Hoarding: What it is? - Why do they hoard? - How can families help?
Hoarding is a serious issue that can significantly impact the quality of life of older adults. It is a behavioral disorder that involves an excessive accumulation of possessions, often to the point where the individual’s living spaces become unmanageable. Older adults may be especially prone to hoarding behavior due to a variety of factors, including changes in physical and cognitive abilities, social isolation, and past traumatic experiences. In this article, we will explore the reasons why hoarding occurs in older adults and provide some guidance on how families can help their loved ones overcome this difficult issue.
What is hoarding?
Hoarding is a complex disorder that is often misunderstood. The American Psychiatric Association defines hoarding disorder as a persistent difficulty discarding or parting with possessions, regardless of their actual value. This behavior leads to the accumulation of possessions that clutter and congest living spaces, interfere with their intended use, and pose risks to health and safety.
In the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), hoarding disorder is characterized as a separate and distinct disorder from obsessive-compulsive disorder (OCD), which it was previously classified under in the DSM-IV.
According to the DSM-5, hoarding disorder is defined as a persistent difficulty discarding or parting with possessions, regardless of their actual value, due to a perceived need to save them, a fear of losing them, or a strong attachment to them. The accumulation of possessions leads to clutter that interferes with the intended use of living spaces, and can cause significant distress or impairment in social, occupational, or other areas of functioning.
In order to meet the diagnostic criteria for hoarding disorder, an individual must demonstrate all of the following:
1. Persistent difficulty discarding or parting with possessions, regardless of their actual value, due to a perceived need to save them, a fear of losing them, or a strong attachment to them.
2. The difficulty discarding possessions results in the accumulation of clutter that interferes with the intended use of living spaces.
3. The hoarding behavior causes clinically significant distress or impairment in social, occupational, or other areas of functioning.
4. The hoarding behavior is not attributable to another medical condition, such as a brain injury, or to the direct effects of a substance, such as drugs or alcohol.
5. The hoarding behavior is not better explained by the symptoms of another mental disorder, such as OCD, major depressive disorder, or schizophrenia.
The DSM-5 notes that hoarding disorder is associated with a range of negative outcomes, including social isolation, family conflict, financial problems, and health and safety risks. It also acknowledges that the disorder can be difficult to treat and often requires a multidisciplinary approach, including psychotherapy, medication, and/or behavioral interventions.
Overall, the DSM-5 characterizes hoarding disorder as a serious and distinct mental disorder that can significantly impact an individual's quality of life and requires specialized treatment and support.
Hoarding is often accompanied by an intense emotional attachment to possessions, which can make it difficult for individuals to recognize the negative impact of their behavior on their living conditions and relationships with others. Hoarding can also interfere with daily activities such as cooking, cleaning, and sleeping, and may even lead to social isolation and other mental health issues.
Why do older adults hoard?
Hoarding is a complex issue that can be caused by a variety of factors, including genetics, environment, and life experiences. While anyone can develop hoarding behavior, older adults may be especially prone to this disorder due to a variety of reasons.
One of the primary reasons why older adults hoard is that they may have experienced significant losses in their lives, such as the death of a spouse or close friend, retirement, or declining health. These losses can trigger feelings of loneliness, depression, and anxiety, which can lead to hoarding as a way to cope with these emotions.
Another factor that may contribute to hoarding in older adults is a decline in physical and cognitive abilities. As individuals age, they may experience physical limitations that make it difficult to maintain their homes and belongings. Additionally, cognitive decline may make it challenging for individuals to recognize the negative impact of their behavior and to make decisions about what possessions to keep and what to discard.
Finally, social isolation is another factor that may contribute to hoarding in older adults. As individuals age, they may become more isolated from their social networks, which can lead to feelings of loneliness and a lack of purpose. Hoarding can provide a sense of comfort and security, as well as a way to fill the void left by the absence of social connections.
How can families help?
Hoarding can be a challenging issue for families to address, as it often involves deeply ingrained emotional attachments to possessions. However, there are several strategies that families can use to help their loved ones overcome hoarding behavior and improve their quality of life.
