Letting Go, Letting In: Compassion Focused Therapy, Hoarding Disorder & Buddhist Practice with Psychologist Dr Chia-Ying Chou
In this episode of The Practitioner’s Heart, I speak with Dr Chia-Ying Chou, founder and director of the San Francisco Center for Compassion Focused Therapies, a group psychotherapy practice and training hub for Compassion Focused Therapy, hoarding disorder, and clinician education.Dr Chou obtained her PhD from University College London, where her research focused on trauma. She later completed her postdoctoral work at the University of California, San Francisco, working with individuals experiencing hoarding difficulties. Her work now focuses on the relationship between trauma, attachment, shame, compassion, and the fears and blocks around letting go and letting in.We begin by exploring the clinical definition of hoarding disorder, including the persistent difficulty discarding possessions, distress around letting go, and the impact of clutter on living spaces. But Dr Chou also invites us into a broader and more compassionate understanding: that hoarding is not simply about “stuff”. It is about attachment, safety, identity, loss, control, grief, and the very human tendency to hold on to what feels important — even when it may also be causing pain.Together, we explore how all of us may “hoard” in different ways. Some people hold on to objects. Others hold on to relationships, responsibilities, old identities, money, beliefs, status, or versions of themselves that no longer serve them.Dr Chou shares how Compassion Focused Therapy, or CFT, can support people experiencing hoarding difficulties by reducing shame, building inner safeness, strengthening self-worth, and helping people relate to themselves with greater kindness and courage. We also discuss the importance of not only “letting go”, but also letting in — letting in support, connection, vulnerability, embodied safety, and present-moment reality.Later in the conversation, Dr Chou speaks beautifully about her own Sōtō Zen Buddhist practice, daily meditation, sangha, silent retreats, and how the dharma shapes the way she understands suffering, psychotherapy, compassion and healing. We also explore her practice of Five Rhythms dance as a form of moving meditation, embodiment, emotional release and reconnecting with the wisdom of the body.This episode is for psychologists, therapists, counsellors, healthcare workers, Buddhist practitioners, compassion focused therapists, and anyone interested in the intersection of Buddhist psychology, psychotherapy, trauma, attachment, hoarding disorder and embodied practice.In this episode, we explore:What hoarding disorder is from a DSM-5 perspectiveWhy hoarding can be understood as a deeply human experienceThe connection between hoarding, attachment, trauma, grief and identityWhy people may hold on to objects, relationships, responsibilities or old versions of themselvesHow shame and stigma can prevent people with hoarding difficulties from seeking helpHow Compassion Focused Therapy supports people to build safeness and self-worthThe difference between letting go and letting inWhy letting go can feel threatening to the nervous systemHow embodiment, imagery and compassionate awareness can support changeThe role of interpersonal connection and loneliness in hoarding disorderDr Chou’s research into CFT for hoarding disorderCultural reflections on hoarding and savingHow Buddhist practice informs Dr Chou’s work as a therapistThe relationship between dharma, psychotherapy and causes and conditionsDaily meditation, sangha and Sōtō Zen practiceFive Rhythms dance as moving meditationHow therapists can care for the heart, body and mind while doing clinical workAbout Dr Chia-Ying ChouChia-Ying Chou is the founder and director of the San Francisco Center for Compassion Focused Therapies, a group psychotherapy practice and training hub for Compassion Focused Therapy (CFT) and Hoarding Disorder. Dr. Chou obtained her PhD from University College London with a focus on trauma. She spent her postdoc years at University of California, San Francisco working with individuals experiencing hoarding, which she considers to be a relatable human experience and a form of difficulty letting-go. Dr. Chou’s interest focuses on the connection between trauma and the blocks and fears of letting-go and letting-in. She provides training and consultation for clinicians on CFT and hoarding disorder worldwide. Dr. Chou will offer a 6-week online workshop on hoarding starting January 13th (check your time zone). This workshop is open to adults experiencing hoarding or cluttering issues around the globe. More information can be found here: https://sfcompassion.regfox.com/compassionate-mind-training-for-hoardingConnect with Chia-YingInstagram: @sfcompassionFacebook: dr.chiayingWebsite: https://www.sfcompassion.com/Youtube: Dr. Chia-Ying ChouConnect with your host, Poh GanI’m a clinical psychologist, educational & developmental psychologist and board-approved supervisor specialising in neurodiversity-affirming care and cultural identity. Outside of work, I am a buddhist practitioner with a deep love in meditation and learning to walk the Bodhisattva path.Instagram: the.blossoming.therapistsWebsite: www.blossomingtrueself.com.au If this episode resonated:Leave a review on Apple PodcastsShare with a colleague or friendTag us on Instagram with your reflectionsSubscribe for more conversations with therapists on application of Buddhist and contemplative wisdom in work and personal lives.Disclaimer:The content discussed in this podcast is for inspiration and educational purposes only. It is not a substitute for therapy or clinical supervision, and our time together does not constitute a therapeutic relationship. Please seek professional support if you are in need.Let us know what you took away from this conversation! Bodhi Inner Path Circle is a contemplative membership community for therapists who long for a regular, supportive, spiritually grounded place to practise meditation, learn Buddha‑Dharma in reflective practice, and connect with dharma friends. It is currently open for enrolment! You're warmly invited to join us to start your cultivation and practice today! Support the show