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With TV shows such as Hoarding buried alive, mainstream media depictions of hoarding disorder are presented mostly in the context of adults. Interestingly, however, studies have found that the onset of hoarding disorder often occurs in childhood between the ages of 8 and 10 (Morris et al., 2016). Since hoarding can onset at a young age, early intervention could help decrease the long‐term impairment of the disorder. According to the Diagnostic and statistical manual of mental disorders hoarding disorder is characterized as tending to collect items, difficulty in throwing items away despite the items' value or significance, and possessing an excessive number of items, leading to clutter (5th ed.; DSM–5; American Psychiatric Association, 2013). Despite a typical onset in childhood, most hoarding treatment and research has focused on adults because hoarding behaviors in youth can be challenging to identify due to family accommodation (Morris et al., 2016). In this article, we will review the prevalence of pediatric hoarding and provide a case example to describe clinical considerations for treating pediatric hoarding with exposure with response prevention (ERP). [ABSTRACT FROM AUTHOR]

Exposure‐based Cognitive Behavioral Therapy (CBT) is the gold standard of treatment for both anxiety disorders and Obsessive‐Compulsive Disorder (OCD). During exposure therapy, patients gradually confront and closely attend to feared stimuli while resisting safety behaviors or compulsions. [ABSTRACT FROM AUTHOR]

Over the past several decades, there has been a focus on increasing access to evidence‐based practices (EBPs) for youth with psychological disorders. While many well‐tested and efficacious treatments exist, the dissemination and implementation of EBPs in community practice has been met with challenges at both the macro (e.g., systemic) and micro (e.g., therapist and client) levels. Emergent life events (ELEs) are one identified barrier found to decrease fidelity to EBPs in practice settings (Guan, Kim et al., 2019). [ABSTRACT FROM AUTHOR]