Hoarding was once a subtype of OCD

The Kitchen – surrounded by clutter, she’s left a 10-inch area to eat her meals

As recently as 2013, a hoarding was a subtype of OCD, but now it’s its own category (DSM-5). OCD was definitely prevalent, and all to evident in this home I recently visited in the Bay Area.  In this case, this person has good insight and recognizes that obsessive-compulsive disorder (OCD) is showing up in her apartment by way of too much stuff. She told me she felt like she is “buried alive with stuff, like a ball and chain around me.” She reached out to me for help, and with the sound of my voice, she told me, “you’re comforting my heart”. Yes, there’s a lot of work to be done, but I know I can improve the her health, safety, and quality of life with patience and compassion.

The bedroom, filled to the max with more bagged clothes. She only sleeps on top of her bed.
Self described “germaphobe”, she bags all her clothes to “protect” them.