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Hoarding: A Classified Mental Health Disorder, Do You Need Help?

Hoarding: A Classified Mental Health Disorder, Do You Need Help?

I once knew someone very close to me who suffered from what we now know as the Hoarding Disorder. Had we known at the time that what he suffered from was well beyond his control, we might have been able to give him the help he needed. Sadly, we just thought he was being stubborn and eccentric.

Knowledge of hoarding was very minimal at one point, and was not considered a disorder of its own until the New DSM-V (Diagnostic Statistical Manual of Mental Disorders – Fifth Edition) came out.

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If someone you care about is showing signs of hoarding, let them know you understand. Embarrassment can play a key role in Hoarding Disorder, and feeling the need to hide from their family or loved ones will further increase symptoms.

Hoarding Warning Signs

From my experience, hoarding doesn’t happen over night. Subtle signs will start showing, and it’s these signs that need attention before the situation becomes larger and more impossible to control.

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  •  An unnatural attachment to items
  • Great discomfort in letting others handle or touch the items
  • Uncontrollable and helpless against collecting more and more items
  • Extreme uneasiness, reluctance and refusal to discard anything
  • Unorganized, incapable of knowing where to put their possessions
  • Embarrassment over their living situation
  • Secluding themselves from friends and family
  • Depression and feelings of helplessness
  • Eventually takes over their lives

Hoarding, Causes, and Consequences

Hoarding is a mental illness, and was categorized within the OCD spectrum. However, with the new DSM-V, hoarding has been classified in a spectrum of its own, and acknowledged as a disorder that requires treatment. Often, a childhood traumatic event is the stressor that contributes to hoarding. This, in a way, is therapeutic, as their possessions provide a feeling of safety. However, it simultaneously increases conflicted feelings. The disorder itself causes anxiety and depression.

Other Disorders

Hoarding is very closely associated with OCD (Obsessive Compulsive Disorder), anxiety, depression, and personality disorders. Psychologists say the behavior is a coping mechanism.

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Quality of Life

As you can imagine, this disorder can control one’s life, in the same manner as addiction. Their fix may provide momentary relief, yet creates a much greater problem in the long run. In time, the items they have accumulated become far larger themselves. The piles become higher, the pathways from one room to another become more narrow, and eventually, the clutter is in a way, swallowing them alive. The kitchen and bathrooms can become unstable due to the hoarding. Items collected can range from several old toothbrushes, toothpaste tubes, used ziplock bags, old store coupons, newspapers and endless recycling to broken furniture, and everything in between. The individual is unable to organize their possessions. Piles will accumulate, and health becomes extremely compromised within the living conditions.

Chinese modern artist Song Dong came up with an amazing solution for his mother’s lifetime collection of possessions. He displayed all his childhood homes’ items that his mother had collected from shoes to cans and from broken kitchen utensils to a surplus of clothing hangers. This art installation is called ‘Waste Not’ and was displayed at The Museum of Modern Art in New York City. His mother Zhao Xiangyuan (1938–2009) was pleased to see her collection displayed with pride. Her hoarding was triggered by the death of her husband.

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Criteria for Diagnosis

  • Extreme difficulty discarding items
  • Severe anxiety in the idea of discarding items
  • Discarding of items contributes to feelings of major loss and mourning
  • Extreme anxiety with the thought of something accidentally landing in the trash
  • Regularly going through the trash to check
  • Severely interferes with regular life functions such as work, relationships, health
  • Very possessive of their possessions
  • The hoarding is not a result of another mental illness

There Is Help

With a new social understanding of the Hoarding Disorder, there are specialists that can help. They have seen it all, and understand the disorder, they can help those suffering under the weight of their possessions. There are organizations that can help remove the items for donation to others that would get good use from them. As well, there are organizations that can get the individual’s home back to a place where they can live, and not just exist. Cognitive Behavioral Therapy has been found to be successful in maintaining a clutter free mental state. And one very important factor to remember is that no one with this disorder is alone!

