Hoarding Psychiatrists in Lacey, WA

Photo of Victoria A Wright, Psychiatric Nurse Practitioner in Lacey, WA
Victoria A Wright
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP, FP
Verified Verified
Lacey, WA 98503
I offer Medication management of emotional disorders and psychiatric disorders. I have worked in medicine for nearly 35 years! Family practice, psychiatric medicines, and urgent care. My work history includes critical care at Harborview Medical Center, elsewhere oncology, Native American Tribes, and urgent care on a mobile unit in Central Florida while working with Healthcare for the Homeless. Board-certified in family practice and psychiatric medicines. Also a Doctorate in Nursing Practice.
I offer Medication management of emotional disorders and psychiatric disorders. I have worked in medicine for nearly 35 years! Family practice, psychiatric medicines, and urgent care. My work history includes critical care at Harborview Medical Center, elsewhere oncology, Native American Tribes, and urgent care on a mobile unit in Central Florida while working with Healthcare for the Homeless. Board-certified in family practice and psychiatric medicines. Also a Doctorate in Nursing Practice.
(360) 295-9408 View (360) 295-9408

More Psychiatrists Nearby

Photo of Dr. Ronil Shah, Psychiatrist in Lacey, WA
Dr. Ronil Shah
Psychiatrist, MD
Verified Verified
Olympia, WA 98501
Why choose Dr. Ronil Shah? Because his top-notch expertise combines with compassionate, personalized care. Treatment with Dr. Shah is a two-way collaboration. Working together, you will design a mental wellness strategy that’s tailored just for you. His philosophy? Your path to wellness should be as unique as you are, shaped by empathy and expertise, and empowered by evidence-based insights and tools.
Why choose Dr. Ronil Shah? Because his top-notch expertise combines with compassionate, personalized care. Treatment with Dr. Shah is a two-way collaboration. Working together, you will design a mental wellness strategy that’s tailored just for you. His philosophy? Your path to wellness should be as unique as you are, shaped by empathy and expertise, and empowered by evidence-based insights and tools.
View
Photo of Diana Wilcox, Psychiatric Nurse Practitioner in Lacey, WA
Diana Wilcox
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Tumwater, WA 98501
Accepting new patients! Is your battle with depression taking too much out of you? Is your child in need of mental health support? I am a board-certified Gonzaga Trained Psychiatric Mental Health Nurse Practitioner. My main focus is on offering medication-free treatment for depression through Transcranial Magnetic Stimulation (TMS). In addition to TMS treatments, I work with children and adolescents. I team with the child, family, teachers, and therapists to help bring hope and improve the child's emotional and behavioral health, academic performance, and peer relationships and support them to achieve their full potential.
Accepting new patients! Is your battle with depression taking too much out of you? Is your child in need of mental health support? I am a board-certified Gonzaga Trained Psychiatric Mental Health Nurse Practitioner. My main focus is on offering medication-free treatment for depression through Transcranial Magnetic Stimulation (TMS). In addition to TMS treatments, I work with children and adolescents. I team with the child, family, teachers, and therapists to help bring hope and improve the child's emotional and behavioral health, academic performance, and peer relationships and support them to achieve their full potential.
(360) 367-3088 View (360) 367-3088
Photo of ABQ Behavioral Services/ ABQ Psychiatric Services, Psychiatric Nurse Practitioner in Lacey, WA
ABQ Behavioral Services/ ABQ Psychiatric Services
Psychiatric Nurse Practitioner, MSN, APRN, FNP-C, PMHNPBC
Verified Verified
Olympia, WA 98503  (Online Only)
About To receive the best and favorable care entails the provider to be an expert and know you as a person. Understanding emotions & behaviors can be challenging and we are all distinctive people with unique life experiences, relationships, and strengths.. I join with the patient to help them explore meaning and purpose. Due to my pragmatic nature, I also pay attention to their behaviors. I have demonstrated expertise in in supporting patients with multiple chronic co morbidities including diagnosing, treating and initiating medication, performing diagnostic interventions and executing follow ups as required. Fashioned treatment.
About To receive the best and favorable care entails the provider to be an expert and know you as a person. Understanding emotions & behaviors can be challenging and we are all distinctive people with unique life experiences, relationships, and strengths.. I join with the patient to help them explore meaning and purpose. Due to my pragmatic nature, I also pay attention to their behaviors. I have demonstrated expertise in in supporting patients with multiple chronic co morbidities including diagnosing, treating and initiating medication, performing diagnostic interventions and executing follow ups as required. Fashioned treatment.
(360) 583-4396 View (360) 583-4396

