Hoarding
To give you an introduction to hoarding, this page covers:
- What is hoarding?
- Other types of hoarding
- Hoarding and other health problems
- Effects of hoarding
- Hoarding and stigma
To give you an introduction to hoarding, this page covers:
Hoarding is having so many things that you cannot manage the clutter where you live, and find it difficult or impossible to throw things away.
You might hoard because you feel a strong need to keep things. But your connection to these things can cause you distress. And the impact of hoarding can affect your day-to-day life.
Hoarding disorder is a mental health problem that a doctor can diagnose. But you might also experience hoarding as part of another mental or physical health problem.
If you hoard, you might:
Many of us have belongings we consider special and things we save. But this is different from hoarding. When you hoard, it’s because you might have emotional connections or beliefs about all your things. This makes it very hard to get rid of anything.
For example, you might believe the following:
Lots of us share some of these beliefs about certain belongings. But we don’t feel as strongly about them. And we don’t experience these beliefs and feelings as part of hoarding
The main difference between collecting and hoarding is:
Collecting normally involves saving certain types of items, such as vinyl records or stamps. You’d carefully choose them and normally order them in some way, such as in display cases or folders.
Hoarding is not normally as selective. It doesn’t involve organisation in a way that makes the items easy to access or use. Someone who doesn’t recognise they have a hoarding problem might call themselves a ‘collector’. They might not see their behaviour as any different to collectors.
Hoarding does not only involve keeping objects in the place you live. There are other types which you might not recognise as hoarding at first. But they can make you feel the same way, for the same reasons.
Digital hoarding is when you make and keep a large number of digital files. Deleting files can cause you the same distress that other people who hoard might feel around physical objects. And you may want to keep these files for similar reasons.
It might involve buying multiple hard drives and devices, or using cloud storage or other software to keep the files. The types of files can include:
You might experience digital hoarding on its own, or along with hoarding physical objects. You might keep a digital record of things you hoard physically. For example, by typing up an index.
Digital hoarding might start out as a way to reduce physical hoarding. For example, you might start taking pictures of objects instead of buying them. But you might end up causing similar problems as physical hoarding.
Animal hoarding is when you keep too many animals to provide proper care for. You might have trouble noticing that this lack of care causes harm to the animals. This could include the animals not having:
To class your behaviour as animal hoarding, you don’t need to have a set number of animals. It’s more about how you get the animals and how you care for them.
You might experience animal hoarding on its own, or alongside other types of hoarding. Some of us might experience delusions, such as beliefs that animal rescue centres harm animals or can’t look after them.
The reasons behind hoarding animals are very complicated. Those of us who hoard animals can often:
If a vet or animal welfare organisation believes the animals are at risk of harm, they might take the animals away. This can be very upsetting.
The courts can also be involved sometimes. If you need legal advice in these situations, you might be able to get help from the Law Centres Network.
The RSPCA offers information on how different animals should be cared for.
Hoarding can be a symptom of other physical and mental health problems. It’s important to know if another health problem is behind hoarding, as this can affect the treatment.
Some health problems that might lead to hoarding include:
In these cases, treating the physical or mental health problem may stop you hoarding.
Normally, you won’t get a diagnosis of hoarding disorder if your hoarding is caused by another health problem. Because of this, not all of our information on hoarding might be helpful to you.
You can experience both obsessive compulsive disorder (OCD) and hoarding disorder at the same time. But experiencing hoarding disorder does not mean you have OCD. They are two different conditions.
In the past, doctors used to think that hoarding was a type of OCD. But since 2015, doctors consider hoarding disorder as its own, unique mental health problem.
Because of this past cross-over, some OCD organisations still offer information on hoarding disorder.
Hoarding could affect you in lots of different ways. For example, you might:
You might also experience many of these effects if you live with someone who hoards.
Official organisations might get involved if the things in your home, and the way you’ve organised them, cause safety risks to you or your neighbours. This could involve:
These teams might suggest things that you aren’t comfortable with. In some cases, they might remove you or your belongings from your home – even if you don’t want them to.
But remember: you have rights in these situations.