The first step in helping an older adult who hoards is to approach the issue with compassion and understanding. It is important to recognize that hoarding is a complex issue that may be rooted in past experiences and emotions. Rather than criticizing or shaming the individual, families should try to approach the issue with empathy and a willingness to listen.
Once a family has established an open and compassionate dialogue with their loved one, they can begin to explore strategies for addressing the hoarding behavior. One effective strategy is to work with a mental health professional who specializes in hoarding disorder. A therapist can help the individual understand the root causes of their behavior and develop strategies for overcoming it.
Another strategy that can be effective is to work with a professional organizer who specializes in hoarding disorder. A professional organizer can help the individual sort through their possessions and determine which items are most important to them. They can also help the individual develop strategies for organizing and storing their belongings in a way that is safe and manageable.
In some cases, families may need to consider more extreme measures to address hoarding behavior. For example, if the individual’s living conditions are unsafe or unsanitary, it may be necessary to involve local authorities or social services to address the issue. However, it is important to approach this process with compassion and sensitivity, and to work with the individual to develop a plan that is respectful of their needs and preferences.
Finally, it is important for families to recognize that overcoming hoarding behavior is a long-term process that requires patience and persistence. It may take several months or even years for an individual to fully overcome their hoarding behavior and develop healthy habits for managing their possessions. However, with the support of their loved ones and the guidance of mental health professionals, it is possible for individuals to overcome hoarding behavior and improve their quality of life.
Conclusion
Hoarding is a serious issue that can significantly impact the quality of life of older adults. It is a complex disorder that is often rooted in past experiences, emotional attachments, and cognitive or physical limitations. However, with the support of their loved ones and the guidance of mental health professionals, it is possible for individuals to overcome hoarding behavior and improve their quality of life.
If you are concerned about a loved one who may be hoarding, it is important to approach the issue with compassion and understanding. Work with a mental health professional and a professional organizer to develop strategies for addressing the hoarding behavior and be patient and persistent as your loved one works to overcome this difficult issue. With the right support and guidance, it is possible for individuals to overcome hoarding behavior and improve their quality of life.
Medical Information
Non-Profit Organizations
These non-profit organizations offer valuable resources and support for individuals and families affected by hoarding disorder, and can help connect individuals with the specialized treatment and resources they need to overcome this condition.
1. International OCD Foundation (IOCDF): The IOCDF is a non-profit organization that is dedicated to improving the lives of individuals affected by OCD and related disorders, including hoarding disorder. They offer resources for individuals and families, including a directory of treatment providers, suInternational OCD Foundationpport groups, and online resources.
2. Children of Hoarders (COH): COH is a non-profit organization that provides support and resources for individuals who have a parent with hoarding disorder. They offer online support groups, webinars, and educational resources to help individuals better understand and cope with their parent's hoarding behavior.
3. Institute for Challenging Disorganization (ICD): The ICD is a non-profit organization that is dedicated to addressing the needs of individuals with chronic disorganization and hoarding behavior. They offer training and certification programs for professional organizers, as well as resources for individuals and families, including support groups, educational materials, and a directory of professional organizers.
4. National Association of Professional Organizers (NAPO): NAPO is a non-profit organization that represents professional organizers and provides resources and support for individuals and families dealing with hoarding disorder. They offer a directory of professional organizers who specialize in hoarding behavior, as well as educational resources and support groups for individuals and families.
5. Anxiety and Depression Association of America (ADAA): The ADAA is a non-profit organization that provides resources and support for individuals with anxiety and depressive disorders, including hoarding disorder. They offer educational resources, online support groups, and a directory of treatment providers.
