Hoarding related difficulties can involve persistent difficulty discarding possessions and may affect living space, safety, relationships or daily life. A webpage cannot determine a diagnosis, cause, severity or appropriate support for an individual. If there is an immediate risk to your safety or someone else’s safety, use an appropriate emergency or urgent service rather than relying on this page. An individual assessment can explore current experiences, relevant health information, safety, personal history, the meaning attached to possessions and practical circumstances. Where appropriate, a clinician may discuss patterns around acquiring, sorting, discarding, avoidance, decision making, shame or relationships. Any exercise or between session reflection should be agreed individually and should not be treated as a self directed prescription or a promise of a particular outcome. The Lyceum Clinic offers an initial conversation for adults considering CBT based support in West London or online. Current availability, location arrangements and whether the service is appropriate for your needs should be checked directly. This does not commit you to a particular treatment route, duration or outcome.