A Family Guide to Navigating and Addressing Hoarding Issues

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By Deirdre Mundorf

Updated: Jul 31, 2024

8 min read

Hoarding Issues in Home
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    Hoarders keep items they believe may be useful one day, although others might not see their value. Helping a hoarder is challenging if you maintain a super-sanitary mindset, as simply removing their possessions won't solve the underlying issue. Collecting behaviors exist on a range, with extremes at both ends. Understanding the causes of hoarding is just the first step; transitioning from severe hoarding to a manageable state is an intensive process that requires significant and often expensive therapy.This guide aims to help people understand and begin addressing hoarding for family members.

    Understanding the Hoarding Disorder

    Hoarding disorder's origins are not well understood, but it might involve genetic influences, brain activity, and significant stress in one's life. It often begins during the teenage years, between 15 and 19, and tends to get worse with age, particularly affecting older adults. Risk factors include traits such as trouble making decisions and organizing, a family background of hoarding, and stressful experiences like the death of a close person or divorce.

    Complications from hoarding include a higher risk of falls, injuries, conflicts within families, social isolation, unclean living environments, fire dangers, reduced work performance, and legal issues. It is also commonly linked to other mental health disorders, such as depression, anxiety, OCD, and ADHD.

    Supporting a Loved One With a Hoarding Disorder

    A cluttered room
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    Individuals with hoarding disorder develop an intense emotional connection to their possessions, including items that may seem insignificant or unusable. They find solace in purchasing and accumulating objects but experience significant distress at the thought of discarding anything. This behavior frequently comes about in a swarmed, unsanitary, and possibly perilous living space, adversely affecting their connections, particularly with family and companions who endeavor to offer help.

    Feeling

    In the event that you care for somebody with accumulating clutter, it's common to feel overpowered. You might feel disappointed by your failure to alter their behavior, troubled by their living conditions, or pushed by the continuous clashes this issue brings to your relationship. Concerns about monetary strain due to over-the-top shopping, well-being dangers from unhygienic conditions, or threats like fires and wounds from the clutter are moreover normal.

    Emotions

    Sharing a living space with a hoarder can compound these sentiments. As the clutter develops, you might feel irritated by the diminished living region, irritated by their hesitancy to dispose of things, or harmed that they prioritize their belonging over your shared space. It can indeed feel as in spite of the fact that the hoarder values their things more than your relationship.

    Understanding

    Whereas living in such conditions is challenging, it's pivotal to get that your cherished one's behavior isn't a choice. Hoarding disorder could be a complex mental well-being issue, and settling it requires more than basically expelling clutter. Arranging their belongings without their assent can be counterproductive, frequently driving outrage, hatred, and a continuation of storing behaviors.

    Support

    To address both the passionate and viable angles of accumulating, consider these rules. In spite of the fact that recuperation is as a rule a moderate preparation, along with your bolster, understanding, and tolerance, your adored one can work towards recapturing control of their life.

    The Impact of Hoarding Disorder

    Woman cleaning the house
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    Hoarding disorder manifests through behaviors such as accumulating and retaining items without immediate need or space, struggling to dispose of belongings regardless of their worth, and feeling distressed at the thought of discarding items. This leads to cluttered living spaces, making rooms unusable. Perfectionism, indecision, and disorganization are common, resulting in piles of items like newspapers, clothes, and sentimental objects that obstruct living areas.

    Clutter can reach unsanitary levels, causing safety issues and conflicts with those attempting to clear the space. Social, relationship, and employment difficulties often arise. People with hoarding disorder keep items due to a belief in their future necessity, emotional attachment, comfort, or a desire to avoid waste.

    Guide for Family to Address Hoarding Disorder

    Managing the Obsessive Behavior

    Managing your loved one's obsessive behavior can be difficult and stressful, but your support can help them change their thoughts and habits, regain space, and improve their relationships. Attachment disorder is characterized by a strong attachment to possessions, regardless of their practical value.

    Scavengers find solace in collecting things but experience great anxiety at the thought of discarding them, leading to messy, unsafe living conditions and strained relationships, especially with family and friends who try to help.

    Challenges of Living With a Hoarder

    Living with or supporting a hoarder can be emotionally taxing. You may be frustrated by failed attempts to change their behavior, upset by their living conditions, or stressful conflicts. Money worries, health risks, and potential safety risks due to confusion can also be difficult.

    The Complexity of Sharing Home

    Sharing a place to live with a hoarder can be particularly difficult. The constant accumulation of things can lead to anger at lost space, frustration at being denied them, and feelings of indifference. It is important to understand that hoarding is a complex mental health problem.

