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The Diagnostic and Statistical Manual of Mental Disorders – 5th Edition (DSM-5, American Psychiatric Association, 2013) defines Hoarding Disorder (HD) as Hoarding disorder is characterized by the persistent difficulty of discarding or parting with possessions, regardless of the value others may attribute to thesePeople with hoarding disorder have persistent difficulty getting rid of or parting with possessions due to a perceived need to save the items.