It seems to me that they can't. Yes, the house can get cleaned, but after watching many episodes of this show I am under the distinct impression that not one hoarder got better to the point of living in a sanitary and livable house long term.
I have a few hoarders (read: slobs) in my family. Every once in great while someone else will go over and help them clean up, but it is always a temporary fix. I do not think that there is any good cure for this condition, or at least I have seen no evidence of it.
I was thinking about why the 'doctors' on this show seem so 'achievement-oriented' and not really capable of understanding the 'human condition' very deeply at all.
Of course that's how psychiatrists and psychologicsts and other 'mental health professionals' are - they aren't like other doctors that are required to have specific, provable, measurable, physical symptoms, and are required to be able to demonstrate almost with mathematical precision where the illness resides, with X-Ray photos and bruises and other things like that.
I just got an idea about it - perhaps this show can't truly classify these people are just 'natural extensions of materialism', or 'the natural result of capitalism', because this world is built on these materialistic-capitalistic values (or "values"), that absolutely can't be questioned in an official way. So they HAVE to classify everyone as 'mentally ill' instead of 'well, this is what happens when all you care about or think is valuable is matter, materialistic things, capitalistic values, etc.'.
Could it be that this is one of the unspoken reasons why things are skewed in such a predictable way towards such a predictable direction?
They don't want the viewers to start QUESTIONING the corporate-given 'values' and worldview, where materialism satisfies your every, every need and all your humanity. They want a show where anyone 'going too far' can just be classified as 'mentally ill', so the viewer doesn't have to feel uncomfortable emotions about all the things the system has taught the viewer to value.
While it's great to want to help others, people have to realize a lot of folks out there are simply beyond help. All you can do is stand back and let them go.
While it's great to want to help others, people have to realize a lot of folks out there are simply beyond help. All you can do is stand back and let them go.
I think you're right. And the failure rate on shows like this pretty much backs that up. Oh, sure, a few of the hoarders do reform and their houses end up being livable, but a lot of them go straight back to hoarding. It's like, "wow!, I have a fresh new canvas! Now I'll junk it up again!" I think this is very much like alcoholism or drug abuse; they have to really, truly WANT help and acknowledge that they have a problem, or it's just a band-aid that won't solve anything in the long run.
I think that they MIGHT be able to be.... but they need a lot of help to do so.
They need to have someone come and check in on them randomly and unannounced, go with them when they go shopping, someone to help with their organizing.... It seems to me that many are just left out to hang there without any kind of help or after care. They also need to see about how good they are with self care, executive functioning skills, head trauma, emption and psychological trauma, eating disorders, intellectual issues (including things like ADHD, Learning Disabilities, memory issues), anxiety, and depression; all of which have shown to add to issues with things like being organized, and yes, those things need to be taken into consideration, and have each issue address with the help of experts who know about particular issue for that person (physical, psychological, emotional, and intellectual disabilities, head trauma, etc). How mature are they? Are they 70, but sound like a whiny five year old when they're asked to do something?
There needs to be a diagnosis besides "Hoarding", which the experts aren't sure exactly what it is, they used to think that was a form of OCD, but all of the medications and treatments that they used for OCD don't seem to work for Hoarders. They need to learn how to be neat, organized, and they need not to be coddled, they need to be told that if they keep something broken and stained, that they could lose their house, go to jail, their families.. They need to learn how to make a decision on what to keep and what to get rid of and if they're not able to, one will be made for them.
They need to be told no. They need to have their behavior pointed out to them. They also need to know that because they're not like some of the extreme people that have it, that doesn't mean that they aren't. They also need to know that they can't whine and use their diagnosis as an excuse for not keeping up with trying to get their homes back in order. Whatever the diagnosis are, they need to be addressed and treated again. They need to be told of consequences and reminded of them. They need to be told if they have or if they have not done a good job. The need some hardness and not to be praised and coddled If they actually do something and make progress (which is not up to them, but to the departments and experts that are working with them), then they should be praised.