Author: Kathleen Warshawsky, BSN, RN | Publisher Seniors Blue Book Greater Dallas | https://www.linkedin.com/in/kathleenwbsnrn/
Downsizing or Selling Your Home in Retirement: Tax Implications to KnowSelling the family home is one of the biggest financial decisions many people make in retirement whether you're downsizing something smaller, moving closer to family, or relocating somewhere warmer. Before you list the house, it's worth understanding how the sale could affect your taxes.The Good News: Most Home Sellers Owe Little or No TaxUnder federal tax law, homeowners can exclude a significant amount of profit from capital gains tax when they sell a primary residence: Up to $250,000 in gain excluded for single filers Up to $500,000 in gain excluded for married couples filing jointly These limits have stayed the same since 1997 they aren't adjusted for inflation but for most sellers, especially those who haven't owned an especially high-value home for decades, they're enough to eliminate the tax bill entirely.Do You Qualify for the Full Exclusion?To claim the exclusion, you generally need to pass two tests: Ownership test: You owned the home for at least 2 years during the 5-year period before the sale. Use test: You lived in the home as your primary residence for at least 2 years during that same 5-year period. For married couples claiming the full $500,000 exclusion, both spouses need to meet the use test, though only one spouse needs to meet the ownership test. If only one spouse meets the use test, the exclusion drops to $250,000.If you don't fully meet the two-year requirements but had to sell due to a job change, health issue, divorce, or similar unforeseen circumstance, you may still qualify for a partial exclusion.How Your Gain Is Actually CalculatedThis is where record-keeping pays off. Your taxable gain isn't your sale price it's your sale price minus your cost basis, which includes: What you originally paid for the home The cost of qualifying capital improvements over the years (a new roof, an addition, major renovations not routine repairs or maintenance) Selling costs, such as agent commissions Every dollar documented improvement raises your basis and lowers your taxable gain. If you've owned your home for decades, digging up old receipts and records for major projects can make a meaningful difference sometimes the difference between owing tax and owing nothing at all.What Happens If Your Gain Exceeds the ExclusionIf your profit is larger than your exclusion amount, the excess is taxed as a long-term capital gain (assuming you owned the home more than a year), generally at 0%, 15%, or 20% depending on your overall taxable income. For higher-income sellers, an additional 3.8% Net Investment Income Tax may also apply above certain income thresholds. This is more common than it used to be for retirees who've owned a home for many years in an area where property values have risen substantially.A Few Other Situations Worth Knowing Home office deductions: If you claimed depreciation on a home office in past years, that portion is generally "recaptured" and taxed differently when you sell, separate from the main exclusion. Selling a second home or rental property: The primary residence exclusion generally doesn't apply to vacation homes or rental properties. Different rules, including possible depreciation recapture, come into play. Inherited homes: If you're selling a home you inherited, the property typically receives a stepped-up basis to its fair market value at the time of the original owner's death which can significantly reduce or eliminate taxable gain compared to using the original purchase price. Using the exclusion more than once: The exclusion isn't a one-time benefit. You can generally use it again for a future home sale, as long as you meet the ownership and use tests again and haven't claimed it on another sale within the prior two years. Why Planning Ahead MattersThe tax side of selling a home is often simpler than people expect, especially with the exclusion in play but assumptions can be costly in either direction. Some retirees overestimate their tax exposure and hesitate to sell when they'd actually owe little or nothing. Others underestimate it, especially with a long-held, appreciated home, and are surprised by a gain above the exclusion. Reviewing your specific numbers before you list the home, rather than after the sale closes, gives you room to plan.Thinking about downsizing or selling a home in retirement? Contact Zunic Advisory Services to walk through what the sale could mean for your taxes.
