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/
By Brandis Meeks, owner of The Property Buyers | October 2026Quick answer: You can sell your Colorado home without any cleanout by selling directly to a professional cash buyer. You take the items that matter to you and leave everything else behind, from furniture and boxes to garage and basement contents. The buyer handles the removal after closing. You avoid weeks of sorting and hauling, plus the cost of junk removal, in exchange for an as-is price.After 30, 40, or 50 years in one home, most people have accumulated far more than they realize. For many Colorado seniors, the thought of emptying a house before selling it is the biggest obstacle to moving forward, often bigger than the sale itself.Why is cleaning out a longtime home so hard?Cleaning out a longtime home is hard because it is physically demanding, time-consuming, and emotional all at once. Every drawer, closet, and box requires a decision. Basements, garages, attics, and sheds often hold decades of items, and much of it is heavy or stored on stairs. Adult children may live out of state and can help only in short visits. When the home belonged to a spouse or parent who has passed away, each item can carry grief along with it.Hire a real estate agent and be prepared to clean out the house before listing.A traditional listing usually requires an empty, clean, show-ready home. Getting there often involves these steps:Sorting belongings into keep, sell, donate, and discardHolding an estate sale or selling items individuallyScheduling donation pickups and multiple junk-removal loadsRenting a dumpster, which some cities require a permit for when it sits on the streetArranging special disposal for old paint, chemicals, and electronics, which can't go in regular trashDeep cleaning, then handling repairs that only become visible once rooms are emptyThe whole process can stretch from weeks into months, and the costs add up before the home is ever listed.How does selling to a professional cash buyer eliminate the cleanout?A professional cash buyer purchases the home with its contents included, so the seller does no clearing, hauling, or cleaning. You remove what you want to keep, and the buyer takes care of the rest after closing. The cost of the cleanout is built into the buyer's offer instead of coming out of your pocket upfront. There are no dumpsters in the driveway and no deadlines tied to showings.What should I take out before selling a house as-is?Even with no cleanout required, walk through the home and gather anything irreplaceable or sensitive before closing:Family photos, albums, and home videosImportant documents, including wills, deeds, tax and financial records, and passportsJewelry, heirlooms, and items promised to family membersMedications and firearms, which should be removed and handled properlyCheck unexpected places, too. Cash, documents, and keepsakes often turn up inside books, coat pockets, freezers, and the backs of drawers.Is a no-cleanout sale right for everyone?A no-cleanout sale isn't the best fit for every homeowner. If a home is in good condition and you have the time, energy, and help to clear it, listing it traditionally may bring a higher price. A no-cleanout cash sale tends to make the most sense in these situations:The volume of belongings is overwhelming.Health or mobility limits what you can do.The family lives far away and cannot help.The home was inherited.A move to assisted living sets a firm deadline.Comparing your estimated net proceeds under each option will show which one serves you better.What about homes with hoarding or heavy clutter?Homes with hoarding or heavy clutter can be sold as-is, and there's no need to clean before a buyer's walkthrough. Hoarding is more common than many people think, and it often develops gradually after a loss, an illness, or years of living alone. Experienced professional buyers have seen every situation, and a respectful buyer will focus on the home, not pass judgment on it.So skip the garage sale and consider calling a local Professional Cash Home Buying Company instead!Frequently Asked Questions:Can I leave furniture and belongings behind when I sell my house?Yes, when you sell to a cash buyer who agrees to purchase the home with its contents, as written in the purchase contract. Traditional buyers usually expect an empty home at closing.Who pays for the cleanout in a cash sale?The buyer pays for the cleanout.Do I need to clean my house before a cash buyer's walkthrough?No. Professional cash buyers expect to see a home as it is and account for its condition in the offer.What happens to the items I leave behind?The buyer removes them after closing. Ask how left-behind items will be handled, such as donation, recycling, or disposal.Can family members still take items after I accept an offer?Usually, yes. A flexible closing date gives family time to collect keepsakes before the sale is finalized.About The Property BuyersThe Property Buyers are a Professional Cash Home buying company based in Aurora, Colorado Since 2008, it has purchased houses in any condition across the Denver metro area, including Aurora, Denver, Lakewood, and Centennial, Englewood and surrounding cities. The company maintains an A+ by the Better Business Bureau, has only 5-Star Google Reviews and buys homes as-is with no repairs, no cleanout, and no agent commissions. Learn more at thepropertybuyers.com or call 720-650-7986.