Online Psychiatrists

Photo of Dr. Emma Nauman @Prisma Wellness, Psychiatric Nurse Practitioner in Lacey, WA
Dr. Emma Nauman @Prisma Wellness
Psychiatric Nurse Practitioner, DNP, PHMNP, BC
Verified Verified
2 Endorsed
Renton, WA 98057
Hello, I'm Emma! I'm a Doctorate level Psychiatric Mental Health Nurse Practitioner. I focused my Doctoral research on behavioral interventions for substance use and I believe that success in mental healthcare comes from shared decision making, treating you as a whole individual and creating sustainable treatment plans for a lifelong change. I was born and raised in the Pacific Northwest and I am a long-time resident of Seattle. I have worked extensively in community mental health and homeless services and I have addressed a wide range of mental health concerns from my past work as a case manager and registered nurse.
Hello, I'm Emma! I'm a Doctorate level Psychiatric Mental Health Nurse Practitioner. I focused my Doctoral research on behavioral interventions for substance use and I believe that success in mental healthcare comes from shared decision making, treating you as a whole individual and creating sustainable treatment plans for a lifelong change. I was born and raised in the Pacific Northwest and I am a long-time resident of Seattle. I have worked extensively in community mental health and homeless services and I have addressed a wide range of mental health concerns from my past work as a case manager and registered nurse.
(425) 217-5176 View (425) 217-5176
Photo of Ethiopia Wudma Zerfu, Psychiatric Nurse Practitioner in Lacey, WA
Ethiopia Wudma Zerfu
Psychiatric Nurse Practitioner, PMHNP, BC, Post, Masters
Verified Verified
2 Endorsed
Seatac, WA 98188
Ethiopia Zerfu is a Certified Psychiatric Nurse Practitioner with two decades of experience providing high-impact healthcare in Washington State. Ms. Zerfu earned her bachelor’s from the University of Washington. Her master’s degree & education from Temple & Walden University. She has worked in various specialties and has found her passion in psychiatry. Crafting her therapeutic alliances to be free of judgment and full of support, Zerfu caters to the whole-person whilst implementing evidence-based practices. She greatly values patient-center care.
Ethiopia Zerfu is a Certified Psychiatric Nurse Practitioner with two decades of experience providing high-impact healthcare in Washington State. Ms. Zerfu earned her bachelor’s from the University of Washington. Her master’s degree & education from Temple & Walden University. She has worked in various specialties and has found her passion in psychiatry. Crafting her therapeutic alliances to be free of judgment and full of support, Zerfu caters to the whole-person whilst implementing evidence-based practices. She greatly values patient-center care.
(253) 544-4368 View (253) 544-4368
Photo of Solidarity Mental Health, PLLC, Psychiatric Nurse Practitioner in Lacey, WA
Solidarity Mental Health, PLLC
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Seattle, WA 98121
Welcome! Do you live in fear or worry about your future? Do you feel self-doubt, guilt, or stuck in the past? Do you lack the focus and motivation required to meet your goals in school or work? Dr. Renia Smith provides online and in-person evaluation, diagnosis, and medication management for Attention Deficit Hyperactivity Disorder (ADHD), mood disorders such as Major Depressive Disorder, and Anxiety Disorders. Dr. Smith is an expert mental health provider who works with children, adolescents, and adults.
Welcome! Do you live in fear or worry about your future? Do you feel self-doubt, guilt, or stuck in the past? Do you lack the focus and motivation required to meet your goals in school or work? Dr. Renia Smith provides online and in-person evaluation, diagnosis, and medication management for Attention Deficit Hyperactivity Disorder (ADHD), mood disorders such as Major Depressive Disorder, and Anxiety Disorders. Dr. Smith is an expert mental health provider who works with children, adolescents, and adults.
(425) 331-9003 View (425) 331-9003
Photo of Great hope psychiatry , Psychiatric Nurse Practitioner in Lacey, WA
Great hope psychiatry
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Seattle, WA 98102
I understand your pain and I know how hard it can get sometimes, My goal is to keep every patient healthy, stable, functional, and productive. Great hope Psychiatry and Behavioral Health Services is a private, outpatient psychiatric and behavioral health practice based in Garland, Texas. We are committed to helping you navigate challenging situations and achieve your mental health goals. We treat patients with depression, schizophrenia, anxiety, bipolar, moods, sleep disorders and other psychiatric conditions. We also help children with psychiatric disorders, including ADHD, depression, anxiety, and Autism.
I understand your pain and I know how hard it can get sometimes, My goal is to keep every patient healthy, stable, functional, and productive. Great hope Psychiatry and Behavioral Health Services is a private, outpatient psychiatric and behavioral health practice based in Garland, Texas. We are committed to helping you navigate challenging situations and achieve your mental health goals. We treat patients with depression, schizophrenia, anxiety, bipolar, moods, sleep disorders and other psychiatric conditions. We also help children with psychiatric disorders, including ADHD, depression, anxiety, and Autism.
