Interpersonal Therapy (IPT) addresses hoarding through its strong evidence base: most hoarding is connected to relationship problems, and improving relationships improves hoarding.
The Four IPT Focus Areas for Hoarding
IPT targets one of four interpersonal problem areas that typically accompany hoarding:
- Grief: Loss and bereavement contributing to hoarding
- Role disputes: Conflicts in important relationships driving hoarding
- Role transitions: Life changes creating adjustment-related hoarding
- Interpersonal deficits: Limited social skills or relationships sustaining hoarding
IPT vs. CBT for Hoarding
While CBT targets thoughts and behaviors, IPT targets relationships and communication. Both are highly effective for hoarding — the best choice depends on the primary driver.
What IPT for Hoarding Looks Like
IPT for hoarding typically runs 12-20 sessions, with early sessions identifying the interpersonal focus area, middle sessions working on it, and later sessions consolidating gains.