vidual with hoarding disord er. Normative collecting does not produce the clutter, dis-
tress, or impairment typi cal of hoarding disorder. 
Symptoms (i.e., difficulties discarding and/or  clutter) must cause clinically significant
distress or impairment in social, occupational , or other important area s of functioning, in-
cluding maintaining a safe environment for self  and others (Criterion D). In some cases,