    Simply throwing away your possessions without consent often makes the situation worse, leading to resentment and continued hoarding behavior. Dealing with teething requires sensitivity to both emotional and practical challenges. With patience, empathy, and consistent support, your loved one can gradually get their life back on.

    Recognize the Key Indicators

    Hoarding disorder is distinct from typical clutter or sentimental attachment. Key indicators include:

    • Overvaluing possessions and experiencing distress when discarding them.
    • Clutter that obstructs living spaces and poses safety hazards.
    • Health risks from unsanitary conditions, such as dust or infestations.
    • In animal hoarding, neglecting pets is needed due to excessive accumulation.

    Differentiate Between Clutter, Collecting, and Hoarding

    Understanding the difference between normal clutter, collecting, and hoarding is essential. Those who are merely messy can still use their living spaces and welcome visitors. Collectors find joy in their organized collections, whereas hoarders compulsively accumulate items and struggle to discard them, leading to disorganized and often unusable living spaces. By recognizing these distinctions and offering empathetic support, you can help your loved one address their hoarding disorder and work towards a healthier living environment.

    Detecting the Trigger Points

    Irrational Beliefs About Possessions
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    People engage in hoarding for various reasons, often driven by irrational beliefs about possessions that make it difficult for them to discard items. This could be due to attaching sentimental value to everyday or seemingly worthless objects, associating them with important memories or unique qualities that others might overlook.

    Some hoarders fear scarcity, compulsively accumulate free items, or are unable to resist bargains. Others view disposing of items as wasteful. Hoarding disorder is typically observed in older individuals with a family history of hoarding, often triggered by stressful life events or accompanying other mental health conditions like OCD, anxiety disorders, depression, PTSD, or ADHD.

    Communication With the Hoarder

    Living conditions may be disorganized and unhygienic for individuals with hoarding disorder, yet they may not perceive their behavior as problematic, making it challenging to change. Whether initiating the conversation for the first time or attempting to engage a loved one in previous failed attempts, the approach significantly impacts the outcome. Pressuring them to enact immediate substantial changes, assuming control, or disposing of their possessions will only deteriorate the situation, erode trust, and escalate family discord.

    Managing Personal Responses

    When dealing with a hoarder, it's easy to become impatient, stressed by the lack of influence over their environment, or burnt out from the efforts to assist. While one cannot dictate the hoarder's actions, managing personal responses is crucial. This involves introspection to identify potential contributions to the hoarding behavior, whether by oneself or other acquaintances.

    Having Realistic Expectations

    Avoid enabling hoarding tendencies by declining to store items or cover costs for additional storage, as such actions perpetuate the problem. Similarly, refrain from accompanying the hoarder on shopping trips or providing gifts that increase the issue, and resist bailing them out of financial troubles resulting from excessive spending.

    Although supporting loved ones in cleaning and organizing is essential, assuming sole responsibility hampers their motivation to address the underlying issues driving the behavior. Realistic expectations are vital; aiming for gradual progress and acknowledging setbacks can mitigate family tensions. Prioritizing safety over perfection in the living environment can provide a more achievable goal.

    Managing Stress and Resolving Conflicts

    Managing stress is paramount for both the hoarder and their support network, as heightened tension can fuel negative behaviors. Engaging in stress-relief activities like exercise or meditation promotes inner calm and resilience. Resolving conflicts constructively is crucial, as reacting with hostility or dismissal only widens the divide. Learning to address differences in a respectful manner fosters stronger connections and promotes mutual understanding.

    Motivating the Hoarder

    Helping someone with hoarding disorder emphasizes the importance of motivating them with patience and understanding, focusing on harm reduction rather than eliminating clutter entirely, setting achievable goals, allowing them to make their own decisions, identifying triggers for acquiring more items, and celebrating even small progress.

    Overcoming the Hoarding Disorder With CBT

    Cognitive behavioral therapy (CBT) stands as the mainstay treatment for hoarding disorder, surpassing the role of medication, which may alleviate underlying conditions like anxiety or depression. Whether conducted individually or in a group, CBT targets the detrimental cognitions fueling hoarding behaviors and aids in fostering new behavioral patterns. Collaborating with a suitable therapist can empower individuals to confront unhelpful thoughts, curb the impulse to accumulate possessions, enhance decision-making and organizational abilities, and strengthen motivation for decluttering.

    Conclusion

    Understanding hoarding disorder is essential for providing effective support to loved ones. Living with their perspective and using language that reflects their attachment to possessions can build trust and facilitate communication. Emphasizing safety concerns rather than passing judgment, offering assistance at their pace, and encouraging professional help can foster positive change. However, it's crucial to avoid being judgmental, argumentative, or minimizing the challenge, as this can hinder progress and strain the relationship. Respecting their autonomy and seeking permission before touching possessions are also important aspects of offering support.

     

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