Landau investigates the minds of people with hoarding disorder. Brain studies reinforce the idea that hoarding involves a distinct pattern of thinking. Brain studies reinforce the idea that hoarding involves a distinct pattern of thinking. Only small studies have been done so far, but there is clear evidence that people with hoarding problems show different kinds of brain activation during decision-making tasks compared with individuals with OCD and those without either condition. In particular, regions of the brain responsible for understanding how important something is relative to something else "get turned all the way up" in people with hoarding problems, says David Tolin at the Institute of Living, a psychiatric hospital in Hartford CT.
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