Are you a hoarder? How clutter can take over your home, life

— -- The Mayo Clinic defines hoarding as the excessive collection of things, along with the inability to discard them.

Such behavior creates unsanitary conditions and, in severe cases, the inability to function normally.

Although hoarding has become more recognized in recent years thanks to television reality shows, it is a psychological disease that experts say is often related to or a symptom of obsessive-compulsive disorder. The major issue, they say, is that many people who have the disorder fail to recognize it as a problem, making treatment extremely challenging.

Although hoarding carries both denial and shame for many people, there is hope for change in the form of therapy and anti-clutter strategies.

Dr. Amy Austin has encountered only one case of hoarding at her Palm Desert practice. "Unfortunately, she stopped coming," said Austin. "She was not ready for treatment."

Austin, who is an addiction specialist, says hoarding is more of an obsessive-compulsive disorder, but, like addiction, those with hoarding disorders are resistant to change. "What we are talking about is an anxiety disorder. People decrease levels of anxiety by hoarding."

When a patient comes to Austin with this problem, they first talk about the issues in the person's life, including their relationships. "If they need a psychiatrist, we can work with one for possible medications," said Austin. "Treating an obsessive-compulsive disorder is commonly a combination of therapy and medication."

Is there hope for treatment?

"I always come from a place of hope," said Austin. "No one is broken — they just need help. There is hope for everybody and anything."

A fresh start

Cory Chalmers, owner of Steri-Clean, which serves California's Coachella Valley, is a hoarding cleanup specialist.

"In 1995, I was working as a paramedic in the San Bernardino area," says Chalmers, who says he learned the art of compassion and discretion in that job. "As a result, I began cleaning crime scenes so that relatives of victims would not have to see their loved ones' homes (in that condition). Immediately, I started getting calls to also clean homes of hoarders."

A production company contacted Chalmers and wanted to shoot a pilot for a reality series on his crime scene cleanups, but network executives said it was "way too much reality." However, one of the homes was also the home of a hoarder, and they liked that idea.

"The original name for the series was Dirty Work, but it evolved to Hoarders," said Chalmers, who stresses that the A&E series is different from real life in many ways. "The cases we air are people who are willing to change and have gone through therapy."

There is no doubt that Chalmers has seen a lot of hoarding reality. "We've had people who urinate in buckets because their bathrooms are so full of stuff," said Chalmers, who speaks to groups across the country. "At the end of the day, we have to remove the Dumpster right away or the next day we will find that people have taken everything out again."

Leslie Spoor, owner of Executive Errands in Palm Desert, Calif., has experienced a few hoarding situations in her business, which offers to "simplify your life" — from absentee home checks to party planning, as well as office support and spring cleaning.