The Hoarding Brain: Executive Dysfunction Without Dementia
Briefly

The Hoarding Brain: Executive Dysfunction Without Dementia
"Hoarding disorder is not a moral failing; it is a psychiatric condition. Individuals may recognize their homes are unsafe but struggle to balance feelings with reasoning."
"Research shows that individuals with hoarding disorder exhibit weaknesses in inhibition, cognitive flexibility, and decision-making, leading to cognitive rigidity rather than a loss of comprehension."
"Studies indicate that older adults with hoarding symptoms can score normally on dementia screens while still demonstrating executive-function weaknesses, highlighting the selective nature of their cognitive impairments."
Hoarding disorder involves significant challenges in executive function, affecting planning, decision-making, and cognitive flexibility. Research indicates individuals with this disorder struggle with tasks requiring attention shifting and inhibition. Unlike dementia, the cognitive impairments in hoarding disorder are more selective, as individuals may perform normally on general cognitive assessments while still facing executive-function difficulties. This selective impairment contributes to the exhausting nature of sorting and discarding possessions for those affected.
Read at Psychology Today
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