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- A mental health disorder: Hoarding is an independent psychiatric condition, officially recognized by the American Psychiatric Association, separate from OCD in 2013.
- Persistent difficulty discarding: The core issue is the perceived need to save items and the distress caused by the thought of throwing them away.
- Excessive acquisition: This difficulty often leads to an excessive accumulation of items, including mail, newspapers, clothing, and containers.
- Impact on daily life: The clutter is so severe it prevents the normal use of living areas, such as kitchens, bedrooms, and bathrooms.
- Distress and shame: People with hoarding disorder often feel shame or embarrassment, leading to social isolation and avoidance of visitors.
- Psychological factors: Difficulty with decision-making, a perceived need to save things for their "just in case" value, and anxiety about discarding items are key psychological drivers.
- Trauma: Significant life events, such as the loss of a loved one, can trigger or worsen hoarding behaviors.
- Genetics: A family history of hoarding or OCD can increase the likelihood of developing the disorder.
- Brain function: Issues in brain areas related to decision-making are believed to play a role.
- Safety risks: Hoarding creates significant safety hazards, including fire risks and blocked exits for first responders.
- Health concerns: Poor sanitation, pest infestations, and an inability to cook or bathe properly can lead to health problems.
- Social and emotional consequences: It can lead to severe social isolation, strained family relationships, and emotional distress for both the individual and their loved ones.
- Financial and legal problems: Legal issues and eviction are possible consequences.
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