Cluttered Lives, Empty Souls: Understanding and Treating Hoarding Disorder
By Terrence Daryl Shulman, JD,LMSW,ACSW
"You can’t take it with you."
—Kaufman and Hart
Unless you’ve been living on another planet, you’ve probably noticed the ever-increasing media coverage over the last few years around the "latest" disorder: hoarding. Several cable programs on hoarding have garnered big ratings and endless fascination: A&E’s "Hoarders," TLC’s "Hoarding: Buried Alive" and "Storage Wars," Animal Planet’s "Animal Hoarders," and OWN’s "Enough Already!" And you thought you or someone you know was the only one with this "secret." Of course, these TV programs tend to highlight the more extreme cases of hoarding, but hoarding is either on the rise or we’re finally starting to come to terms with it. While statistics and prevalence are still sketchy, here’s what the latest research shows:
Hoarding affects about 6-15 million Americans—2010, Time magazine
There are over 75 U.S. National Hoarding Taskforces—2010, Time magazine
Personal consumption expenditures and storage unit rentals increased over 20% since 1980—U.S. Chamber of Commerce
I became interested in studying and treating hoarding disorder several years ago when many of my counseling clients divulged their struggles with clutter and stuff—especially my clients who were compulsive shoppers or shoplifters. I also recognized several family members and friends who were "packrats" and, bit-by-bit, even found my office getting disorganized. Then, it occurred to me: my father had been a hoarder, too! And for every hoarder still "hiding" behind closed doors, more public faces of this disorder are "coming out," including Micahaele Salahi, Heidi Montag and Spencer Pratt, Lisa Kudrow, Mariah Carey, Kevin Federline, Celine Dion, Marie Osmond and Paris Hilton (17 dogs might qualify as animal hoarding).
Looking at the bigger picture
Society has encouraged super-consumerism; hoarding often is its byproduct. When everyone bought a home before the housing bubble burst, we had to fill those homes up, didn’t we? And if there wasn’t enough room in your McMansion, have we got a storage unit for you! Or two, or three or four!
But what, actually, is hoarding? Compulsive hoarding (a.k.a. pathological hoarding or disposophobia) is a hard condition to pin down. While no clear clinical definition or set of diagnostic criteria exist, certain defining features have been identified by researchers in dealing with chronic hoarders. These criteria include:
The acquisition of and failure to discard a large number of possessions that appear to be useless or of limited value;
Living spaces sufficiently cluttered so as to preclude activities for which those spaces were designed;
Significant distress or impairment in function by hoarding; and
Reluctance or inability to return borrowed items; as boundaries blur, impulsive acquisitiveness could sometimes lead to stealing or kleptomania.
There are different degrees of hoarding—from a Level I to a Level V—and there are different things that people hoard, including:
New purchased items;
Used purchased items (from garage sales, flea markets, discount stores);
Freebies and junk (picked out of garbage, the side of the road, etc…);
Food;
Animals;
Newspapers, magazines, bills, other papers;
Scraps or parts for artistic or utilitarian projects; and
Intangibles (email, DVR recordings, etc.)
Hoarding can lead to many negative consequences, including:
Loss of money;
Loss of time;
Loss of relationships;
Shame and embarrassment and isolation;
Arguments with loved ones;
Germs and disease;
Accidents and injuries;
Loss of freedom and movement; and
Increased mental illness (especially depression, anxiety and OCD)
Why Do People Hoard?
While pioneers and experts in the field of hoarding are still unlocking the puzzle of what causes hoarding, it’s believed that hoarding has both genetic and socialized components (nature and nurture). Hoarding has been related to obsessive-compulsive disorder and anxiety disorder but it is distinct in itself. Theories about what causes hoarding include:
Getting a high from accumulating and feel pain/anxiety when discarding;
Reaction to change, trauma, loss, stress—control over little things;
Social anxiety/phobia, isolation/protection;
Shaky sense of self and over-identification with objects;
Problems with attention/organization
Problems processing information/categorizing;
Problems making decisions;
Problems with memory (too much/too little); and
Attempts to experience safety, security, control
Case Studies:
Cathy, a 50ish married mother of three started overshopping and hoarding around the time her first daughter became very ill at age 3. Her husband, Don, was an overspender, too, but eventually became a penny-pinching workaholic. He became increasingly angry and controlling and threw out some of Cathy’s things without asking her. "It’s me or the stuff!" he’d yell. Through several months of counseling, Cathy began to understand what triggered her hoarding and found the skills and support to de-clutter her home, improve her self-esteem and confidence, and confront the underlying issues in her marriage.
Mark, a 40-year old single father with a 10-year old son, used to be meticulously clean and orderly before his son’s birth. Since then, he started to buy excessive amounts of toys for him and developed hoarding disorder with food, papers, coupons, and various items. He worried his son would become a hoarder and experienced a great deal of anxiety over his "stuff"—procrastinating endlessly, which kept him stuck in unsatisfying relationships and menial jobs. Since beginning to address his hoarding and underlying issues, he went back to school for a year to learn a new trade for which he has a true passion and recently graduated with the top Grade Point Average in his class.
Bonnie, a 50ish divorced woman and certified financial planner, began overshopping and hoarding about ten years ago shortly after her mother’s death. She has eight storage units of belongings in three different states, costing her nearly $10,000/year. A self-described workaholic, Bonnie recently wound up in the hospital from exhaustion and poor diet. She started dating a man and they moved in together. He was concerned about her shopping, hoarding, and her health. Bonnie, an extremely smart person who is phenomenal at assisting others with their financial well-being, felt hypocritical about her own money decisions and was feeling increasingly stressed over her "baggage."
Corrine, a 60ish writer and journalist, never married and no kids, had a long history of overshopping—especially bargain hunting—which still got her into deep debt and led to losing her long-time home a year ago. In the process of moving, she confronted her hoarding disorder and her attachment to stuff. As she downsized three times over the last year, each time she had to reassess what was really important to her. In letting go of her home and most of her things, she grieved but felt lighter and found inner peace.
TIPS for Dealing with Hoarding
Admit you have a problem and need help;
Seek professional, specialized counseling/therapy;
Read books/watch TV programs on this subject;
Visit the websites www.hoardingtherapy.com and www.hoardersanonymous.org;
See support groups (Messies Anonymous, Clutterers Anonymous);
Hire a professional organizer;
Set a timer to clean a certain amount of time per day;
If you are trying to help a hoarder, don’t move or throw out their possessions;
Seek help categorizing things: trash, keepers, recycling, gifts, for sale; and
Maintain order and cleanliness through ongoing support/accountability

Terrence Daryl Shulman, is the Founder/Director of The Shulman Center for Compulsive Theft, Spending & Hoarding in Franklin/Southfield, Michigan. He has authored four books, including the recently published Cluttered Lives, Empty Souls: Compulsive Stealing, Spending & Hoarding (2011, Infinity Publishing). He offers specialized counseling and consulting in person, by phone and via Skype. He can be reached at 248-358-8508 or terrenceshulman@theshulmancenter.com. His websites include www.theshulmancenter.com and www.hoardingtherapy.com.