For advice on your rights, contact Mind’s legal line. For legal support, contact the Law Centre Network.
Many of us have heard of hoarding, but this doesn’t mean that we all understand it. The word ‘hoarding’ is sometimes used in the wrong way, such as:
The media might also show hoarding in a very extreme way, which is different to many experiences. This can make it difficult to recognise that you’re hoarding or tell other people about your experiences.
People might also make hurtful assumptions about hoarding, such as thinking it means being unclean or lazy. Hoarding doesn’t mean you need help tidying up – it’s unhelpful if people try to do this for you. It can feel frustrating and upsetting if people don’t understand this. but it’s important to remember that you are not alone.
For more information, see Mind’s pages on stigma and misconceptions.
This page covers:
Some of us who hoard do not know we are hoarding or cannot see how it impacts our lives.
It can feel very stressful if other people tell you that you’re hoarding. This might come from friends, family, your partner, or official bodies like the council. While hoarding, you might:
Hoarding normally starts in the place you live. But you might expand or use other spaces such as a car, garage or storage unit. You may also keep things at other people’s homes, if they allow you to.
Everyone will have a different experience of hoarding. It’s possible to hoard anything, physical or digital. These are some examples of things that people commonly hoard:
You might save things other people see as worthless or of limited value. You might have important and unimportant things mixed up together – such as important bills mixed with old newspapers. This might cause you distress, or it might be how you prefer to arrange your belongings.
If you’re unsure about whether you have a hoarding problem, you could do the following:
You might feel someone close to you has a hoarding problem they aren’t recognising. For more information, see our page on helping someone who hoards.
If you experience certain symptoms, doctors or healthcare professionals may give you a diagnosis of hoarding disorder. They might also call it compulsive hoarding.
Your doctor might give you a diagnosis of hoarding disorder if you:
It’s important to remember that hoarding disorder can be different for everyone. You might recognise some of these signs and symptoms, but you might have other experiences or difficulties.
Research has shown that many people who hoard show these signs in their teenage years. But doctors won’t normally diagnose hoarding disorder unless you’ve got large amounts of clutter in the place you live.
This doesn’t usually show until you are a bit older. It might not happen until you have your own space, or you’ve gathered items over a long period of time. Because of this, it can be hard to recognise the signs of hoarding early.
No one knows exactly what causes hoarding, but there are lots of theories. Different people will have different reasons for their own experiences. It’s likely to be a combination of factors.
This page covers:
Hoarding can be related to difficult experiences and painful feelings. You may find these hard to express, face or resolve.
Some people say hoarding helps them cope with other mental health problems, or distracts them from feeling very anxious, upset or afraid.
There can sometimes be a link between hoarding and impulse control. This is when you find it almost impossible to resist certain actions, such as buying items.
If you hoard things, you might feel very worried about making mistakes – also known as perfectionism. You might also find it hard to make decisions, plan ahead or work out how to do tasks. These could be possible reasons why some of us are more vulnerable to hoarding.
For example, you might struggle to sort or group your things into types, or to decide what to keep or throw away. The idea of this might seem so difficult or upsetting that it feels easier not to try.
Some researchers believe hoarding can relate to childhood experiences of losing things, not owning things, or people not caring for you. This might include experiences like:
These experiences might make you feel more connected to your belongings, or make it hard for you to organise them.
You might be able to link the start of your hoarding to a traumatic period in your life. This could include:
For some of us, these experiences could make your hoarding worse if you started doing it before a traumatic period.
It’s common for those of us who hoard to have family members who share this behaviour, such as a parent or sibling. Some studies suggest that certain genes could make you more vulnerable to hoarding.
But family links are very complicated. If you grew up around hoarding, you might have learned some of these habits and behaviours. You could also hoard without any other family members who have problems with hoarding.
If you live with someone who hoards, this can result in you having more clutter in your home overall. You might find it really difficult to make changes because you disagree with each other on what to keep or throw away.
Living with hoarding problems can be difficult. But there are things you can do to help yourself cope. This page has some suggestions for you to consider.
Not all of these suggestions might work for you – it’s OK if you need to try a few things before you find what works best.
