Answer

 Family Therapy

This paper discusses the outcome of a group therapy session which was attended by F.R. (the husband) and V.S. (the wife). Refer to Appendix 1 and 2 in the Appendices section. F.R. had difficult childhood characterized by scarcities of almost anything. As an adult with a good job, he feels that it is okay for him to purchase things that are within his reach and means. However, he does not let go of old items resulting in hoarding. The wife is angry about F.K. hoarding behavior and she is worried that their home is filled up to the point that it may catch fire someday since cooking activities with use of open fires takes place within the cluttered house. Both, F.R. and V.S. do not have any pertinent history or medical information relevant to the hoarding disorder. In addition, none is using any prescribed medication for treatment of other disorders or conditions at the moment.

F.K. was diagnosed of hording disorder (ICD-10 coding: F42.3) while V.S. was diagnosed of intermittent explosive disorder (ICD-10 coding: F63.81) in according to the Diagnostic and Statistical Manual of Mental Health Disorders, fifth edition (DSM-5) by the American Psychiatric Association (AMA). Hoarding is a problematic or excessive form of collectionism and may be a heavy burden to the families, the sufferer, and the society as large (Mataix-Cols, 2010). Anger, irritability, temper, and defiance are specific descriptors of the intermittent explosive disorder (Safer, 2009).  V.S. aggressive behavior is in response to occupational and relational problems (AMA, 2017). V.S. oppositional anger is in response to a stressor which is the F.K.’s hoarding behavior and the risks that hoarding is perceived to cause in the future. V.S. is worried that her husband’s hoarding behavior is likely to put them into risks such as a fire in the future. 

Cognitive behavioral therapy is recommended for F.K. while V.S. is should be taught positive coping skills (AMA, 2017). Both clients are eligible for Medicaid mental health services established under the Prevention and Affordable Care Act 2010. The American Health Care Act of 2017 does not refused coverage, due to slashed budget cuts, since they had existing insurance plan before May 04, 2017 (National Alliance on Mental Health, 2017). Counseling services to the couple may be accessed in Community Health Centers that were established under Community Mental Health Act 1963 (National Council, 2019).