buried in treasures...2014/12/16 · introduce buried in treasures (bit) identify problems...
TRANSCRIPT
Buried in Treasures for Service Providers
BiT One On One
BiT One On One
The Attendees
BiT One On One
David F. Tolin Randy O. Frost Gail Steketee
BiT One On One
BiT One On One
Introduce Buried in Treasures (BiT)
Identify problems experience by clients with a Hoarding Disorder diagnosis
Present skills and techniques used in BiT
Apply these techniques to a one-on-one relationship
BiT One On One
I. Difficulty discarding
II. Strong urges to save things
III. Excessive clutter
IV. Distress or impaired functioning
Additional characteristics
Excessive acquiring
Poor insight
BiT One On One
3-5%
9 - 15 Million People
BiT One On One
BiT One On One
0
10
20
30
40
50
60
MDD GeneralizedAnxiety
SocialAnxiety
OCD
57
28 29
17
Co-Morbidities
BiT One On One
BiT One On One
BiT One On One
Attention
Categorization
Decision Making
Memory
BiT One On One
Overly Creative Thinking
Perfectionism
BiT One On One
Sentimental attachments
Identity
Safety, security and control
BiT One On One
The Rating Scales
BiT One On One
The Rating Scales
The Hoarding Rating Scale
Is my home safe?
Are your daily activities impaired?
The Home Environment Index
BiT One On One
Perception
Do you see what I see?
Telling your story?
BiT One On One
BiT One On One
BiT One On One
Not my priority
Unhelpful beliefs
Perfectionism
Beliefs about responsibility
BiT One On One
Attachments
Identity
Memory
Control
BiT One On One
Overthinking
Avoidance
Short-term payoff
BiT One On One
Non-acquiring shopping trips
Non-acquiring hierarchy
BiT One On One
Non-acquiring Help Card
BiT One On One
Eye On The Prize
Thinking it through
Testing it out
Your Practice Muscle
BiT One On One
Emotional attachment and unhelpful beliefs about possessions
Problems processing information
Reinforcement
Behavior Patterns
CLUTTER
BiT One On One
Emotional attachment and unhelpful beliefs
Problems processing information
Reinforcement
Behavior Patterns
CLUTTER
Perfectionism
Difficulty making decisions
Prevent bad feelings
Avoid Discarding
BiT One On One
I. Set your priorities
II. Keep you eye on the prize
III. Develop the right skills
BiT One On One
BiT One On One
Make getting started easier
Provide structure for you work
Simplify your decision making tasks
Improve your decision making – Make better / easier/ faster decisions
Reduce stress
Reduce clutter
Have fun
BiT One On One
Identify the challenges
Identify your goals
BiT One On One
BiT One On One
BiT One On One
BiT One On One
BiT One On One
BiT One On One
Identify the challenges
Identify your goals
Find a technique that works
Choose a place to start
BiT One On One
BiT One On One
BiT One On One
BiT One On One
Identify the challenges
Identify your goals
Find a technique that works
Choose a place to start
Identify your categories
Create your hierarchy list
BiT One On One
Paper
Books
Clothes
Plastic food containers
Spices
Shopping bags
Canned goods
Dishes
Medicine
Bills
10
5
2
4
10
9
6
4
7
6
BiT One On One
Would I buy it again if I did not already own it?
Am I keeping it only because of the money I spent?
Do I have enough space for it?
Is it of good quality, accurate and / or reliable?
When do I have time to read this/ fix this / finish this project ?
Am I keeping this just because I am looking at it now?
Do I already have enough / too many of these?
BiT One On One
If it doesn’t fit it must go
If I have 5 of these all others must go
If I have not worn it in a year it must go
If it is badly stained it must go
If I don’t have room for it it must go
If I have not read it in 6 months it must go
BiT One On One
BiT One On One
BiT One On One