But it's not just the Hoarder. It's the family of the Hoarder. How has it affected them? Did it cause a divorce? Has it caused estrangement with children and siblings? They need help as well, especially if there children involved. How were they supposed to learn how to be neat, organized, clean, and keep up with things if they weren't taught how to do any thing? Their sadness, anger, frustrations, need to be honored and addressed as well, they shouldn't be patronized, condescended, or made to feel like their experiences, that their feelings and memories don't matter.
If they're not able to make progress and are unwilling to abide by the rules and help that is offered to them, then you can say that they're hopeless, let the County, the State, and the proper authorities to handle the Hoarder.
I don't have a lot of hope for Hoarders. In most cases, they're beyond hopeless and you just need to give up on them.
Very insightful post, hannahwig, and very telling that you're dealing with a hoarder yourself, your mother. If you're comfortable sharing more about her, and perhaps what you and others have done over the years to help her, please do.
I think a lot of it is a combination of stubbornness and laziness. A lot of people out there simply take the easiest route through life and like to be contrary to the mainstream. And a lot use junk as a way to keep people away from them.
This is an issue I have always had with the doctors who go on this show; they diagnose every hoarder as having OCD. To me, the only hoarders with OCD are the ones with neatly stacked collections of things that are not trash. The rest are just mega slobs. The doctors who study this stuff are simply not good at their jobs. They looked at this from one preconceived angle only and then just took it from there, without ever really stepping back to analyze it. I mean surely having a "compulsion" indicates some sort of action on the sufferer's part. The people who pile up trash are simply incapable of taking reasonable actions to keep their lives in order. They are action-free (and thus compulsion-free) people. My relatives who are like this would be infinitely better off if they had any obsessions or compulsions. I'll say that my relatives who live like this are lazy, childish, stubborn, in denial, and completely out of touch with the reality of the person they really are. That is not OCD. I have no idea where that woman with the frosted hair and the 80's makeup got this from. Also, her approach is completely asinine. You cannot talk hoarders into throwing stuff away very easily. Well, maybe you could but it would be a day-in, day-out process which would take years and the house would never really get better because for everything you talked them into throwing away, another piece of trash would be added to the pile. I have noticed that Dr. Z will talk them into throwing out like two or three things, and then progress is finally made when relatives just throw crap into the dumpster. We did this with my aunt a while back. She was getting sicker and sicker living in her house full of animal poop and trash and we went over there to clean it and she actually threatened suicide and then checked herself into the psych ward over the whole thing. Gee she sounds a lot like the people on this show. Well, we cleaned her crap out anyway and then she came back and naturally did not kill herself. She can hate us all she wants but at least she can properly breathe now. Had we taken some shrink's approach, she would still be unable to properly breathe and her house would still be a pile of trash.
She can hate us all she wants but at least she can properly breathe now. Had we taken some shrink's approach, she would still be unable to properly breathe and her house would still be a pile of trash.
But--if your aunt's house has remained clean and clutter-free--she's the exception to the rule. Normally, when a hoarder's mess is just tossed out, especially without their blessing and without being present, it's a recipe for disaster. The recidivism rate is very high in cases like that--the hoarder comes back to an empty, clean, cleared out house and almost immediately starts hoarding again.
This is an issue I have always had with the doctors who go on this show; they diagnose every hoarder as having OCD. To me, the only hoarders with OCD are the ones with neatly stacked collections of things that are not trash. The rest are just mega slobs. The doctors who study this stuff are simply not good at their jobs. They looked at this from one preconceived angle only and then just took it from there, without ever really stepping back to analyze it.
I don't know enough about OCD to really be able to speak about it intelligently, in an in-depth manner. But my guess is that a person can indeed have OCD even if they're expressing it in a mega-slob manner! In other words, they're obsessed with the idea of acquiring stuff, and they're compulsive about keeping stuff--even garbage and excrement. I don't think the picture of a 'typical' OCD person, who's ultra-neat and organized, is the ONLY picture of an OCD person, you know? I imagine they come in all varieties--including slobs.
To me, the only hoarders with OCD are the ones with neatly stacked collections of things that are not trash. The rest are just mega slobs.
Wrong. My guess is that you think that "OCD"and "neat freak" are synonymous. Don't get your information on the disorder from movies, please. OCD manifests itself in many, many different ways, and hoarding is most definitely an OCD spectrum disorder - all hoarding, whether it's the "collectors" or the "slobs". Not every OCD sufferer is a germophobe or a neat freak. I have OCD, and while I'm not a hoarder, I am not meticulously organized either, beyond having to have my movies in alphabetical order and my books in size order on the shelves.