Moving Closer to Family in New Jersey: How Seniors Can Relocate Without Losing Their IndependenceSometimes the most important reason to move has nothing to do with the house.It is family.An adult child may have moved to Middletown, Red Bank, Holmdel, Tinton Falls, Freehold, Brick or another Monmouth or Ocean County community. A grandchild may be growing up nearby. A spouse may need additional support. Or a family may simply realize that being within a reasonable drive of one another would make everyday life easier.For older adults, relocating closer to family can provide an opportunity to create a stronger support network while still maintaining independence.But moving across townor across New Jerseyrequires more than finding a house online.The Real Question: What Does Closer Mean?For one family, being close might mean living five minutes away.For another, it might mean being within 30 minutes.The important thing is to define what kind of proximity actually makes a difference.Consider: How often do family members expect to visit? Who will provide transportation if needed? Are there grandchildren nearby? How close should the home be to medical appointments? Is public transportation important? Would family prefer a condominium, townhouse or single-family home? Does the buyer want an active-adult community? How much privacy and independence does the older adult want? A senior relocation specialist can help turn these broad questions into a practical home search.Why Location Matters So Much for Older AdultsA home can be beautiful and still be a poor fit if everyday errands are difficult.For seniors, location can influence everything from social connection to transportation.A home near restaurants, shopping, parks, community organizations, healthcare providers and family may support a more convenient lifestyle.Monmouth County offers a particularly diverse range of environments. A senior can remain close to the Jersey Shore, live near the restaurants and cultural activities of Red Bank, stay in the Middletown area or explore communities farther inland.Independence Does Not Have to Mean Doing Everything AloneOne misconception about moving closer to family is that it means giving up independence.It doesn't have to.A senior may choose a home where they can continue driving, walking, socializing and managing their own daily routine while simply having family closer.For example, an older adult might choose a smaller home or 55+ community with less exterior maintenance. That can leave more time for golf, dining, visiting friends, spending time with grandchildren or enjoying the Shore.The right move can actually support independence by eliminating unnecessary household responsibilities.A Conversation Families Should Have EarlyAdult children sometimes begin thinking about relocation before their parents do.That can create tension.Instead of saying, You need to move closer to us, families may find it more productive to discuss what everyone wants the next several years to look like.Questions can include:What do you love about your current home?What has become more difficult?What would make life easier?What do you want to be closer to?Would you consider a smaller home?Would a 55+ community appeal to you?How important is being near your grandchildren?The objective is to create a shared understanding rather than make the conversation solely about what family members believe the senior should do.Understanding the New CommunityMoving closer to family is also a lifestyle decision.A senior may be familiar with their current neighborhood but not know what everyday life is like in another community.Before buying, spend time there.Visit the local shopping areas. Have lunch. Drive the surrounding streets. Look at parks and recreation. Determine how far it is to medical offices and other frequently used services.If possible, visit at different times of day.A REALTOR who understands the local market can also help buyers compare neighborhoods and property types.What Should Families Do With the Existing Home?This is often the biggest practical question.The current home may need to be sold before the new one is purchased. In other cases, the family may be considering a temporary overlap.There are several factors to discuss with a real-estate professional: Current market conditions Estimated home value Necessary repairs Decluttering Staging Timing Closing dates Temporary housing Moving logistics Tax and financial considerations, with appropriate financial professionals The right strategy depends on the individual situation.The Emotional Side of RelocationA house can hold decades of memories.That is especially true when a family has lived in the same home for 20, 30 or even 40 years.The decision to move closer to family may be exciting while still involving grief.That is normal.A thoughtful relocation process leaves room for both emotions.Monica's philosophy emphasizes the significance of these transitions:Moving isnt just about a new houseits a new chapter.Frequently Asked QuestionsShould seniors move closer to adult children?There is no one-size-fits-all answer. Families should consider the senior's preferences, independence, social network, housing needs and desired lifestyle.What Monmouth County communities should seniors consider?Options can include Middletown, Red Bank, Holmdel, Tinton Falls, Freehold and communities throughout Monmouth County. The right location depends on each buyer's priorities.How far should a senior live from family?The ideal distance depends on transportation, family schedules and the level of support desired. Close should be defined by the family's actual needs.How can seniors maintain independence after relocating?Choosing an appropriately sized, accessible and low-maintenance home near family, services and activities can help support independence.How can I begin a senior relocation conversation?Start with lifestyle rather than selling. Discuss what is working, what has become difficult and what the older adult would like their next chapter to look like.Learn MoreLearn more about senior relocation and real-estate services from Monica Reddin Homes through her Seniors Blue Book Listing:
