Challenging Disorganization and Hoarding Expert Ellen Hankes

More Hoarders . . . Or More Awareness

We hear more about hoarding than we did a few years ago. Are there more people with hoarding behaviors or are we just more aware of these compulsive activities?

Hoarding experts Drs. Randy Frost and Gail Steketee estimate as many as 5% of Americans suffer from hoarding behaviors. Their book Stuff: Compulsive Hoarding and the Meaning of Things, other books and television shows recently brought the topic front and center.

I believe hoarding is more prevalent because of the following reasons:

People are living at home longer. Take a look at U.S. Census records and you will see that the number of households with people over 55 are increasing. People are living longer and they choose to age in place. Without periodic household moves to pare down excess belongings, clutter may continue to mount for some.

Inexpensive consumer goods create clutter. The choice of material that is hoarded varies widely and differs from person to person. The extreme clutter may be the result of widely available, inexpensive items ranging from soda containers to magazines.

Acquisition strategies are sophisticated and successful.When a shopper is confronted with the urgent on-line shopping opportunity ("only 120 of these left and we won't offer them again until next year") or the discount store end-cap with items marked 75% of their usual price, some shoppers are vulnerable and have few defenses against these sophisticated selling strategies.

Hoarding affects family members, neighbors and others. Do you think hoarding is more prevalent now and why or why not? I am interested in your viewpoint.

Our Loved One is a Hoarder: Holidays on Hold

"My family and I would like to celebrate holidays like we used to enjoy. We can't because our grandma (or mom or dad) is a hoarder. There is not enough room to sit. We couldn't even begin to think about having a meal there. We used to have such good times and I want to bring our family back together again."

As a professional organizer who specializes in working with hoarders, I frequently receive calls from grandchildren and children who desperately want to bring back the family gatherings of their childhood memories. As these young people describe the hoarding behaviors of their relative, I hear anger and frustration in their voices. There is a sincere desire to help their loved one and a willingness to do whatever it takes on their part to bring about change.

Here are some considerations for the younger generation seeking help for older family members with hoarding behaviors:

Does the individual want to change? Frequently, life has gone on in this manner for possibly decades. Change is difficult at any age, and may be impossible if there is not a sincere desire to change behaviors and habits.

How is the mental and physical health of the individual?Health status, both mental and physical, can greatly affect how one makes decisions about their living environment.

Are health and safety of the household occupants compromised because of the hoarding? In addition to physical hazards such as excess clutter, don't overlook blocked heating ducts, loose papers near cooking heat and expired medication.

What attempts to change have been made in the past and what was the outcome? Be aware that however well-intentioned, "clean-outs" are rarely the long-term answer to hoarding. Attention to acquisition behaviors, beliefs and attitudes, difficulty in discarding and decision-making are vital to the change process.

I encourage your family to learn more about the complex behavior of hoarding. Find competent professionals that can be part of a team that includes the loved one who hoards.

If your family has a loved one who hoards, how have you addressed it?

Compulsive Hoarding and Other Mental Health Disorders

While Obsessive Compulsive Disorder (OCD) is often noted in individuals with hoarding behaviors, there are other mental health disorders that coexist with compulsive hoarding. In a 2007 presentation to the National Study Group on Chronic Disorganization, Dr. David Tolin cited major depressive disorder (MDD), social anxiety disorder (SAD) and general anxiety disorder (GAD), attention deficit hyperactivity disorder (ADHD) in addition to OCD may coexist with compulsive hoarding.

Randy Frost and Gail Sketetee, in their fascinating 2010 book Stuff: Compulsive Hoarding and the Meaning of Things, say that hoarding may be an impulse control disorder (ICD). Today hoarding is not listed as a mental health disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM). There is support to include hoarding in the next revision of the DSM, and additional study is definitely needed to learn more about complex hoarding behaviors.

If you or a loved one is affected by your or someone else's hoarding behaviors, take time to learn more about hoarding. Carefully choose mental health professionals and professional organizers that have training and experience in working with those with hoarding behaviors.

If you have experience with compulsive hoarding and other mental health disorders, we would like to hear from you.

Sizzling Hot Organizing Tips

Heat wave! The soaring temperatures have been challenging for many people this summer. My vehicle thermomember registered 103 degrees as I was out and about. That is a very warm day, my friends.

Is it too hot to get a back-to-school study or project area organized? How about tackling a long-neglected closet? Here are some things that you can do to manage your organizing project during these hot, steamy days:

• Schedule a manageable amount of work. Whether it is 10 minutes a day or an hour each Saturday monring, organizing in chunks of defined time will be helpful.
• Match the organzing task to an appropriate time of day. For example, if you are a morning person, sitting and going through papers may or may not appeal to you. You may prefer something more physically active such as organizing the garage. On the other hand, if the paper sorting requires fresh brain-power, morning may be be best tie for that chore.
• Complete the task. Drop off the GoodWIll or other charity contributions. Go to the local recycling center if you have more than curbside pickup will allow.
• Take care of yourself. Hydrate with plenty of water and take breaks as needed.
• Celebrate success. Reward your organizing diligence with a trip to the library or an icy treat.

What are your ideas for sizzling summer organizing? I would like to hear from you.

Separation Anxiety Can Lead to Separation Reality

 "I would like to take my child to visit my parents' home but it is impossible with all Mom's stuff."

"We would love to have holiday gatherings at Mom's house the way we used to, but there is not room."

These kinds of statements are frequently expressed by adult children of the chronically disorganized. Young adults often share with me their frustration about not being able to visit their parents with their children or significant others because of the clutter.

