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/
Alzheimers disease impacts the lives of seven million Americans who suffer from this disease, but millions more feel the effects as the disease steals the memories of a loved one. According to the World Health Organization (WHO), 55 million individuals around the globe live with dementia; experts estimate that Alzheimers accounts for the majority of dementia cases (60 to 70 percent).As Alzheimers disease progresses, individuals lose the ability to manage everyday tasks, including crucial self-care (like getting dressed and eating independently). September 21 marks World Alzheimers Day, which seeks to increase awareness about the disease and its symptoms and fight the stigma linked to Alzheimers diagnosis. Table of Contents:Dementia vs. Alzheimers DiseaseAlzheimers SymptomsEarly Signs of Alzheimers DiseaseStages of Alzheimers DiseaseWhat Is a Memory Care Facility?Signs Its Time For Memory CareCosts of Memory CareHow Senior Moves Helps Families of Alzheimers PatientsKey Takeaways:Alzheimers disease touches the lives of tens of millions of individuals across the world. World Alzheimers Day unites families as they strive to increase awareness, remove the stigma about this disease, and find the best care and support for their loved ones.Dementia Vs. Alzheimers DiseaseIndividuals diagnosed with Alzheimers disease have dementia as part of the disease progression. However, not all individuals with dementia are diagnosed with Alzheimers disease. Dementia, the loss of memory and judgment, is a symptom of numerous diseases and medical conditions. Race Against Dementia explains that dementia is also a symptom of Huntingtons disease, hydrocephalus, and Creutzfeldt-Jakob disease. In addition, numerous types of dementia exist; Parkinsons disease dementia, Lewy body dementia, frontotemporal dementia, and vascular dementia are independent diagnoses. However, Alzheimers disease accounts for the majority of dementia casesaround 70 to 80 percent!Alzheimers SymptomsOnly a doctor can properly diagnose Alzheimers disease. However, individuals should learn to understand and identify this disease's numerous warning signs and red flags. Early diagnosis ensures that patients may begin care and medication to help slow disease progression. Early Signs of Alzheimers DiseaseAge leads to common memory issues; misplacing car keys and retracing steps to find them is a common problem. Forgetting an occasional appointment also may be a common issue correlated to growing older. There are many red flags of Alzheimers disease or dementia that are not related to growing older, including:Forgetting conversations and asking the same questions repeatedlyGetting lost while going to a familiar location. Losing items and finding them in unusual places (a wallet may be in a kitchen cabinet)Struggling with basic problem solving (balancing a checkbook, making a familiar meal, etc.)Inability to track time (dressing for fall when its summer)Visual issues (struggling with depth perception)Communication struggles (forgetting a word is normal, but forgetting common objects is a red flag)Making poor judgements (dementia patients may give away possessions or make large donations without thinking of the impact)Disinterest in friends or social experiencesAnger, frustration, and other mood issuesThe Stages of Alzheimers DiseaseAlzheimers disease is progressive, and it is unfortunately fatal. According to the Alzheimers Association, the disease has three stages: early, middle, and late.The earliest stages of Alzheimers typically lead to subtle memory issues; at this point, family and friends may notice that their loved one struggles with memory issues. They may forget appointments or constantly ask the same questions. The early stage is when small red flags appear.Alzheimers middle stage leads to more serious memory concerns. The Alzheimers Association explains that patients may forget personal information, get lost in familiar areas, struggle with time, and their bladder or bowels may begin to fail as patients lose the ability to control these functions. Mood and personality also begin to change.The late stage of Alzheimers disease is the final and most severe stage. Communication may be difficult or impossible. Patients must receive 24/7 care, as they cannot eat or get dressed. Eventually, the disease overtakes the body, and eating and swallowing becomes impossible. The Alzheimers journey may endure for nearly two decades, from the beginning or early stages to the final stage of the disease. However, every patient is different. What Is a Memory Care Facility?As an individual near the middle and late stages of Alzheimers, symptoms increase, and the ability to manage daily tasks becomes untenable. Alzheimers patients may wander, posing a risk to their safety. Judgment also wanes, and Alzheimers patients may jeopardize their financial wellbeing by making poor money management decisions.Eventually, Alzheimers patients require around-the-clock care and support. Family members may discover that they can no longer care for their parents or relatives and may begin to research future care and health management options.A memory care facility is a special residential facility that specializes in the unique care needs of dementia patients. Individuals receive 24/7 care and monitoring, with assistance for managing medications, safety, and support for activities of daily living (ADL) like getting dressed, bathing, going to the bathroom, eating, and mobility. Memory care facilities typically feature alarms at every exit that activates when a patient tries to leave.Signs Its Time for a Memory Care FacilityThe choice to move a parent or loved one into a memory care facility is very personal. How do you know its time for memory care? Many family members make the difficult decision to place their parent or family