clients. But one learns a lot about a person in such intimate circumstances as a cleanup. Iâve found that it is important not only to help the hoarders get rid of stuff, but also to really talk with themâswapping stories and sharing experiences as we do the cleaning. The issues, both physical and psychological, they are wrestling with quickly become clear during this process.
Iâve learned that most hoarders love their families deeply and long to reestablish lost or strained relationships. Hoarders are truly in pain from losing their connection with loved onesâand the world at large. Ironically, the only way they see to ease that pain is to literally and figuratively bury themselves more deeply.
The more time I spend with hoarders, the more I wonder what propels them down this path. Everyone has issues. Bad things happen. The clues to why people hoard are not so simple or straightforward to decipher but may be discovered in the complex interaction of personality and circumstances, in an individualâs ability to respond to life events in a certain way, in genetics, or in more serious psychiatric issues that manifest themselves in classic hoarding behavior.
ITâS ALL IN THE FAMILY
One thing that has become fairly obvious to me when I work with clients and their families is the likelihood that the hoarder is not the only one with an issue. As with other medical and psychological conditions, thereâs much discussion concerning the genetic roots of hoarding. And if my experiences and observations have shown me anything, itâs that hoardingâlike blue eyes or curly hairâcan be a family trait.
One of my clients, Pat, had the help of her mother during her cleanup. Pat and her mother, who were both overweight and wore similar sweat suits with lots of gold jewelry, looked more like sisters than mother and daughter. They even bickered like sisters. Every time Pat chose an item to donate or throw away, her mother would move in and say something like, âThatâs nice, maybe we should keep that.â By the end of the first day, Patâs mother had loaded her own car and had even more of Patâs castoffs in a pile by the front door. Pat told me that her motherâs hoarding problem was even worse than her own, which is something I hear all the time: âIf you think this is bad, you should see my mother/grandfather/aunt!â
A report published in Behavior Research and Therapy found that hoarding appears to run in some families where OCD is also present. And a study done at the Obsessive-Compulsive Disorders Clinic at the University of California in 2009 found that up to 85 percent of people who are compulsive hoarders have a close relative who is or was also a hoarder. A Johns Hopkins study found significant linkage to compulsive hoarding on chromosome 14 in families with obsessive-compulsive disorder.
Itâs not surprising that as Iâve dug into my clientsâ backgrounds Iâve discovered a pattern of hoarding along with other family traits.
TRIGGERS
While there are clearly links to other mental disorders, several of which Iâll discuss later in this chapter, from my observations it seems that every hoarder has had an event, or series of events, that either marked the start of that personâs hoarding or made an already established hoarding habit much worse.
All of us face challenges in life. Divorce, death, job loss, relationship breakups, or medical issuesâthose are some of the hardest things anyone can go through. For hoarders, there are many common themes, the most compelling of which is abuse.
Roxanne, who had kept all of her grown daughterâs stuff from the time she was an infant, is a not uncommon case. As Roxanne and I worked through cleaning out her spare rooms, she shared with me that she had been abused as a child. Roxanne realized that by saving her daughterâs things, she felt like she was preserving and protecting her
James Rollins, Grant Blackwood