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It’s important for hoarders to realize they’re causing other people harm and stress. “I think you want to keep in mind that no amount of shaming them or yelling at them or having temper tantrums about it is really going to change the issue. “It’s a very difficult syndrome to break,” says Kolberg, who offers training for other organizers to help them deal with clients who hoard. But solutions aren’t often simple, quick, or lasting.

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TV viewers may breathe a sigh of relief when they see a tidy, spacious home - or room of a home - at the end of a hoarding program. Sometimes, people must take action because a landlord, a condominium association, or the city has put pressure on them to clean up the mess.

Sometimes they come in under pressure from their family, but in most cases it’s the family members themselves who seek help in bringing the home under control. Most people who hoard don’t seek help on their own, Tompkins says. As a result, their priorities are different from those of non-hoarders, and “those are things we can imagine might feed into a hoarding problem,” Tolin says. This region is crucial for weighing options and thinking rationally. Studies have found that the frontal lobe within the brain of someone who hoards tends to work differently, he says. Much more common are problems like major depression disorder, anxiety, and attention deficit disorder.” It seems like there is not a particular special or strong relationship with OCD. “But as we have more studies coming in, we’re increasingly seeing that it’s not. In the past, experts saw hoarding as an “an outgrowth of obsessive-compulsive disorder (OCD),' Tolin tells WebMD. The assumption that an item might be useful someday, which compels them to save far more than “the drawer of hinges, thumbtacks, string, and rubber bands” that many of us keep.A sense that many items have an intrinsic value, like others might see in artwork or driftwood.They’d feel a sense of major loss if they had to throw this stuff away. An intense emotional attachment to objects that others see as trivial - or even trash.People may hoard objects for many reasons, says Michael Tompkins, PhD, a psychologist and co-author of Digging Out: Helping Your Loved One Manage Clutter, Hoarding, and Compulsive Acquiring. If they’re no longer able to cook meals in their own home, if they can’t live safely in their own home, if they’re a threat to others, that’s where we’d say it crosses the line.” “Lots of people may acquire things they don’t need, but if it’s not the sort of thing that causes an inability to function adequately, we don’t call it hoarding. The Root of Hoarding: What Lies at the Bottom of That PileĮxperts usually draw the line between a merely messy lifestyle and hoarding “when it comes to the person’s ability to function,” Tolin says. And treating it requires more than a big box of trash bags. Hoarding’s effects can extend beyond an overstuffed home. We’re talking about a surprisingly common disorder that had never really been recognized,” he tells WebMD. “Panic disorder might affect 1%, and obsessive-compulsive disorder maybe 2%. Two percent to 5% of Americans may meet the criteria for being hoarders, says psychologist David Tolin, PhD, a hoarding specialist and author of Buried in Treasures. This problem has gained wider visibility in recent years, thanks in part to several hoarding-related television shows. Sometimes there’s more than your average share of odor, dust, mold, or other types of structural damage,” she says. There’s obviously the assault on your eyes of the quantity of the clutter, then there’s the appreciation of what a mishmash the clutter is. “It’s a pretty sensory experience, let me put it that way. In the past 25 years, she’s also entered the homes of about a dozen people who could be diagnosed as hoarders - and countless others who came close.

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As a professional organizer, the Decatur, Ga., woman helps clients straighten messy closets, tame stacks of paperwork, and bring order to their chaos. Judith Kolberg is accustomed to walking into cluttered homes.

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