member in memory care when the individuals safety becomes compromised. While family members may provide care, dementia and Alzheimers disease gets worse over time. Individuals may start to leave their home and wander. They may make poor financial decisions or become openly hostile. As Alzheimers progresses, individuals need help with eating, bathing, and going to the bathroom. Family members may realize that they are unable to provide the level of care their loved one needs, and memory care becomes the bestand the safestoption. Costs of Memory CarePrivate insurance typically does not cover the cost of memory care facilities. However, some facilities could accept Medicaid. Dementia Care reports that memory care facilities cost around $54K annually (a national average). In some states, the cost could be higher or lower. Families may visit numerous facilities to find the best care for their parent or loved one. Prices may vary, but amenities also could be very different at each facility. How Senior Moves Helps Families of Alzheimers PatientsWhen the home is no longer safe and independence is no longer an option, families must begin to transition their loved ones to a residential care facility. Senior Moves works with families to make this transition easier for everyone. Our team helps families prepare a home for sale. Senior Moves works with family members to sort through every possession, labeling piles to keep, donate, or discard. Our team also organizes and cleans the home, staging it to appeal to the most buyers.Senior Moves helps with the move, too. We pack and unpack and arrange the new room to feel more like home. Our team also works with families to help ease the transition to a new space. Our team understands the difficulty of a dementia diagnosis. We walk family members through every step of the transition and help ease their minds (and hearts) as they prepare their parents (or loved ones) for a move to a memory care unit. Learn more about the services we offer, and reach out to our team to schedule a consultation.
As we grow older, the value of time becomes clearer. Lifes most precious moments are often spent connecting with loved ones, enjoying favorite hobbies, or simply savoring the peace of a quiet day. Yet, the clutter of everyday life, both physical and emotional, can rob us of these meaningful experiences. For seniors, simplifying life is about more than just organizing possessionsits about creating space for moments that truly matter.At A Call to Order Professional Organizers, we understand that the greatest gift we can give ourselves and our loved ones is timetime to connect, time to relax, and time to create memories. Our goal is to help seniors declutter and simplify their lives so they can focus on what really matters. Heres how simplifying your life can lead to more meaningful moments and a happier, more peaceful existence.The Emotional Burden of Clutter and How to Overcome ItAs we age, we accumulate not only material possessions but also memories, emotions, and experiences attached to these items. For many seniors, the process of decluttering can feel overwhelming, as every object seems to carry a story or sentiment. But holding on to too much can become emotionally burdensome, making it difficult to move forward and enjoy lifes present moments.Why Decluttering Matters for Emotional Well-beingPhysical clutter often translates into mental clutter. A disorganized home can make it hard to focus, relax, or even find joy in the little things. For seniors, this clutter can also lead to safety concerns, such as tripping hazards or an inability to find important items. But beyond the physical risks, clutter also weighs heavily on emotional health.Letting Go of the Past: While it can be difficult to part with possessions that remind us of the past, its important to remember that memories arent tied to objects. Letting go of excess allows room for new experiences and connections. At A Call to Order Professional Organizers, we guide seniors through the process of decluttering with compassion, helping them hold on to whats truly meaningful and release what no longer serves them.Creating a Peaceful Space: A clutter-free home is a peaceful home. When you clear out whats unnecessary, you create a sanctuarya place where you can relax, reflect, and focus on the things that bring you joy. Whether its spending time with family, enjoying a favorite hobby, or simply sitting in a quiet, organized room, the emotional benefits of decluttering are profound.The Joy of Simplicity: Simplifying your life doesnt mean losing what you love; it means finding clarity and freedom. By keeping only what brings you happiness or serves a purpose, you make space for meaningful momentstime spent with family, pursuing passions, or just enjoying a stress-free environment.Practical Tips for Simplifying Your Senior LifeSimplifying life doesnt have to be an overwhelming task. With the right approach, seniors can declutter their homes and create more time for the moments that truly matter. Here are some practical tips from A Call to Order Professional Organizers to help seniors simplify their lives:1. Start Small and Take It Step by StepDecluttering your entire home at once can feel overwhelming. Instead, start small by focusing on one area or room at a time. Whether its a closet, a kitchen drawer, or a spare bedroom, breaking the process into manageable steps makes it less daunting and more achievable.2. Keep Only What You Love or NeedOne of the most effective ways to simplify your life is to adopt the love it or need it rule. When deciding whether to keep or part with an item, ask yourself, Does this bring me joy? or Is this truly necessary in my life? By keeping only the items that enhance your well-being, you can create a space filled with positivity and purpose.3. Enlist the Help of Loved Ones or ProfessionalsDecluttering