Abstract：
OBJECTIVE: People with hoarding behaviours often struggle to engage in treatment. This study aimed to explore the experiences of a sample of people who identify as engaging in hoarding behaviours and who are seeking support. Exploring motivation to seek help, the barriers those who hoard face in accessing support and what facilitates accepting help, can aid understanding of how best to intervene.
METHODS: Eight individuals who self-identified as seeking help in relation to hoarding behaviours were recruited via social media and support groups. Interviews were conducted by telephone or video call, before being transcribed and analysed using interpretative phenomenological analysis.
RESULTS: Participants described complex help-seeking narratives and reported continued ambivalence about addressing their hoarding behaviours. The four group experiential themes identified were Wrestling with identity; Who can I trust?; Services don\'t fit; and Being overlooked: \'they\'re too busy looking at the thing, not the person\'. Difficulties trusting others and services were identified; services were experienced as rejecting and many participants sought help for problems other than their hoarding. Problems accessing appropriate help for hoarding were predominant in the narratives, although participants who had accessed peer support described this as valuable.
CONCLUSIONS: There are both internal (e.g. fear of judgement; feeling overwhelmed) and external (e.g. service gaps) barriers that make finding useful help for hoarding behaviours very difficult. Services may facilitate those seeking help by taking a compassionate and person-centred approach to hoarding problems.
METHODS: Eight individuals who self-identified as seeking help in relation to hoarding behaviours were recruited via social media and support groups. Interviews were conducted by telephone or video call, before being transcribed and analysed using interpretative phenomenological analysis.
RESULTS: Participants described complex help-seeking narratives and reported continued ambivalence about addressing their hoarding behaviours. The four group experiential themes identified were Wrestling with identity; Who can I trust?; Services don\'t fit; and Being overlooked: \'they\'re too busy looking at the thing, not the person\'. Difficulties trusting others and services were identified; services were experienced as rejecting and many participants sought help for problems other than their hoarding. Problems accessing appropriate help for hoarding were predominant in the narratives, although participants who had accessed peer support described this as valuable.
CONCLUSIONS: There are both internal (e.g. fear of judgement; feeling overwhelmed) and external (e.g. service gaps) barriers that make finding useful help for hoarding behaviours very difficult. Services may facilitate those seeking help by taking a compassionate and person-centred approach to hoarding problems.
摘要：
目的：有囤积行为的人往往难以接受治疗。这项研究旨在探索一些被认为从事囤积行为并寻求支持的人的经验。探索寻求帮助的动机，囤积者在获得支持方面面临的障碍，以及促进接受帮助的因素，可以帮助理解如何最好地干预。
方法：通过社交媒体和支持团体招募了8名自我认定为寻求与囤积行为有关的帮助的人。面试是通过电话或视频电话进行的，在使用解释现象学分析进行转录和分析之前。
结果：参与者描述了复杂的寻求帮助的叙述，并报告了关于解决他们囤积行为的持续矛盾。确定的四个小组体验主题是具有身份的摔跤；我可以信任谁？;服务不适合；被忽视：他们太忙了，不是人\'。确定了信任他人和服务的困难；服务经历了拒绝，许多参与者寻求除了囤积之外的问题的帮助。在叙述中，获得适当帮助以囤积的问题是主要的，尽管获得同伴支持的参与者认为这很有价值.
结论：存在内部（例如对判断的恐惧；感到不知所措）和外部（例如服务差距）的障碍，这些障碍使得为囤积行为找到有用的帮助非常困难。服务可以通过采取富有同情心和以人为本的方法来帮助那些寻求帮助的人囤积问题。
方法：通过社交媒体和支持团体招募了8名自我认定为寻求与囤积行为有关的帮助的人。面试是通过电话或视频电话进行的，在使用解释现象学分析进行转录和分析之前。
结果：参与者描述了复杂的寻求帮助的叙述，并报告了关于解决他们囤积行为的持续矛盾。确定的四个小组体验主题是具有身份的摔跤；我可以信任谁？;服务不适合；被忽视：他们太忙了，不是人\'。确定了信任他人和服务的困难；服务经历了拒绝，许多参与者寻求除了囤积之外的问题的帮助。在叙述中，获得适当帮助以囤积的问题是主要的，尽管获得同伴支持的参与者认为这很有价值.
结论：存在内部（例如对判断的恐惧；感到不知所措）和外部（例如服务差距）的障碍，这些障碍使得为囤积行为找到有用的帮助非常困难。服务可以通过采取富有同情心和以人为本的方法来帮助那些寻求帮助的人囤积问题。
