Which statement best describes Hoarding Disorder?

• A. Very poor memory
• B. Obsessions about cleanliness
• C. Difficulty discarding possessions regardless of value, leading to accumulation
• D. Paranoia

Answer: (C)

Hoarding Disorder is defined by a persistent difficulty discarding or parting with possessions, regardless of their actual value, due to distress at the thought of discarding them. This leads to the accumulation of items that clutter and congest living spaces and causes clinically significant distress or impairment in functioning. The option that describes difficulty discarding possessions regardless of value and the resulting accumulation best captures this pattern. The other statements don’t fit: very poor memory isn’t the defining issue; a focus on cleanliness aligns more with OCD-related contamination concerns; and paranoia describes unfounded suspicious beliefs not characteristic of hoarding.