is often easier when done with the support of others. Whether its family members or professional organizers like A Call to Order, having someone to guide and encourage you can make the process smoother and more enjoyable. Not only does this provide emotional support, but it also helps create a shared experience with those you love.4. Digitize MemoriesFor many seniors, one of the hardest parts of decluttering is letting go of sentimental items such as photos, letters, or mementos. Consider digitizing these memories by scanning old photographs or letters and storing them in a digital format. This allows you to preserve the memories without holding on to physical clutter.5. Establish New Routines for Maintaining SimplicityOnce youve decluttered, its important to establish routines to keep your home organized and clutter-free. Set aside time each week to tidy up, donate items you no longer need, or reorganize spaces. This not only maintains the physical organization but also fosters a sense of control and peace in your home.Conclusion: A Life with More Time for What Truly MattersAt A Call to Order Professional Organizers, we believe that simplifying life is the key to finding more time for the things that matter mostwhether its spending quality moments with family, nurturing hobbies, or simply enjoying the beauty of a peaceful home. For seniors, this journey toward simplicity is about more than just letting go of clutter; its about embracing the gift of time.By decluttering your home, you can make room for the things that truly matter in your lifemore meaningful moments, greater peace of mind, and the joy of living simply. Let us help you on this journey, so you can enjoy every precious moment life has to offer.
The aging process often begins subtly, with gradual changes that seem manageable. One day, your parent is fully independent, taking care of daily tasks without issue. Then, suddenly, it feels as though the aging process accelerates, bringing new challenges all at once. This rapid shift can be difficult for family members, especially if they haven't planned ahead.Why Aging Can Seem to Happen SuddenlyWhile aging typically unfolds slowly, research suggests it doesnt always progress in a straight line. A study published in Nature Aging found that aging tends to occur in bursts, where rapid changes in areas like metabolism, immune health, and muscle strength happen. These bursts often occur around the age of 60, potentially leading to abrupt physical declines (SciTech Daily)(AARP).If you or your loved one wait too long to prepare, you may find yourselves scrambling to deal with the sudden onset of new health challenges. This lack of preparation often leaves caregivers feeling overwhelmed, under-equipped, and burned out.The Pitfalls of Delaying PreparationMany families delay planning for their parents aging, assuming they'll manage when the time comes. Others might avoid the topic altogether because it can be emotionally challenging to discuss. Unfortunately, this wait-and-see approach often leads to caregiver burnout and strained relationships, as families are forced to juggle urgent medical needs, emotional stress, and time-consuming responsibilities without a solid plan in place.If youre struggling to discuss getting help with your aging parent, check out some of our tips here. Remember, asking for assistance during the aging process doesnt mean youre powerless!How Naborforce Can Help You Plan AheadRather than waiting for a health crisis, Naborforce provides consistent support for families throughout the aging journey. As seniors age, they often need help with simple taskslike grocery shopping or getting to appointmentsthat can quickly become time-consuming for loved ones. With Naborforce, you can arrange for a friendly Nabor to assist, allowing your parent to stay independent longer while giving you peace of mind.By building a relationship with Naborforce early, your parent will already be accustomed to receiving help. When aging accelerates, youll have a reliable support system in placesomeone familiar with your parent who can step in to help with everyday tasks. This helps ease your parents transition while giving you the time and space to focus on your own responsibilities.The Importance of Having a PlanThe key to supporting your parent as they age is to start planning before their needs become urgent. With Naborforce, you can establish a flexible plan that evolves as your parents needs change. Whether its an occasional visit or regular check-ins, Naborforce can tailor its services to fit your schedule and your parents preferences. By starting early, you ensure that you and your parent have the right support in place before bigger challenges arise.Naborforce is just one of many resources available to help with the aging process. Other tools include financial planning, setting up a trust and estate plan, maintaining a healthy lifestyle, using technology designed for senior living, and understanding the care continuum.Getting Started with NaborforceIts easy to get started with Naborforce. You can customize the level of support you need, from occasional assistance to more regular visits. Take the proactive step of setting up care before it becomes urgent, so your parent can stay comfortable, independent, and supported as they age.A Helping Hand for Older Adults - Naborforce 844-696-2267 Were Naborforce. We match older adults who need a little help and kindness with Nabors eager to provide it, strengthening the communities we serve.Everyone can use a little help. Help around the house. Help running errands. Help preparing a meal. Help by just being a friend! Our goal is to promote joyous and independent aging and living while providing peace of mind to families.
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 LauraCarr@prodigy.net
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.