More by this author

Kathleen Lum

Freelance Writer

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Published on November 23, 2020

How to Develop Big Picture Thinking And Think More Clearly

How to Develop Big Picture Thinking And Think More Clearly

Your neighbors downstairs are playing loud music. Again. How do they not get tired of partying? And why do they choose songs with such a heavy downbeat that the glass in your cupboard is vibrating every two seconds? What can you do to get some peace that you deserve? What should you?

Human mind tends to go in circles whenever faced with a problem without a clear solution. It becomes easy to forget the big picture and get lost in anger and self-pity, wasting our precious time, energy and enthusiasm.

Would it not be nice if we always remembered to put things in perspective?

Would it not be more efficient to face all kinds of problems, from tiny annoyances to life-changing emergencies, with a calm demeanor, sharp focus and fearless determination to promptly take the most efficient action possible?

Alas, humans are not like that. All too often we let anxiety or greed get the best of us and make a rushed or shortsighted decision that we quickly come to regret. Other times, we spend weeks or months at an impasse, rehashing the exact same arguments, unable to accept the compromise required to move forward with any of the available options.

Buddhists talk about getting lost in the “small self.” In this state of mind, we literally forget the big picture and focus on the small one. We start taking our daily problems too personally and, paradoxically, becomes less capable of solving them in an efficient manner. And this is the opposite of big picture thinking.

Let me share with you a story related to big picture thinking…

In 1812, the French army of Napoleon Bonaparte invaded Russia.[1] After a decisive Battle of Borodino, the capture of Moscow and therefore Napoleon’s victory in the war seemed inevitable.

Unexpectedly, the Russian Commander-in-Chief Mikhail Kutuzov made a highly controversial decision of retreating and allowing the French to capture Moscow. Much of the population had been evacuated taking supplies with them. The city itself was set on fire and large parts of it burned into the ground.

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After waiting in vain for Russia to capitulate, Napoleon had to retreat in the middle of a bitterly cold winter. He won the battle but lost the war. The campaign ended in a disaster and the near destruction of the French army.

What can we learn from this historical lesson?

1. Focus on the Consequences

Napoleon focused on the important part: capturing Moscow. Nobody could accuse him of thinking small. Yet he overlooked that the Russian army could still fight even after giving up the country’s most important city.

So was Moscow not an important target after all?

Success expert Brian Tracy has a litmus test: things are important to the extent that they have important consequences. Things are unimportant to the extent that they have no important consequences.[2]

When faced with a choice, ask yourself, what would be the consequences of each option?

  • Want to spend an hour studying or watching the new series on Netflix? What would be the consequences of each option? Netflix can sometimes be a better choice, but it helps to put things in perspective.
  • Want to maintain your apartment by yourself or to pay a cleaning service? Would would be the consequences of each option?
  • Want to meet up for coffee with this acquaintance of yours or catch up on your work instead? What would be the consequences of each option?

The choice can be different for different people. An aspiring filmmaker may have a legitimate reason for choosing Netflix. Personally, cleaning your own apartment can be relaxing and nourishing even if the economics of hiring a cleaner looks compelling because you are earning a high hourly rate.

This is where you will need a basic idea of who you are — what are your goals, values and aspirations.

2. Flip Defeat Into Victory

Kutuzov managed to turn Russia’s defeat into a historic victory by recasting the problem in a wider context: losing Moscow need not mean losing the war.

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Despite the symbolic meaning attached to the Kremlin, the churches, the priceless treasures that had been stored in the city for centuries, the outcome of the campaign was ultimately determined by the strength of the remaining armies.

If you can adopt this result-oriented perspective, many of your personal defeats may be flipped into victories as well. Few events in a human life are absolutely good or absolutely bad, and it usually takes many years to recognize in retrospect, what role a particular encounter did play in your story.

Therefore we have every reason to look for the good in the things that happen to us.

This is a very practical attitude, far from baseless “positive thinking.” After all, if something unfortunate has happened to you and you find good sides in this circumstance, you will then be better positioned to take advantage of those good sides.

Say your noisy neighbors are affecting your productivity. What if it is a blessing in disguise? How can you turn this defeat into a victory?

