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Hoarding- Frequently Asked Questions

 

Although Compulsive Hoarding Disorders have been around for centuries, they have only recently begun to receive the diagnosis and treatments of the medical and mental health communities.  Unfortunately, most people who suffered such disorders throughout history were seen as simply lazy, dirty, crazy, eccentric or any combination of the above.  Today, dedicated researchers and professionals are helping to shed light on the underlying causes of hoarding disorders and to provide viable treatment solutions for those afflicted.   The recent influx of documentary films and television attention to hoarding is making it a bit easier for some to "come out from under the piles" and seek the help they need to restore their lives and environments.

 

Here are some frequently asked questions regarding Hoarding:


Q: What is hoarding?

 

A:   

In general terms, Hoarding refers to the act of acquiring and storing items or food.   For our purposes, and that of the mental health community, hoarding, also known as compulsive hoarding or compulsive hoarding syndrome is the excessive and obsessive collection of often "useless" materials accompanied by the inability to discard them.  Most with a hoarding disorder are unable to distinguish the difference between needs and wants, or valuables and trash.  The living environment of a hoarder becomes overwhelmed with items until it no longer functions as a home. 

 

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Q: What are the dangers of hoarding?

 

A:

Living in a hoarder home presents numerous dangers to the occupant(s) and community, dependent upon the degree of squalor and the contents which are being hoarded.  Some of the most frequently encountered dangers of hoarding are: 

  • fire caused by the hoarded materials and the inability to escape a fire

  • contents collapse on an occupant causing injury or asphyxiation

  • structural damage or collapse due to weight of contents

  • rodent or insect infestation

  • loss of utilities and/or sanitary facilities, water, heat, toilets, stoves, refrigeration

  • illness due to mold, dust, biohazard, contaminated food, animal waste, or decay

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Q: What do I do if I suspect someone is a hoarder?

 

A:

The first thing you need to do is understand that this is not a choice.  Learn as much as you can about the Illnesses behind hoarding behaviors, and do not try to force anyone to clean out their house.  If the person is even aware that he/she has a problem, chances are they are scared, ashamed, depressed- you name it.  Hoarding comes with a lot of emotional baggage, and he/she may be terrified about facing that emotion head-on.  If you have the ability to be sympathetic, perhaps you can simply let him/her know that you are concerned about their safety and ability to carry on the activities of daily living and that you are available to talk and/or help.

 

You can assist them in finding a specialized therapist or psychologist/psychiatrist who has worked with compulsive hoarders to help them start to sort out the "why" and "how".  From there, you can stand by them throughout the process of recovery as they attempt to clean out their lives.  Being educated on hoarding and non-judgmental is what a hoarder needs most of all.  However, don't be at all surprised if the hoarder resists any help.

 

HOWEVER, if there is a significant risk to the health or safety of the person or another resident of the household, you should speak to them immediately about seeking help.  If they are unwilling, you should find resources in your community through a Senior Center, Fire Department, Housing Office, APS (Adult Protective Services) or such to ensure that they are safe. 

 

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Q: Can hoarding be cured? 

 

A:

Tough question.  While we are not medical doctors, we have done extensive research on hoarding disorders and treatments.  We tend to side with the opinion that hoarding falls into the category of mental illnesses that include addictive and behavioral illnesses such as smoking, alcoholism, eating disorders, etc.  While some can be treated successfully through medication, behavior modification programs, intensive therapy or such, they will always be in recovery- fighting the voice inside that tells them they need something they don't or that no one else will take care of the stray cats in the world or that they can use such and such for something someday.  It takes a strong commitment and support system to stay on track and live clutter free.

 

 

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Q: What kind of help is available for hoarders?

 

A:

Thankfully, there has been some wonderful research on hoarding disorders in the past decade resulting in numerous programs of varied success around the country.  One can now find mental health professionals with specific experience in hoarding disorders which is the first place anyone should start.  There are also both in-patient and out-patient programs at a few mental health facilities, for which you can find links on our links page.

 

Further, there are online and in-person support groups for both hoarders and families of hoarders that can be a great source of inspiration, understanding and hope. 

 

Depending on the situation, you can also find sources of aid in your municipality.  Social workers, fire departments, building inspectors, and others are becoming more aware and thus educated about hoarding situations and how they can and should be handled.  Call your local City/Town Hall to see what they may have available or check with others in your area through internet support groups.

 

 

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Q: Where can I go for help? 

 

A:

If you or your loved one is a compulsive hoarder who is ready to make a change and you do not want to involve your municipality or a social service agency, contact us for information on how we can assist you on the road to recovery. 

 

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