Few transitions in life feel as difficult as the moment when one spouse needs to move to a care community while the other remains at home. Perhaps one partner is living with advanced dementia and needs the security of memory care, while the other is still active and independent. Or maybe a stroke or chronic illness has created care needs that can no longer be safely managed at home, despite the spouses best efforts.These situations bring a complicated mix of emotions, including grief over changing roles, worry about separation, and uncertainty about the future. Layered on top of these feelings is a pressing financial concern: How do we approach funding senior care without leaving the spouse who lives at home unable to afford basic living expenses?The good news is that financial protections exist specifically to address this scenario, particularly when Medicaid is involved. Understanding how income and assets are evaluated when only one spouse needs care, and knowing which funding options may be available, can provide both practical direction and much-needed peace of mind during an already stressful time.Medicaid rules that protect the spouse at homeWhen one spouse needs to move to a nursing home or, in some states, to assisted living through a Medicaid waiver program, special rules help protect the financial security of the spouse who remains at home (referred to as staying in the community, meaning their local community as opposed to a senior living community). In Medicaid terminology, this person is called the community spouse, while the person entering care is the institutionalized spouse.What care settings do these protections apply to? Community spouse protections primarily apply when one spouse enters a nursing home and needs Medicaid to help pay for that care. In states that offer Medicaid waiver programs covering assisted living or memory care, some of these protections may also apply, though the rules can differ. These protections generally do not apply to independent living or other residential settings that dont qualify for Medicaid long-term care coverage.The core principle behind these protections is preventing spousal impoverishment, the idea that paying for one spouses care shouldnt leave the other spouse destitute. Without these rules, couples would need to spend nearly all their joint savings before Medicaid would help, potentially leaving the community spouse with almost nothing to live on.Instead, Medicaids spousal impoverishment protections allow the community spouse to keep a protected amount of the couples joint assets and income. Two key terms define these protections: The Community Spouse Resource Allowance (CSRA) is the amount of the couples combined countable assets that the community spouse can retain without affecting the institutionalized spouses Medicaid eligibility. For 2025, federal guidelines set this range between approximately $31,584 (the minimum) and $157,920 (the maximum), though the exact amount varies by state. Some states automatically allow the maximum, while others calculate it based on half of the couples combined countable assets, up to that maximum. The Minimum Monthly Maintenance Needs Allowance (MMMNA) protects the community spouses income. If the community spouses own income falls below a certain threshold (approximately $2,644 to $3,948 per month, depending on the state), they may be entitled to some or all of their institutionalized spouses income to reach that minimum level. This ensures that the community spouse has an adequate monthly income to maintain their household. These protections make a significant practical difference. Instead of spending down to near-poverty levels, a couple can preserve substantial resources for the community spouses ongoing living expenses, home maintenance, and future needs, while still qualifying the institutionalized spouse for Medicaid coverage. These rules are central to funding senior care in a way that safeguards both partners needs.Paying for senior care: Funding and benefit options to exploreBeyond Medicaids spousal protections, several funding sources may help cover care costs when one spouse moves to a community. Most families use a combination of these options over time and understanding them is an important part of funding senior care responsibly and sustainably.Private savings or retirement incomeMany couples initially pay for care using savings, retirement accounts, Social Security benefits, and pensions. When both spouses have their own income streams, families can often dedicate one spouses income toward care costs while the other spouses income covers household expenses at home.This arrangement can work well in the short term, though it may not be sustainable indefinitely if care costs significantly exceed one spouses income. For example, if assisted living costs $5,000 monthly but the spouse needing care receives only $2,500 in Social Security benefits, the couple must cover the $2,500 gap from savings or other income, a strategy that works until their savings deplete to levels where Medicaid eligibility becomes relevant.Veterans benefits (Aid and Attendance)The VAs Aid and Attendance benefit can provide additional monthly income to help pay for care, and it applies in situations where one spouse needs care while the other remains at home. This benefit is available to qualifying wartime Veterans or their surviving spouses who need help with daily activities.Importantly, when one spouse is a Veteran and the other needs care, the Veteran may claim Aid and Attendance benefits on behalf of their spouse. Similarly, if the Veteran needs care and has a spouse at home, the benefit amount may be higher than for a single Veteran, recognizing the need to support both the Veteran and the dependent spouse.This benefit considers household income and medical expenses, so families paying significant care costs may qualify even with moderate retirement income.Long-term care insuranceIf one or both spouses purchased long-term care insurance years ago, this can be a significant help. These policies typically pay a daily or monthly benefit when the insured person needs assistance with activities of daily living, regardless of the care setting, whether in a nursing home, assisted living, memory