They are action-free (and thus compulsion-free) people.
Wrong again. Compulsion and action are not synonyms, and I'm not sure where you got the idea that they are. The hoarder's compulsion is to keep the stuff, even when he or she knows that it is either worthless or not needed.
My suggestion is that you don't quit your day job, because you don't know nearly as much about OCD as you seem to think you do. One of the hardest things about the disorder is that those of us who have it are fully aware that our obsessive thoughts are not rational, but we are not able to keep from having them. Rationally, I know the door is locked and the oven is off. But my brain will keep telling me that maybe they aren't. In the same way, the hoarder knows on a rational level that they have too much stuff - be it collectibles or trash - but if you don't know the constant battle between the OCD mind and the rational mind, and the mental exhaustion it can cause, you should probably stop talking like you're an expert.
The further a society drifts from the truth, the more it will hate those that speak it. reply share
I agree with most of the commenters on this subject. I have to say that I am one who has little sympathy for the "hoarders," and more for those who have to deal with their messes. I always wonder why the psychologists don't say to the people, "If this receipt, (piece of paper, empty yogurt cup, old purse, etc. fill in the blank) is so important, why is it laying on the floor covered with rotting garbage?" Or if someone says they are collecting something, and it is so valuable, why is it at the bottom of a stack of used adult diapers? No one ever asks them that question. My feeling is that the "experts" should remove the hoarder from the premises and clean it out. I know people think this will send the hoarder over the edge, but aren't they already completely nuts? What's it going to hurt? The people that manage to continue keeping the clean house up are the slobs who just couldn't face doing the work to clean their homes; the real hoarders don't ever seem to be cured.
I agree. What is the harm of just removing the hoarder and tossing their trash? The hoarder will be angry and won't get any better but the alternative is to try therapy which does not work at all and only slows down the process.
What is the harm of just removing the hoarder and tossing their trash? The hoarder will be angry and won't get any better but the alternative is to try therapy which does not work at all and only slows down the process.
Where are you getting your information? The statistics--from people, including therapists and organizers, who work with hoarders--show that WITHOUT therapy, the recidivism rate is 100%.
True, SOME hoarders who do have therapy will still end up relapsing, but at least there's some success, while the reverse is not true at all. If you have factual data to the contrary, please cite your sources.
That was my point - even with therapy the recidivism rate is still close to 100%. So you can have a hoarded home and therapy with no progress or you can have a clean home without therapy and no progress.
That was my point - even with therapy the recidivism rate is still close to 100%.
Sorry, but you're missing my point. Nowhere did I say or insinuate that WITH therapy the recidivism rate is nearly 100%. Quite the contrary, I said that WITHOUT therapy it's 100%. To quote myself:
The statistics--from people, including therapists and organizers, who work with hoarders--show thatWITHOUT therapy, the recidivism rate is 100%.
True, SOME hoarders who do have therapy will still end up relapsing,but at least there's some success, while the reverse is not true at all. If you have factual data to the contrary, please cite your sources.
I am not missing the point at all. I am saying that there is no way therapy is all that helpful to these people. I never once thought that you said that the recidivism rate with therapy is 100%. You are like many though who believe the myth that therapy is helpful to these people when it's clear that it is not. Even Dr Z who specializes in this stuff has absolutely no success with the people on the show. The problem with therapy is that it hinges on using logic in order to be successful when these people clearly do not ever have logical thoughts.
I guess we're going to have to agree to disagree!
According to therapists and organizers who actually work with hoarders, they CAN indeed improve--and even be 'cured'--with therapy; the same therapists and organizers state that without therapy, there's a 100% failure rate. As I said in my original comment to you, if you have actual data, actual reliable statistics, backing up your claim that therapy is basically useless for hoarders, please cite your sources.
