Cognitive Behavioural Therapy

An evidence-based talking therapy that has been adapted specifically for hoarding disorder, focusing on saving cognitions, exposure to releasing, and decision-making practice.

Hoarding-specific CBT was developed by Randy Frost and Gail Steketee and is the most studied treatment approach. It typically combines cognitive work (examining saving cognitions), behavioural exposure (practising release), and skills training (categorisation, decision-making, problem-solving).

Octolet is not a substitute for therapy. It draws on the same foundations and can complement professional support — many of the soft-challenge prompts are inspired by CBT-style questioning, used with care.