(972) 703-4175 View (972) 703-4175
Photo of Justin Maduobi, Psychiatric Nurse Practitioner in Lacey, WA
Justin Maduobi
Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
Verified Verified
1 Endorsed
Bellevue, WA 98006
Currently accepting new clients. I provide a holistic care to adolescents and adults from 13 years old and above with depression, anxiety, trauma disorders, schizophrenia spectrum and psychotic disorder, ADHD and other mental health issues. My main goal here is to assess thoroughly, diagnose and manage your mental health by creating a genuine relationship as we get to know each other. Part of my practice structure is to address things in life that might affect your lifestyle such as sleep, diet and social life. I provide some psychotherapy along with medication management to help balance life and improve your mental health.
Currently accepting new clients. I provide a holistic care to adolescents and adults from 13 years old and above with depression, anxiety, trauma disorders, schizophrenia spectrum and psychotic disorder, ADHD and other mental health issues. My main goal here is to assess thoroughly, diagnose and manage your mental health by creating a genuine relationship as we get to know each other. Part of my practice structure is to address things in life that might affect your lifestyle such as sleep, diet and social life. I provide some psychotherapy along with medication management to help balance life and improve your mental health.
(425) 584-2771 View (425) 584-2771
Photo of Dr. Bridgette Jeffries, Psychiatric Nurse Practitioner in Lacey, WA
Dr. Bridgette Jeffries
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP, BC
Verified Verified
Lynnwood, WA 98036
I am doctorally prepared from the University of Washington and board certified Family Psychiatric Mental Health Nurse Practitioner (PMHNP). Additionally, as a nurse of 30 years, my experience covers a broad spectrum of providing a multitude of services to individuals and families from all walks of life and economic backgrounds. As a board certified PMHNP, my practice will focus on providing services from the adolescent years throughout the life span. My goal is to meet you where you are in your journey and enhance you with tools that will be life changing. We will collaborate together to identify the best holistic approach.
I am doctorally prepared from the University of Washington and board certified Family Psychiatric Mental Health Nurse Practitioner (PMHNP). Additionally, as a nurse of 30 years, my experience covers a broad spectrum of providing a multitude of services to individuals and families from all walks of life and economic backgrounds. As a board certified PMHNP, my practice will focus on providing services from the adolescent years throughout the life span. My goal is to meet you where you are in your journey and enhance you with tools that will be life changing. We will collaborate together to identify the best holistic approach.
(206) 795-7388 View (206) 795-7388
Photo of Jodene Jensen, Psychiatric Nurse Practitioner in Lacey, WA
Jodene Jensen
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
Verified Verified
2 Endorsed
Seattle, WA 98104  (Online Only)
Accepting new patients. Self-schedule at www.solreibehavioralhealth.com. Jodene Jensen, DNP, MPH, PMHNP-BC, FNP-BC, works with patients age 14 and up who have symptoms of anxiety (generalized anxiety, panic, social anxiety), mood disorders (depression, bipolar, mania), psychosis (schizophrenia, schizoaffective disorder), ADHD, PTSD, OCD, addiction, and insomnia. She will listen carefully to you to find the best personalized treatment to obtain calm and symptom relief. Accepting new patients. Schedule a free consultation at www.solreibehavioralhealth.com. In-network with many insurances. Accepts private pay.
Accepting new patients. Self-schedule at www.solreibehavioralhealth.com. Jodene Jensen, DNP, MPH, PMHNP-BC, FNP-BC, works with patients age 14 and up who have symptoms of anxiety (generalized anxiety, panic, social anxiety), mood disorders (depression, bipolar, mania), psychosis (schizophrenia, schizoaffective disorder), ADHD, PTSD, OCD, addiction, and insomnia. She will listen carefully to you to find the best personalized treatment to obtain calm and symptom relief. Accepting new patients. Schedule a free consultation at www.solreibehavioralhealth.com. In-network with many insurances. Accepts private pay.
(321) 529-0252 View (321) 529-0252
Photo of Enrich Community Psychiatry PLLC, Psychiatric Nurse Practitioner in Lacey, WA
Enrich Community Psychiatry PLLC
Psychiatric Nurse Practitioner, MSN, PMHNP, AGNP
Verified Verified
Tukwila, WA 98188
I am a licensed board-certified Psychiatric Nurse Practitioner. I provide medication management for individual ages 16 and older. I also provide evaluations for bariatric surgery eligible patients. My areas of specialization are mood disorders, depression, anxiety, attention deficit hyperactive disorders (ADHD/ADD), schizophrenia, bipolar disorders, PTSD, panic attacks, panic disorder and nightmares.