Downsizing in Monmouth County, NJ: A Practical Guide for Seniors Ready for a Simpler HomeFor many older adults in Monmouth County, downsizing is not really about square footage. It is about deciding what comes next.After decades in the same Middletown, Red Bank, Holmdel, Rumson or surrounding Monmouth County home, the thought of moving can feel overwhelming. There may be rooms filled with family memories, furniture collected over decades, photographs, paperwork and belongings that have followed the family through the years.At the same time, a large home can eventually become more work than enjoyment.For seniors considering downsizing in Monmouth County, the goal does not have to be simply getting rid of things. It can be about creating a home that better fits today's lifestyle.That is where a senior-focused REALTOR such as Monica Reddin can provide valuable guidance.Why Seniors Consider DownsizingDownsizing can make sense for many different reasons.Some homeowners want less maintenance. Others are looking for a home closer to family, healthcare, shopping, restaurants, recreation or the Jersey Shore. Some want to move into a 55+ or active-adult community with amenities and social opportunities. Others want to simplify before a future move becomes necessary.Monica Reddin works with buyers and sellers throughout Monmouth and Ocean Counties and specializes in serving older adults and 55+ clients. Her professional credentials include the Seniors Real Estate Specialist and Accredited Buyer's Representative designations.Her approach recognizes that downsizing is both a real-estate decision and a lifestyle decision.As Monica explains:It is always an honor that my clients have chosen to involve me in their next chapter of their lives; I take that responsibility to heart and always endeavor to do my best for them.Start With Lifestyle Not a For-Sale SignOne of the most important steps in downsizing is deciding what you want life to look like after the move.Before choosing a property, consider: How much home maintenance do you want? Do you want stairs or one-level living? How important is proximity to family? Do you want access to golf, pools, clubs or fitness facilities? Would you prefer a walkable downtown? How close do you want to be to healthcare? Do you want to remain near the Jersey Shore? How much space do you realistically use? These questions can help narrow the search considerably.One senior may love the restaurants, theater and community atmosphere around Red Bank. Another may prefer the quieter feel of Middletown. Someone else may want a 55+ community farther west in Monmouth County or closer to Ocean County.There is no universal definition of the right senior home.Rightsizing vs. DownsizingThe word downsizing can sometimes sound negative.Rightsizing is another way to think about it.Instead of asking, How much house can I afford? consider asking, What home fits the way I actually live?A couple may discover that they rarely use their formal dining room but would love a first-floor office, guest room or larger outdoor space.Another homeowner may decide that a condominium, townhouse or active-adult community offers the convenience they want.The objective is to match the home with the lifestyle.What About All the Belongings?For many families, the emotional part of downsizing is harder than the real-estate transaction.A useful approach is to work room by room rather than attempting to empty an entire house at once.Create four categories:Keep: Items that will move with you.Give: Items family members or friends genuinely want.Donate: Useful belongings that can benefit others.Discard: Items that are damaged, obsolete or no longer useful.Families should also identify important documents, financial records, photographs, jewelry and sentimental belongings before packing begins.If the move involves an older adult with mobility or care considerations, families may also want to coordinate with appropriate professionals such as movers, organizers, estate-sale companies, senior move managers or care professionals.Choosing a New Monmouth County LifestyleMonmouth County offers seniors a wide range of lifestyle possibilities.Communities around Middletown, Red Bank, Holmdel, Fair Haven, Little Silver, Rumson, Tinton Falls and surrounding areas can provide very different experiences.Some homeowners want to stay close to familiar Shore communities. Others are ready for a completely different environment.Monica's connection to Middletown and knowledge of Monmouth County gives her insight into the communities where her clients may want to live, work, socialize and spend their retirement years.A Step-by-Step Downsizing PlanA practical timeline can make the process feel much more manageable.Step 1: Define the goal. Determine why you're considering a move.Step 2: Establish the ideal lifestyle. Think about location, maintenance, amenities and proximity to family.Step 3: Evaluate the current home. Understand what repairs, updates or preparation may be appropriate before listing.Step 4: Begin decluttering. Start early rather than waiting until the home is under contract.Step 5: Explore housing options. Compare homes, condominiums, townhomes, active-adult communities and other appropriate choices.Step 6: Build a transition timeline. Coordinate the sale, purchase, move and closing dates as carefully as possible.Step 7: Focus on the next chapter. The objective is not simply to sell a house. It is to create a home that works for the life ahead.Frequently Asked QuestionsWhen should a senior start planning a move?There is no single timeline. Many families benefit from beginning several months before they expect to move so there is adequate time for decluttering, evaluating the property and researching housing options.Is downsizing only appropriate for people moving into assisted living?No. Seniors may downsize into a condominium, townhouse, active-adult community or smaller single-family home that better matches their lifestyle.Can a senior remain in Monmouth County while downsizing?Absolutely. Downsizing does not automatically mean leaving the area. A senior may simply choose a smaller or lower-maintenance home nearby.What does a senior relocation REALTOR do?A senior-focused REALTOR can help with the real-estate aspects of a transition while considering lifestyle, location, accessibility, timing and the unique concerns that can accompany a later-life move.How can I learn more about Monica Reddin's senior relocation services?Visit Monica Reddin's Seniors Blue Book listing to learn more about her services, service areas and contact information.Learn MoreFor more information about senior relocation, downsizing and real-estate services from Monica Reddin Homes, visit her Seniors Blue Book Listing: MonicaReddin
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]
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.