My featured image is of a client’s dining room table. Look really hard…Do you see the table in the room in the above picture? Probably not, but the light hanging over her dining room table will give you a hint. “Hoarding Disorder” is now recognized in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a mental disorder. This is a serious disorder and one that I learn more about every time I have a session with any of my clients who have hoarding behavior, and from my studies through the Institute for Challenging Disorganization (ICD). Recently, I administered the ICD Clutter Quality of Life Scale (CQLS) to my client. The CQLS is designed to measure inward, or subjective, consequences of clutter from the individual’s perspective. The CQLS highlights the various dimensions of clutter impact on quality of life like: Livability of Space, Emotional, Social, Financial. Although my client clearly has hoarding behavior, interestingly enough, she did not consider herself as a person who hoards. However, after taking the CQLS, she now understands the impact her hoarding behavior has on various aspects of her life, especially the livability of space, emotional and social aspects. We have spent many, many hours together over the past year. Though she is making progress, she admits she is very vulnerable to backsliding.