I am a licensed board-certified Psychiatric Nurse Practitioner. I provide medication management for individual ages 16 and older. I also provide evaluations for bariatric surgery eligible patients. My areas of specialization are mood disorders, depression, anxiety, attention deficit hyperactive disorders (ADHD/ADD), schizophrenia, bipolar disorders, PTSD, panic attacks, panic disorder and nightmares.
(253) 201-0305 View (253) 201-0305
Photo of Med Rx Partners, Psychiatric Nurse Practitioner in Lacey, WA
Med Rx Partners
Psychiatric Nurse Practitioner, PMHNP, ARNP
Verified Verified
Vancouver, WA 98662  (Online Only)
Appointments available in 1 week. Open in both Vancouver, WA and Tigard, OR. Med Rx Partners provides direct access to psychiatric mental health nurse practitioners for medication management for nearly all conditions. Serving the community for 14+ years with 9 providers who all collaborate to provide you the best care possible. Our admin team and providers rapidly respond through our phone/text platform so you will always feel supported and taken care of.
Appointments available in 1 week. Open in both Vancouver, WA and Tigard, OR. Med Rx Partners provides direct access to psychiatric mental health nurse practitioners for medication management for nearly all conditions. Serving the community for 14+ years with 9 providers who all collaborate to provide you the best care possible. Our admin team and providers rapidly respond through our phone/text platform so you will always feel supported and taken care of.
(360) 869-0040 View (360) 869-0040
Elaine Ortman ARNP
Psychiatric Nurse Practitioner, ARNP
Verified Verified
Port Ludlow, WA 98365
I had the honor of being trained by Francine Shapiro, originator of EMDR Psychotherapy. I work with individuals across the life span with a multitude of mental health challenges such as Trauma, Depression, Anxiety, Mood disorders, Bereavement and mourning, Chronic Pain, ADHD, Divorce etc.
I had the honor of being trained by Francine Shapiro, originator of EMDR Psychotherapy. I work with individuals across the life span with a multitude of mental health challenges such as Trauma, Depression, Anxiety, Mood disorders, Bereavement and mourning, Chronic Pain, ADHD, Divorce etc.
(385) 247-0063 View (385) 247-0063
Photo of Ideal Mental Health and Wellness - Debbie Singh , Psychiatric Nurse Practitioner in Lacey, WA
Ideal Mental Health and Wellness - Debbie Singh
Psychiatric Nurse Practitioner, ARNP, FNP, PMHNPBC
Verified Verified
Seattle, WA 98101
Taking New Clients - Working with adults and children who have a variety of mental health conditions and symptoms, including Anxiety, Depression, Bipolar, Schizophrenia, PTSD, Autism, ODD, and poor concentration. I look forward to helping you on your journey to wellness. My name is Debbie Singh, FNP, PMHNP-BC. Are you feeling overwhelmed, exhausted, irritable, unable to keep up with daily tasks, have poor concentration, feeling sad and anxious, are you experiencing frequent mood swings and anger? Don't let these symptoms define you; get help; often, these symptoms may be related to your mental health in many cases.
Taking New Clients - Working with adults and children who have a variety of mental health conditions and symptoms, including Anxiety, Depression, Bipolar, Schizophrenia, PTSD, Autism, ODD, and poor concentration. I look forward to helping you on your journey to wellness. My name is Debbie Singh, FNP, PMHNP-BC. Are you feeling overwhelmed, exhausted, irritable, unable to keep up with daily tasks, have poor concentration, feeling sad and anxious, are you experiencing frequent mood swings and anger? Don't let these symptoms define you; get help; often, these symptoms may be related to your mental health in many cases.
(206) 278-4533 View (206) 278-4533
Photo of Dr. Ronil Shah, Psychiatrist in Lacey, WA
Dr. Ronil Shah
Psychiatrist, MD
Verified Verified
Seattle, WA 98101
Dr. Shah is welcoming new patients for video appointments. As a Board-certified M.D. psychiatrist, he specializes in assessing and treating anxiety, depression, bipolar disorder, OCD, PTSD and other psychiatric issues. A holistic provider, he combines non-pharmacologic approaches - including psychodynamic psychotherapy and cognitive behavioral therapy - in addition to medication. He utilizes such therapeutic modalities in medication management appointments as well as dedicated therapy sessions. Consequently, patients benefit from well-integrated treatment that is both systematic and thorough.
Dr. Shah is welcoming new patients for video appointments. As a Board-certified M.D. psychiatrist, he specializes in assessing and treating anxiety, depression, bipolar disorder, OCD, PTSD and other psychiatric issues. A holistic provider, he combines non-pharmacologic approaches - including psychodynamic psychotherapy and cognitive behavioral therapy - in addition to medication. He utilizes such therapeutic modalities in medication management appointments as well as dedicated therapy sessions. Consequently, patients benefit from well-integrated treatment that is both systematic and thorough.
View
