Treatment requires more than just a broom and a dumpster
Cognitive behavior therapy (CBT) is often coupled with medication to achieve the best outcome for the patient. Since many hoarders also suffer from other psychological issues, like attention-deficit hyperactivity disorder (ADHD), anxiety or obsessive-compulsive disorder (OCD), it can take some time to determine just the right combination.
CBT is complex and done differently by many psychotherapists, but a patient can expect to delve into the reasons behind the hoarding and learn better methods for deciding what to keep and what to toss. Hoarders often learn relaxation techniques, since throwing treasured items away is a stressful experience for them. Ongoing treatment is critical, because hoarding behavior can never be officially "cured."