The chronically disorganized and those who have hoarding behaviors often have a high level of anxiety as others attempt to separate them from their belongings. The persistent anxiety can lead to real and prolonged separation within families and friendships. At a time when an individual most needs the support of family and friends, these loved ones often find the high level of clutter difficult, if not impossible, to tolerate.

While the family I grew up in did not experience separation because of organizational issues, I do receive calls from children of hoarders who are quite concerned about their parents' chronic disorganization. While the solutions are complex and take time, we continue to serve the families that want to make changes. By finding ways to reduce the anxiety of reducing household goods, we hope to help individuals reconnect with their loved ones.

Do you have a story on how separation anxiety has lead to separation reality? I would like to hear from you. 

How Long To Maintain Medical Papers?

Wendy in Iowa asked a great question about medical records. Here is her question:

How long do you retain medical papers? I usually get some kind of paper at the office, and then claims from the insurance company, and then bill from the doctors office. I match these all together and pay the remainder that insurance doesn't cover. So, how long should I keep it for? NOTE: We do not itemize our taxes.

Thanks, Wendy, for your excellent question. While the rule of thumb is to keep medical papers for three years, there are several additional things to consider. If the health condition is a chronic one, retain medical documents for three years after the chronic condition is resolved. Health records such as immunizations should be kept indefinitely. If in the future, your medical expenses are itemized on tax returns, retain these tax-related documents for at least seven years.

My personal method is to retain all such records for ten years. The math is easy: In 2010 I destroy the records from the year 2000. Anything related to long term purchases or tax materials is retained separately and stored indefinitely. Chronically disorganized individuals will find the use of open bins and color filing materials helpful in managing the multiude of papers.

Destroy any personal records in a secure way such as shredding.

Review the Record Retention Guidelines 101 at Smead Organomics for information on a wide array of household record retention information.

Why Depression and Organizing Challenges Are Linked

 It is not unusual for a chronically disorganized individual to tell me that he or she is affected by major depression. Why might that occur?

Symptoms of depression can include indecisiveness and distractibility, according to MayoClinic.com. Since organizing requires making decisions about where things should go, whether to keep or recycle items and how to categorize material, indecisiveness is a roadblock in effective organization.

Staying on task and keeping with an organizing project can be very difficult, or impossible, for a person who is easily distracted. The fatigue that may go along with major depression is also a detriment to organizing. The depressed person may not be able to muster up the energy to get started organizing and may find the energy required to keep the momentum going on their own just too overwhelming!

While mental health professionals are the best source of mental health counseling and treatment, the individual who is affected by both depression and disorganization may well benefit from working with a professional organizer who has experience and training in working with the chronically disorganized.

Have you observed a link between depression and disorganization? I would like to hear from you.

Hoarding: Urban and Rural Considerations

 Compulsive hoarding knows no boundaries with gender, intellect or socio-economic level. What about city living when compared with rural residence? We had an interesting question about hoarding in rural areas at a a recent Elder Rights Symposium where I spoke on "Working with Clients Who Hoard."

Is there a difference between intercity hoarding and rural hoarding?

Hoarding behavior is characterized by the accumulation of a large amount of possessions, many of which appear to be of little value; non-functioning living spaces due to extreme clutter; and a significant amount of distress associated with the clutter. These characteristics are found in both urban and rural homes of hoarders.

Hoarders in rural areas have considerably less access to vital mental and physical health services, recycle material pick-up or collection points, as well as trained and qualified professional organizers. Urban areas generally have stricter codes and a higher density of neighbors who are impacted by those who hoard. There may be more outbuildings on rural property where the accumulation of clutter expands when a house can no longer accommodate it.

The process of helping a person with hoarding behaviors is very complex and involves far more than just "cleaning up." In a rural or urban area, planning and teamwork will be required to bring about effective change in a hoarding situation.

The Secret Lives of Objects

Why do we keep the things we hold onto? Rubber bands, high school graduation programs, rusty pliers, an odd plate? It is fascinating to explore why we keep certain things but don't care too much about other things. 

Keepsakes have special lives, and often sacred, secret lives. Sometimes these keepsakes are kept in boxes or in dark cupboards where they rarely, if ever, see the light of day. While at times the keepsakes may have monetary value, often the items are kept for sentimental reasons.

Artist Corrine Botz is teaming up with the National Study Group on Chronic Disorganization to create an art project titled "The Secret Lives of Objects."I am excited to be working with an individual who contributed some items she had kept for a long time. The brief story of the significance of the item in her life is touching, like good stories can be. You can read my client's story and a number of others at the Secret Lives of Objects website. New life is already springing from these once-cherished items.

We look forward to seeing the variety of objects as this project advances. It may be concert tickets, a pair of gloves, a plate, or something else that comes with a story. 

Have you, or someone else, looked at your belongings as art? I would like to hear from you.

Churning the Clutter

  While going through a pile of clutter, Gwen picked up a magazine. Remembering that there was an article in the magazine she wanted to finish reading, Gwen laid the magazine aside. The next item was a month--old grocery list with a phone number jotted next to the word bananas. Since Gwen thought it might be an important phone number, she laid the grocery list on the table. As Gwen considered item after item she found herself just rearranging the clutter.

Churning is the term for the act of moving one item to another without discarding any item. At the same time, no system of organizing these things is established. This behavior is observed in those who are compulsive hoarders.

There may not be space to put things when many spaces are occupied with more clutter. The individual may have difficulty categorizing like things or making decisions about items. The process of removing a large amount of clutter can be overwhelming. When churning occurs, there is little noticeable improvement which can be very discouraging both to the individual with hoarding behavior and those that are attempting to help.

Have you observed churning in yourself or someone else? I would like to hear about your experience.