I am going with what I have seen on many seasons of the show - there is clearly no therapy out there which is truly helpful for the hoarder. I am 100% sure that therapists will claim to have a lot of success, but - and you're going to have to sit down for this - it seems they may be exaggerating or not being entirely truthful. On the show I am assuming that Dr. Z is using approved methods for helping hoarders (as a specialist) and yet she never makes any breakthroughs. Her big thing is that she attempts to reason with people who clearly cannot be reasoned with, and as a result she has no success.
I am going with what I have seen on many seasons of the show - there is clearly no therapy out there which is truly helpful for the hoarder.
We must be watching different shows! The shows I watch--and I'm referring to both Hoarders and H:BA--have update episodes that show the progress, or lack thereof, of some of the hoarders. SOME of them most definitely did improve, and have kept their homes clear of clutter/filth/crap, a year or more out. SOME reverted back to their old ways.
I am 100% sure that therapists will claim to have a lot of success
I've never heard any therapist claim A LOT of success. Their prognoses are usually quite guarded. They're careful to state that WITH THERAPY there's a good chance the hoarder will improve, but WITHOUT THERAPY they're doomed for failure. Based solely on followups from the two shows--which I'm assuming you haven't seen, because otherwise you'd know that some hoarders have indeed improved--I'm guessing that about 30-40% have long term success. I'm sure we can find actual statistics online, but I'm not that interested right now!
but - and you're going to have to sit down for this - it seems they may be exaggerating or not being entirely truthful.
See above.
On the show I am assuming that Dr. Z is using approved methods for helping hoarders (as a specialist) and yet she never makes any breakthroughs. Her big thing is that she attempts to reason with people who clearly cannot be reasoned with, and as a result she has no success.
Are these hoarders even given an evaluation by a medical doctor/psychiatrist? Given that this is a manifestation of OCD, it would only make sense to me to combine therapy with medication! Are any of these hoarders given medication for what is clearly a mental illness? If there is a poor failure rate, it isn't because these individuals are "weak-willed", it's because the organic component of their illness isn't being treated. Therapy can only be effective once the brain itself is finally functioning in a healthy and rational way.
Are these hoarders even given an evaluation by a medical doctor/psychiatrist?
I don't know about behind the scenes, such as in private after the filming is over, but as far as the shows go [both Hoarders and H:BA] there's only one MD/psychiatrist, Dr Melva Green, who deals with the hoarders; all the other 'doctors' are psychologists or other licensed therapists, but not physicians. I doubt that Dr Green treats any of the hoarders as actual patients, such as evaluating them and prescribing medication. I would guess that's left to their local professionals--if it happens at all.
Given that this is a manifestation of OCD, it would only make sense to me to combine therapy with medication! Are any of these hoarders given medication for what is clearly a mental illness? If there is a poor failure rate, it isn't because these individuals are "weak-willed", it's because the organic component of their illness isn't being treated. Therapy can only be effective once the brain itself is finally functioning in a healthy and rational way.
Of course the people who's livelihood is to 'cure' hoarders would say there's a cure. Otherwise, they wouldn't have a career! Never trust the fox to guard the henhouse.
I think one of the biggest issues is that many don't or refuse to even see themselves as Hoarders. How can you treat someone who does not believe they have a problem? Sometimes I feel bad for them and other times I just shake my head and want to tell the family members to either accept it or move on.
It's exactly like people who are addicted to a substance, whether it's narcotics or alcohol, but refuse to admit they're addicted. And I went through this with my brother--he was addicted to prescription narcotics, but adamantly, vehemently denied it. He was on such large quantities, for such a long time (~15 years), they fried his brain to such a point that he spiraled downward into despair, depression, paranoia, and more--and ended up killing himself. NOTHING I did or tried to do helped, because he REFUSED to acknowledge that there was a problem, therefore he didn't need help...
Thanks, JustRun. It's only been a little over a year since my brother's suicide, and it's still hard to deal with at times. At first, I'd pull the coroner's report out and go back over it again, but each time it was just so depressing. I haven't looked at it in a year or so now.
Every time I see hoarders who deny they have a problem it reminds me of my brother. He was *SO* adamant that he was not a drug addict...just like the hoarders are adamant that they're not hoarders. You know how they're always "collectors" or "art lovers" or "animal lovers" or "a little disorganized"...no, NO! they're HOARDERS!! Ugh.