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.