Last night’s television show on “hoarding” featured two cognitive-behavioral psychologists doing some initial work with severe hoarder’s. In addition to the help of a therapist, each patient also had the assistance of a professional organizer to slowly and systematically make practical decisions as the emotional part of the treatment was progressing. This obsessive-compulsive disorder (OCD), like most problems, varies widely and is on a continuum from mild to severe. The important point is that if left untreated, OCD gets worse. While I don’t personally see many hoarders, I do work with a number of people who suffer from obsessive and compulsive behaviors. I use Rational-Emotive Behavior Therapy, REBT, a cognitive-behavioral approach developed by Dr. Albert Ellis. Sometimes I incorporate hypnosis and EMDR depending on the needs of the client.