This page covers:
It’s not unusual to feel overwhelmed if you’re trying to cope with a hoarding problem. You might feel like helping yourself will be too hard or take too long. And if you don’t know where to start, taking small steps can help you make good progress. For example:
You might have been trying to manage your hoarding problem for a while, but sometimes feel like you’re getting nowhere. Because of this, you may find it difficult to stay motivated.
Some of these tips might help you keep motivated and notice how far you’ve come:
If you feel you need more practical support, you might want to contact the organisations in our useful contacts below.
And if you experience difficulties with hoarding, you may be entitled to a needs assessment by social services. For more information, see Mind’s pages on social care.
Trying to manage your hoarding can make you feel emotionally drained. It might bring up lots of difficult feelings, which can make handling practical tasks harder. There are ways you can support yourself and get help for these feelings. For example:
It’s a big step to recognise that you might have a hoarding problem and need some help. Even if you’re finding it hard, knowing you’re working towards change is something to be proud of.
Hoarding can sometimes make the place you live less safe. You might have a higher risk of fire spreading, or it may be hard for you to leave in an emergency.
You might not feel ready to start dealing with other parts of your hoarding problem. But it can be beneficial to make sure the place you live in is safe. For example:
You might disagree with people around you when it comes to hoarding. This could be friends, family, your partner, or official bodies like the council. It might be because they:
It can feel very upsetting to hear these things from people close to you. To help them understand your situation a bit better, try showing them our pages for friends and family and talking about a mental health problem.
Official bodies like the council or a housing officer might say things you disagree with. Find out about your rights by speaking to Mind’s legal line or reading their information on discrimination.
If you feel distressed by hoarding, you might want to consider seeking treatment. A growing number of mental health professionals are aware of hoarding disorder.
They should know that they need to help you take things at your own pace. And they should not pressure you to make changes faster than you want to.
This page covers:
The first step when seeking help is usually to visit your GP. If they think you’re experiencing hoarding disorder, they might refer you to a psychiatrist or other mental health professional. They will assess you and might look into whether there are any other health problems related to your hoarding.
The National Institute for Health and Care Excellence (NICE) – the organisation that produces guidelines on best practice in healthcare – hasn’t issued treatment guidelines for hoarding disorder. But the guidelines for treating OCD mention hoarding because OCD and hoarding used to be grouped together.
These guidelines advise that:
There are also some tools to help you start a conversation about hoarding disorder with your doctor
Not everyone finds the Clutter Image Rating tool useful. It might not properly reflect the size or type of place you live in, for example if you live in a caravan. You might also have some other symptoms of hoarding disorder but not yet have a home that is very cluttered.
It’s OK if the Clutter Image Rating does not work for you.
The main talking therapy used to treat hoarding disorder is cognitive behavioural therapy (CBT). This focuses on how your thoughts, beliefs and attitudes affect your feelings and behaviour.
Evidence suggests that both individual and group CBT can help. It also suggests they’re more likely to help if you follow a programme designed for hoarding disorder – rather than OCD, for example. Hoarding-specific treatments are improving as researchers learn more about what can help.
Together with your therapist, you might:
Other types of talking therapy may also help you, but experts need more research to find out what could work best.
Research suggests that it can help if your therapist visits you in the place you live. This way they can understand more about your situation and help you work out how to make changes.
Some people also find it helps to have treatment in a familiar environment.
You might need a long-term CBT approach to help manage your hoarding disorder. It can take a long time to feel comfortable and take steps to address your hoarding. But unfortunately, in most regions the NHS only offers short-term or medium-term therapy.
You may need to be very persistent to get the right help from the NHS, or consider other ways to access treatment. An advocate may be able to help you. For more information, see Mind’s pages on advocacy and making yourself heard.
If you can afford it, you can also seek private therapy outside the NHS. You can search for therapists who specialise in hoarding disorder through the:
For more information, see Mind’s page on private therapy.
There aren’t any specific medications for hoarding disorder. But some people find medication helps with other problems they experience alongside hoarding. Your doctor might offer medication if your hoarding is a symptom of another health problem.
