Online Therapy on CHD

By: Dr Carla Kesrouani May 22, 2023 no comments

Online Therapy on CHD

The Use of Online Therapy in Treating Compulsive Hoarding Disorder

Compulsive Hoarding Disorder (CHD) is a mental health condition that is characterized by the persistent difficulty in discarding or parting with possessions, regardless of their actual value. People with CHD feel an overwhelming need to save items, resulting in cluttered and often unsafe living conditions with online therapy. This disorder can cause significant distress and impairment in daily life, affecting not only the individual but also their loved ones.

What is Online Therapy in CHD?

Traditionally, CHD has been treated with cognitive-behavioral therapy (CBT) and medication. However, the rise of teletherapy has opened up new opportunities for people with CHD to access treatment. Online therapy, also known as teletherapy or telepsychology, is the delivery of mental health services through the internet. It allows people to receive therapy from the comfort of their own homes, eliminating the need for travel, and increasing accessibility for people who may have difficulty leaving their homes due to their hoarding behaviors.

Exposure Therapy

Online therapy for CHD typically involves a combination of CBT, exposure therapy, and motivational interviewing to help individuals understand the underlying reasons for their hoarding behaviors and develop skills to manage them. Exposure therapy involves gradually exposing the individual to the anxiety-provoking stimuli, such as discarding items, with the support and guidance of a therapist. Motivational interviewing is a person-centered approach that aims to help individuals identify their own reasons for change and increase their motivation to make positive changes.

Reducing Hoarding Symptoms

Studies have shown that online therapy can be effective in treating CHD. A 2018 study published in the Journal of Obsessive-Compulsive and Related Disorders found that online CBT was effective in reducing hoarding symptoms, as well as improving overall functioning and quality of life. Another study published in the Journal of Anxiety Disorders in 2020 found that online exposure therapy was effective in reducing hoarding symptoms and improving overall functioning.

Seeing the Living conditions of their Clients

One advantage of online therapy for CHD is that it allows therapists to see firsthand the living conditions of their clients, which can be difficult to replicate in a traditional therapy setting. This can help therapists to better understand their clients’ hoarding behaviors and tailor their treatment approach accordingly.

Challenges to online therapy for CHD

However, there are also some potential challenges to online therapy for CHD. For example, clients may have difficulty accessing the internet or may not feel comfortable using technology. Additionally, some aspects of traditional therapy, such as in-person exposure therapy, may be difficult to replicate online.


In conclusion, online therapy can be an effective treatment option for people with CHD, providing increased accessibility and the opportunity for therapists to better understand their clients’ living conditions. However, it is important to consider individual factors and potential challenges when determining the best treatment approach for each individual.



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