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Updated: Jun 3, 2026

Real-time fMRI Biofeedback Targeting the Orbitofrontal Cortex for Contamination Anxiety
Published on: January 20, 2012
Cognitive-behavioral therapy for hoarding in the context of contamination fears
1School of Social Work, Boston University, 264 Bay State Road, Boston, MA 02215, USA. steketee@bu.edu
Abstract:
Difficulty discarding and excessive acquiring can be treated using specialized cognitive-behavioral treatment that includes motivational interviewing, skills training, practice sorting and discarding, and cognitive restructuring. Early psychotherapy efforts to treat hoarding have proved less effective than this combination of methods targeted at the characteristic features of hoarding. Treatment strategies are illustrated through a case example of a woman struggling with both hoarding and contamination concerns.
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