Photo of Apex Behavioral Health Services,PLLC, Psychiatric Nurse Practitioner in Lacey, WA
Apex Behavioral Health Services,PLLC
Psychiatric Nurse Practitioner, APRN, MSN, PMHNP
Verified Verified
Seattle, WA 98107  (Online Only)
Please click on the website link to request an appointment. My name is Paul Kariuki, MSN PMHNP-BC. I graduated from the University of Texas Arlington and I am a board certified Psychiatric Mental Health NP. I am delighted to serve patients from preteen to older adults. I am experienced in treating patients with ADHD, depression, anxiety disorders, bipolar disorder, eating disorders, insomnia, substance use disorders among other disorders. I work closely with my patients to finding the best evidence based medication and psychotherapy modalities.
Please click on the website link to request an appointment. My name is Paul Kariuki, MSN PMHNP-BC. I graduated from the University of Texas Arlington and I am a board certified Psychiatric Mental Health NP. I am delighted to serve patients from preteen to older adults. I am experienced in treating patients with ADHD, depression, anxiety disorders, bipolar disorder, eating disorders, insomnia, substance use disorders among other disorders. I work closely with my patients to finding the best evidence based medication and psychotherapy modalities.
(833) 575-1926 View (833) 575-1926
Photo of Sid Siahpush, Psychiatrist in Lacey, WA
Sid Siahpush
Psychiatrist, MD, PhD, MPH, CGP
Verified Verified
Bothell, WA 98041  (Online Only)
ACCEPTING NEW PATIENTS, EVENING HOURS/WEEKENDS AVAILABLE. Do you seek a compassionate Psychiatrist who believes in a collaborative approach to improve your emotional and physical health? One who values your trust and forges a caring connection with you, to support your growth through the evidence-based conventional psychiatry and broader holistic approach? ** Hi, I am Dr. Sid. I work with my patients to find a well-rounded approach to emotional wellness that includes medication management, therapy, collaborating with your therapist, and strategies for engaging in balanced exercise, nutrition, and relationships.
ACCEPTING NEW PATIENTS, EVENING HOURS/WEEKENDS AVAILABLE. Do you seek a compassionate Psychiatrist who believes in a collaborative approach to improve your emotional and physical health? One who values your trust and forges a caring connection with you, to support your growth through the evidence-based conventional psychiatry and broader holistic approach? ** Hi, I am Dr. Sid. I work with my patients to find a well-rounded approach to emotional wellness that includes medication management, therapy, collaborating with your therapist, and strategies for engaging in balanced exercise, nutrition, and relationships.
(425) 620-2926 View (425) 620-2926
Photo of Jibran Ahmed, Psychiatric Nurse Practitioner in Lacey, WA
Jibran Ahmed
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Seattle, WA 98125
I'm passionate about the importance of people having easy access to mental healthcare. Before joining the healthcare field, I taught in low-income and underserved communities. Seeing the impact that a lack of mental healthcare had in these areas drove me to return to school and begin a career focused on providing that much-needed care. In my eyes, treatment can significantly increase the quality of life both mentally as well as physically.
I'm passionate about the importance of people having easy access to mental healthcare. Before joining the healthcare field, I taught in low-income and underserved communities. Seeing the impact that a lack of mental healthcare had in these areas drove me to return to school and begin a career focused on providing that much-needed care. In my eyes, treatment can significantly increase the quality of life both mentally as well as physically.
(206) 984-3618 View (206) 984-3618
Photo of M. Wallace Williams at Motiva Health, Psychiatric Nurse Practitioner in Lacey, WA
M. Wallace Williams at Motiva Health
Psychiatric Nurse Practitioner, ARNP, PMHNP
Verified Verified
Tukwila, WA 98188
Immediate Appointments Available! Are you ready to embark on a journey towards better mental health? I am a psychiatric mental health nurse practitioner, dedicated to providing evidence based compassionate care that supports individuals like you who are seeking relief from mental illness. With over a decade of experience in psychiatric medication management, I have been serving adults (18-65) in the greater Puget Sound area. My practice specializes in depression, anxiety, mood disorders, adjustment issues, personality disorders, and other common psychiatric conditions.
Immediate Appointments Available! Are you ready to embark on a journey towards better mental health? I am a psychiatric mental health nurse practitioner, dedicated to providing evidence based compassionate care that supports individuals like you who are seeking relief from mental illness. With over a decade of experience in psychiatric medication management, I have been serving adults (18-65) in the greater Puget Sound area. My practice specializes in depression, anxiety, mood disorders, adjustment issues, personality disorders, and other common psychiatric conditions.
(206) 208-0084 View (206) 208-0084

