). The Oxford handbook of hoarding and acquiring. New York: Oxford University Press.

Frost, R. O., Steketee, G., & Tolin, D. F. (2011). Comorbidity in hoarding disorder. Depression and Anxiety, 28, 876-884.

Frost, R. O., Tolin, D. F., & Maltby, N. (2010). Insight-related challenges in the treatment of hoarding. Cognitive and Behavioral Practice, 17, 404-413.

Frost, R. O., & Hartl, T. L. (1996). A cognitive-behavioral model of compulsive hoarding. Behaviour Research and Therapy, 34, 341-350.

Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York: Guilford Press.

Steketee, G., Frost, R. O., Tolin, D. F., Rasmussen, J., & Brown, T. A. (2010). Waitlist-controlled trial of cognitive behavior therapy for hoarding disorder. Depression and Anxiety, 27, 476-484.

Steketee, G., & Frost, R. O. (2013). Treatment for hoarding disorder. New York: Oxford University Press.

Tolin, D., Frost, R. O., & Steketee, G. (2012). Working with hoarding vs. non-hoarding clients: A survey of professionals' attitudes and experiences. Journal of Obsessive-Compulsive and Related Disorders, 1, 48-53.

Tolin, D. F., Frost, R. O., & Steketee, G. (2013). Buried in treasures: Help for compulsive acquiring, saving, and hoarding. New York: Oxford University Press.

Tompkins, M. A. (2014). Clinician’s Guide to Severe Hoarding: A Harm Reduction Approach. New York: Springer Publications.

Tompkins, M. A., & Hartl, T. L. (2009). Digging Out: Helping Your Loved One Manage Clutter, Hoarding, and Compulsive Acquiring. Oakland, CA: New Harbinger Publications.

Worden, B. L., DiLoreto, J., & Tolin, D. (2014). Insight and motivation. In Frost, R. O., & Steketee, G. (Eds.). The Oxford handbook of hoarding and acquiring (pp. 247-259). New York: Oxford University Press.

Course Presenter

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Michael A. Tompkins, Ph.D. is a licensed psychologist (PSY 13822) and co-director of the San Francisco Bay Area Center for Cognitive Therapy where he specializes in the treatment of anxiety disorders and obsessive-compulsive spectrum disorders in adults, adolescents, and children. Dr. Tompkins is Assistant Clinical Professor at the University of California, Berkeley, Diplomate and Certified Trainer of the Academy of Cognitive Therapy, and a consultant and trainer for the Beck Institute for Cognitive Behavior Therapy. He is the author or co-author of numerous articles and chapters on cognitive-behavior therapy and related topics, as well as seven books, including Digging Out: Helping Your Loved One Manage Clutter, Hoarding, and Compulsive Acquiring (with Tamara L. Hartl) (New Harbinger, 2009) and the Clinician’s Guide to Severe Hoarding: A Harm Reduction Approach (Springer, 2015), a book for clinicians who work with people with severe hoarding behavior. Dr. Tompkins has been featured in The New York Times, The Wall Street Journal and on television (The Learning Channel, Arts & Entertainment, Lifetime) and radio (KQED, NPR) and has presented widely on cognitive-behavior therapy, hoarding, and related topics.

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