care, or even at home.When only one spouse has a policy, that insurance covers their care costs, preserving more of the couples joint assets and income for the community spouses needs. Some policies also include inflation protection or shared benefits between spouses, which can extend coverage considerably.MedicaidFor many couples, Medicaid eventually becomes necessary when care costs exhaust other resources. When one spouse applies for Medicaid, eligibility is determined using special rules that account for the couples marital status.Rather than treating each spouses income and assets separately, Medicaid looks at the couples combined resources, then applies the community spouse protections described earlier. This means the community spouse can retain protected amounts of both assets and income, while the institutionalized spouse can qualify for Medicaid even though the household as a whole has resources above the typical individual eligibility limits.The application process requires substantial documentation, financial records, asset statements, proof of income, and medical evaluations, and the rules around asset transfers and look-back periods are complex. However, the protections built into the system specifically for married couples can make Medicaid a viable option for funding senior care without impoverishing the spouse who remains at home.Where to find reliable helpNavigating these financial decisions while managing the emotional challenges of separation and changing care needs can feel overwhelming. You dont have to figure it all out alone.Contact your local Oasis advisor. Senior care advisors understand the local care landscape and can help you identify communities that fit both your loved ones care needs and your familys financial situation. They can explain which communities work with different payment sources, including Medicaid, and guide you through the process of finding appropriate care. Find your local Oasis advisor to get personalized support during this transition.Consult an elder law attorney. If Medicaid eligibility is a concern, either now or in the foreseeable future, working with an elder law attorney who specializes in Medicaid planning is invaluable. These attorneys understand your states specific rules, can help you navigate community spouse protections, ensure youre maximizing allowable asset retention, and guide you through the application process to avoid costly mistakes.The situation youre facing is difficult, but resources and protections exist to help you secure necessary care for one spouse while preserving financial stability for the other. With the right information and support, you can make decisions that honor both partners needs during this challenging chapter.
Downsizing isn't only for people who are moving. Many people choose to stay right where they are in the home filled with decades of memories but still feel the need to simplify, declutter, and create a more manageable living space. If that sounds like you, know this: you don't have to move to benefit from downsizing, and you don't have to do it alone.Why Downsize If You're Not Moving?There are many reasons someone might want to downsize their belongings while remaining in their home: Safety Reducing clutter can lower the risk of falls and make it easier to navigate the home, especially for aging in place. Simplicity A less cluttered space is often easier to clean, maintain, and enjoy. Peace of mind Many people find that a lighter, more organized home brings a sense of calm and control. Preparing for the future Sorting through belongings now deciding what's meaningful, what can be passed on, and what no longer serves a purpose can ease the burden on family members later. Mental clarity A more organized home can reduce daily stress and make everyday living more enjoyable. Whatever your reason, the goal is the same: a home that feels lighter, safer, and easier to live in without sacrificing the comfort and familiarity of staying where you are.The Same Structured Approach, Without the MoveDownsizing while staying in place uses the same thoughtful, room-by-room approach used when preparing for a move the difference is simply that everything you decide to keep stays right where it belongs: in your home.A structured approach typically includes: An initial conversation to understand your goals, priorities, and any specific areas of concern. A room-by-room plan to make the process feel manageable rather than overwhelming. Sorting and decision-making support guidance on what to keep, donate, sell, or let go of, without pressure or judgment. Organizing and reconfiguring your space so that what remains is arranged in a way that's functional, safe, and easy to enjoy. Coordinating donations, sales, or removal of anything you no longer want in your home. The Benefits of Hands-On HelpDownsizing on your own can be emotionally and physically exhausting, especially when sorting through decades of belongings. Having experienced, compassionate help alongside you can make a meaningful difference: Objective guidance A trusted third party can help you make decisions without the emotional weight that often comes with sorting through your own history. Physical support Sorting, lifting, and organizing can be physically demanding, especially for those with mobility challenges. Reduced overwhelm Breaking the process into manageable steps, guided by someone experienced, keeps the project from feeling impossible. A healthier, happier home The end result isn't just fewer belongings it's a home that feels lighter, safer, and more enjoyable to live in every day. A Path to a Healthier, Happier, Less Cluttered HomeYou don't need to be planning a move to benefit from downsizing. Whether your goal is a safer home, a simpler lifestyle, or peace of mind for the future, the process can be approached with the same care and structure as a full relocation just without the boxes and moving truck.If you're staying in your home but feel ready to simplify your surroundings, support is available every step of the way from that first conversation to the final, clutter-free result.If you'd like guidance on downsizing while staying in your home, we're here to help you create a space that feels healthier, happier, and easier to live in.