Medication really helps some people but isn’t right for others. Before deciding to take any medication, it’s important to have all the facts you need to make an informed choice.
For more information, see Mind’s pages on things to consider before taking medication and your right to refuse medication.
For guidance on how to come off medication safely, see these pages on coming off medication.
You may feel very worried if you think someone you care about is hoarding. It might feel difficult to know how to talk to them about it, especially if they don’t agree that they are hoarding.
You might have already tried to offer support, but the person you’re worried about is maybe unwilling or unable to accept help. This can feel really difficult, worrying or frustrating.
But there are lots of helpful things you can try. We offer suggestions for ways you can support them while also looking after your own wellbeing.
If you’re supporting someone who is hoarding, it’s understandable that you want to help them clear up. And you might believe you’re doing them a favour if you clean and tidy things for them.
But this is very unlikely to help in the long term – and it could make things worse. Clearing out their clutter does not deal with the reasons why the clutter is there.
You might believe that you’re helping by turning up without advance warning or permission, or paying someone to tidy without the person knowing.
However, professionals who understand hoarding should never agree to make surprise visits. They should know that it’s unhelpful to tidy up against someone’s wishes.
This page covers:
If you are supporting someone who is hoarding, whether they agree or not, you should try to keep these important points in mind:
During their process of starting to clean or clear, you can help by thinking about the following:
Not everyone is ready to admit that they have problems with hoarding. If someone close to you is in this position, try to:
Supporting someone with a mental health problem can feel draining. It’s important to look after yourself as well:
You might find it very difficult living with someone who is hoarding, or has hoarding disorder. You might have lived with them for a long time without mentioning their hoarding, or you might have recently realised it.
What steps you take might also depend on what kind of relationship you have, and how their behaviour makes you feel. The other tips on this page can still help you, but you could also consider these ideas:
Age UK (England)
0800 678 1602
ageuk.org.uk
Information and support for older people.
British Psychological Society (BPS)
bps.org.uk
Information about psychology, including a list of chartered psychologists.
Help for Hoarders
helpforhoarders.co.uk
Help for people experiencing hoarding and their families, including support groups and an online forum.
Hoarding Disorders UK
0330 133 2310
hoardingdisordersuk.org
Support for people affected by hoarding, including support groups.
Hoarding UK
info@hoardinguk.org
hoardinguk.org
Support for people affected by hoarding, including support groups.
Law Centres Network
lawcentres.org.uk
Information about Law Centres, which defend the legal rights of people who can’t afford a lawyer. Includes a searchable directory.
Mind
Mind’s helplines provide information and support by phone and email.
Local Minds offer face-to-face services across England and Wales. These services include talking therapies, peer support and advocacy.
Side by Side is Mind’s supportive online community for anyone experiencing a mental health problem.
NHS UK
nhs.uk
Information about health problems and treatments, including details of local NHS services in England.
OCD Action
0300 636 5478
ocdaction.org.uk
Information and support for people affected by OCD and hoarding, including online forums and local support groups.
Rainbow Red
07931 303310
rainbowred.co.uk
Provides an ice breaker form for people wanting to seek help with hoarding.
Relate
relate.org.uk
Provides help and support with relationships, including counselling and telephone support.
Royal Society for the Prevention of Cruelty to Animals (RSPCA)
rspca.org.uk
Animal charity working to prevent cruelty and promote kindness to animals in England and Wales.
Samaritans
116 123 (freephone)
jo@samaritans.org
Freepost SAMARITANS LETTERS
samaritans.org
Samaritans are open 24/7 for anyone who needs to talk. You can visit some Samaritans branches in person.
The Silver Line
0800 4 70 80 90
thesilverline.org.uk
Provides support, information, friendship and advice for anyone aged over 55 who may feel lonely or isolated.
Our friendly team at the Portsmouth Mental Health Hub are here to help.
Enter your details and someone will call you back between 8am and 6pm, Monday to Friday.
If you or someone you know needs urgent mental health help, please call 111 – the NHS non-emergency number. It’s available 24 hours a day, 7 days a week and is free from any phone. They have specialist mental health nurses who can support adults and young people.
In a life-threatening emergency, always call 999.