Deep causes of hoarding disorder

Credit: Unsplash/ Lucia Sorrentino

When we hear about hoarding disorder, many of us think of what we see on reality TV shows—homes packed with junk, pathways through piles of stuff, and people unable to throw anything away.

But hoarding is much more than being messy. It’s a real mental health condition, and it can have a deep impact on a person’s life.

Hoarding disorder makes it very hard for someone to throw away things—even items that others see as worthless. This is not the same as collecting items like coins or stamps, where people usually organize and care for their collections. People with hoarding disorder often live in cluttered spaces that make it hard to cook, sleep, or move around comfortably.

So what causes this condition? It’s a complicated puzzle made up of different parts: genes, brain activity, life experiences, and emotions. Some studies have shown that hoarding tends to run in families.

This means that if a parent or sibling hoards, a person may be more likely to hoard too. But just having the genes doesn’t mean it will definitely happen—it just raises the chances.

Science also shows that the brains of people with hoarding disorder work differently. When they are asked to throw away something, the areas of the brain responsible for making decisions and handling emotions become very active. This means that parting with objects can feel stressful, painful, or even threatening.

Hoarding can also be linked to life events. Some people start hoarding after going through something really hard, like losing a loved one. They may begin keeping things as a way to feel safe or comforted. For others, growing up in a cluttered home can shape how they think about possessions later in life.

The good news is that there is help available. Understanding hoarding disorder helps us move away from shame and blame, and toward support and treatment.

If you or someone you know is struggling, talking to a mental health professional is a great first step. Therapists can help people build new skills to manage their emotions, make decisions, and slowly let go of items that no longer serve them.

Hoarding disorder is complex, but it’s not hopeless. With care, patience, and the right kind of help, people can learn to manage the condition and live more comfortably. Everyone deserves a safe and peaceful home—and sometimes all it takes is the courage to ask for support.

If you care about mental health, please read studies about Cannabis use disorder linked to increased risk of these mental diseases and findings of Some mental health drugs can cause rapid weight gain.

For more about mental health, please read studies about One sleepless night can reverse depression for days and findings of Scientists find better treatment for older adults with depression.

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