Is it really that big a deal? Yes it is, and not only that, there’s no one way to deal with it.
Because there’s no one way to be a “hoarder,” which is fast becoming a very loose term. There are as many ways a house can become uninhabitable as there are ways a person can become overweight. And we all know what a loaded subject that is, especially when you get into definitions and degrees of being overweight. Similarly, there are degrees of squalor, and that page doesn’t really get into how squalor escalates. Some people just never throw anything away, no matter how gross it is. And some of those people lead a sedentary lifestyle, but some don’t. Some people used to have a nice house, but stopped caring; others still care, but are unable to do much for themselves. Hoarding can mean loose, sloppy piles, or it can mean boxes stacked to the ceiling, or it can be both in the same house. Animals may or may not be involved. And so on.
You can’t lose weight for someone. You can only show them how. And with house recovery, so much of it is about making decisions, and I cannot make clients’ decisions for them. However, it often happens that eating right starts to feel right, and becomes a habit. Likewise, I’ve had plenty of clients get in the groove after they’ve been watching me for a couple hours. The best is when I leave in late afternoon and come back in the morning to find that big chunks have disappeared overnight. They’re taking initiative, and I don’t have to prod them into making decisions about their own stuff.
There have been some lost causes, though. There was the OCD woman I described in another thread, who seemed to think I was there to help her maintain her hoard, and another middle-aged woman who I strongly suspect only engaged me so she could say “All right, I hired somebody; you happy now? Fucko off!” to whoever had been nagging her. And the woman who spent eight hours just staring at the TV while I (almost literally) shoveled out her kitchen and two bathrooms. I was supposed to come back; she postponed, then canceled and never rescheduled. All three of them were just. not. into it, is the point, and that’s why nothing got done in the first two instances. The third one, I think she was depressed, perhaps clinically. I’d like to think I helped a bit, but who knows.
And I doubt I could have done much for this homeowner when she was alive. I’ve been reading that blog for some time now. If I did the link correctly, you can go to the entry titled “Randomness,” about halfway down the page. The homeowner not only saved burnt-out light bulbs. but labeled them with the date they burned out. She would not have been my client, or at most, she would have been one of those I-gave-it-a-shot clients. At any rate, we would never have gotten to the light bulbs, because she would have been too far gone to let anyone that deep into the house, if she let them in at all. She was a compulsive hoarder, and that’s a whole different animal from “I’m depressed” or “I’m disabled” or “I work long hours.” Those are physical/practical issues, but people with mental issues need a therapist, not a housecleaner. Nothing the cleaner does will take without the help of a therapist.
For me, compulsive hoarding is when the following does not apply: Everything* in the kitchen belongs in a kitchen, and everything that belongs in a kitchen is in the kitchen. And the same for other rooms. It’s okay if every available surface in the kitchen is clogged with dirty dishes, and even if a few bowls and tumblers have wandered into other rooms. All I have to do is wash them and find a place for them. OTOH, I know I’m dealing with a compulsive hoarder when I go into the bedroom and find boxes of dishes, or even just loose (and precariously stacked) dishes. That no one is ever going to use, that there’s not enough room for unless you want to use display cabinets, and there might not even be room for those. That’s someone who is not going to change without psychiatric help. The client in the first scenario might end up jettisoning 75% of their kitchenware, once they see it all together. The second client will not let go of so much as a teaspoon. And if they’re alive and have any veto power, that’s how it will stay.
*Allowing for some flexibility in the use of the term “everything,” of course. It’s okay to have a book or two in the kitchen. It’s quite another to have a whole collection of books in the kitchen because you ran out of space in the living room. Or the garage.