  • Perhaps you are too serious about life and could learn how to have more fun. Join your neighbors or go out for a walk instead of working;
  • Perhaps you only wanted to be productive while instead procrastinated on social media. Now that your procrastination has been interrupted, stop and acknowledge this much greater obstacle to your productivity;
  • Perhaps you are too sensitive to interference. Take this opportunity to practice ignoring the noise and doing your best anyway;
  • Perhaps you have a victim mentality and the feeling of unfairness drains you more than any actual nuisance your neighbors might have caused. Try accepting this lapse in your productivity the way you would accept bad weather.

Get used to finding opportunities in your problems. This is the quintessential big picture thinking.

3. Ask for Advice

Both Napoleon and Kutuzov had trusted advisers to discuss their affairs with. In general, getting a different perspective — or several — can only help inform your understanding and lead to better decisions. Just ensure that the people giving you advice are competent in the particular area where experience is needed.

Paying money for advice can also be a wise investment. Lawyers, tax accountants, medical doctors spend years learning how to assist people like yourself in living more successful, more fulfilling lives.

A quick legal consultation can save you a fortune down the line or even keep you out of big trouble. A medical check-up can uncover potential issues and help keep you healthy and active for years to come.

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Even big, complex dilemmas at your job or in your romantic relationship can be tackled more effectively by partnering up with a coach or a therapist or, of course, with the help of a wise friend.

4. Beware of Biased Advice

Many imperfect decisions occur in response to an imperfect piece of advice that you choose to act on. This advice often comes from a biased party.

For example, we are often encouraged to buy something that we supposedly need:

  • Protect your skin from harmful UV rays by using a special lotion.
  • Fortify your health by taking multivitamins.
  • Connect with your friends by sending them elaborate gifts.
  • Brighten your weekend by consuming a delicious pastry.
  • Become more productive by getting a faster computer.

However, most purchases are unnecessary.

Some, such as the sunscreen, do have legitimate benefits when used properly.[3] Others, such as multivitamins, only make a difference for a small group of people.[4]

Advertisers of those benefits inevitably want to narrow your focus in order to overstate the importance of their product. They frequently present it as the only solution to your problem, whether real or imaginary.

After all,

  • Skin can also be protected from the sun by wearing appropriate clothing.
  • Health can be better fortified by consuming a balanced diet and getting regular exercise.
  • Spending time or talking on the phone with your friends is the foremost way of connecting with them, and it is virtually free.
  • Your weekend can be brightened by doing something that you love.
  • You can become more productive by focusing on the tasks that have the most important consequences. A faster computer can, in fact, decrease productivity by making it easier to multitask and by enabling your favorite distractions.

There are other sources of imperfect advice. Politicians also frequently want us to focus on a particular “big picture,” to the exclusion of the alternatives.

Even loving parents can be guilty of the same. They can advise their children to pick a career path that is safe and respectable, based on their “big picture” that in life one has to make a living. A child may disagree, however, based on another “big picture” that one’s life has to have meaning and fulfillment.

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Bottom Line

It is human nature to make rushed, emotional decisions based on incomplete information, then regret those decisions later on.

You can protect yourself from poor judgment by striving to attain the big picture when careful consideration is called for.

Focus on the consequences of your decision before considering how you feel about it.

Play with the cards you’ve been dealt, but look for opportunities in each situation and you will find them.

Ask knowledgeable mentors for advice, but beware of biased people who have an opinion, but do not necessarily have your best interest in mind.

Yet remember, true big picture thinking comes from hard-won experience. Legendary military commanders Napoleon Bonaparte and Mikhail Kutuzov were both injured on the battlefield.

Clear thinking comes from putting your big picture to the test of reality.

More Tips on Thinking Clearly

Featured photo credit: Haneen Krimly via unsplash.com

Reference

[1] Wikipedia: French invasion of Russia
[2] Brian Tracy: No Excuses!: The Power of Self-Discipline
[3] American Academy of Dermatology: Say Yes to Sun Protection
[4] Harvard Medical School: Do multivitamins make you healthier?

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