An estimated 1 in every 40 adults has experienced problematic hoarding, yet there are few resources dedicated to understanding and supporting people with Hoarding Disorder. This book gives practitioners much-needed practical guidance on how to help those affected by extreme clutter, chronic disorganisation, and hoarding. Encouraging a person-centred approach and featuring case studies throughout, it introduces the DESIRE method, incorporating research, evidence-based therapies, and strategies for appraising hoarding situations and deciding on the best course of action. Through understanding individual cases, co-morbid health conditions, vulnerabilities, cognitive functioning, and the home environment, this book offers a blueprint of practical techniques for helping individuals to make sustained change and lead healthier lives.