Nearby Hoarding Psychiatrists Searches for Lacey

See More Hoarding Psychiatrists
Hoarding Psychiatrists

What is the most effective treatment for hoarding?

Cognitive behavior therapy (CBT) has been well-studied in the treatment of hoarding. This type of therapy includes changing beliefs surrounding possessions, as well as learning how to discard items and reduce acquisitions. The hoarder may also gain much-needed organizational skills. Another useful therapy may be compassion-focused therapy, which can address emotion regulation and negative self-perception.

How long does therapy for hoarding take?

Although treatment can vary, most people demonstrate improvement after 23 sessions, with some showing improvement after just a few sessions. Researchers have developed a 26-session cognitive behavioral program. People who hoard may need “maintenance” sessions over the years if the problem arises repeatedly.

Are there medications for hoarding?

The more commonly-prescribed medications for hoarding are including antidepressants, including selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs). This can include drugs such as venlafaxine and paroxetine. And because hoarding disorder is related to obsessive-compulsive disorder, medications for OCD, such as clomipramine, may be effective for hoarding as well.

Can hoarding come back after treatment?

Hoarding is a chronic disorder and it can last throughout an individual’s lifetime. Regularly checking in with a psychotherapist can help manage symptoms long-term. A good therapist will help the person learn needed skills including decision-making, organization, and stress reduction. The patient will gain a better perspective and the need to cling to useless items will lessen.