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Which term best describes the distress associated with hoarding disorder?

  1. Joy from collecting items

  2. Indifference to possessions

  3. Distress at the idea of disposal

  4. Contentment with clutter

The correct answer is: Distress at the idea of disposal

The distress associated with hoarding disorder is best described by the experience of distress at the idea of disposal. Individuals with hoarding disorder often have significant anxiety and emotional turmoil when faced with the prospect of discarding or getting rid of their possessions. This distress arises from a strong attachment to their items, fear of losing important items, and anxiety over potential negative consequences of decluttering. In contrast, the other terms do not accurately capture the essence of hoarding disorder. Joy from collecting items implies a positive experience, which does not align with the distress that individuals with hoarding disorder typically feel. Indifference to possessions would suggest a lack of concern or emotional ties to their belongings, which contradicts the intense emotional responses observed in those with hoarding behavior. Contentment with clutter would imply satisfaction with their living conditions, whereas individuals with hoarding disorder often experience feelings of embarrassment and shame regarding their clutter, highlighting the distress rather than contentment.