Dont Let a Stroke Ruin Your RetirementYour risk of stroke and cardiovascular disease increases as you age. But the good news is 80% of stroke and cardiovascular disease CAN be prevented.1 If you are age 50 or older, you should be screened.Often there arent any symptoms of a stroke before it occurs, in fact for 4 out of 5 people who have a stroke the first symptom of any illness is the actual stroke.2 But, you can take steps to find out if youre at risk.Life Line Screening is a premier provider of preventive screenings for stroke and cardiovascular disease risk. A simple appointment can identify your risk factors and provide peace of mind or early detection.Screenings are easy, painless, non-invasive and dont require any messy prep work.Life Line Screening has over 14,000 locations across the United States so you can find one close to you.Getting screened is affordable. The most popular package at Life Line Screening includes 5 screenings in 1 appointment for $149.Get the most out of your life! Find out your stroke and cardiovascular disease risk with Life Line Screening so you can be in control and do something about it.***CLICK HERE*** to schedule your appointment! A simple screening can be worth a lifetime.1 American Heart Association https://www.heart.org/en/get-involved/advocate/federal-priorities/cdc-prevention-programs2 Hackam DG, Karpral MK, et al. Most stroke patients do not get a warning, a Population Based Cohort Study. Sept. 2009. Neurology, 73, 1074-1075.
If You Have A Hearing, Vision Or Mobility Problems Accessing Or Using A Telephone - You May Qualify For A Free Telephone! 4 out of 5 Americans over the age of 60 have some hearing, vision or mobility loss. There is help however and it is paid for by you through a government program called STAP, Specialized Telecommunications Assistance Program, by a small charge each month on your telephone bill. Why not take advantage of a benefit youre paying for already? Contact Laura Carr, STAP to learn more about this program and show you what equipment youre eligible to receive FREE OF CHARGE! To qualify, you must be a Texas resident with a problem with vision, hearing or mobility. You are entitled to one FREE phone every 5 years. You can get a cell phone, landline, smartphone or tablet, depending on your disability. Must provide proof of residency. Acceptable forms of residency include:* Texas Drivers License* ID card with address* Voters Registration card* Letter from facility on their stationery* Utility Bill (current - showing address)* Vehicle registration card* Medicaid ID* Medicare Summary This program is for any Texas Resident that has a Vision, Hearing, Mobility- including cognitive problems. They are entitled to FREE telephone equipment (just the device) and they have to pay their monthly charges to their telephone service provider. Depending on their impairment, they may qualifiy for a Landline Telephone with a medical alert system; a Regular Cell Phone (where they can make calls, text, take photos including a medical alert button on the back. If they have a hearing problem, they can receive a 2-way texting device - an Android Smart Phone or Android Tablet. They have to provide their proof of residency for the State of Texas: a current drivers license, Texas ID, Voters Registration Card or a Utility bill showing their name & current address & date. Laura can assist with completing an application, take a photo of their proof of residency - attach to their signed application & send it to STAP headquarters in Austin, Texas. The State processes their application & mails the Voucher for the equipment, directly to the Resident. Once they receive the Voucher, they contact Laura and she will deliver the equipment that is authorized on the voucher to the Resident. NO MONEY CHANGES HANDS. Laura Carr, STAP Specialist has worked with this program for 16 years.Contact Laura at 214-388-0088 or [email protected]