Weekly Newsletter:

September 10, 2025

Caring for a Loved One Who Hoards

Stepping up to help someone because you care about them and they are a family member, or because it is your work, maybe even your calling, is what makes us human!


Margaret Mead, probably one of our most well-known anthropologists, is believed to have held up the femur bone of a human being—that was clearly healed from a fracture—and pronounce:


This femur that has clearly been broken and then healed. This may be the first sign of civilization because it indicates that someone took time to care for the injured, rather than letting the individual die.


Intimacy and Caregiving  

What is more intimate than caring for another human being?

In short, “intimacy” is sharing one’s deepest self. Private usually. Sacred often. Vulnerability certainly.

What does this have to do with HOARDING?

Behind closed doors. Kept for when the need arises. The hoarder might think, “when there is no one there to help me and I need something—I will have it. I can take care of it myself… Preparing for the worst. When I am all alone.”


As folks age, hoarding can become worse.  


“Why Does Hoarding Get Worse With Age?

As we age, many people face a dramatic decline in the quality and frequency of their social interactions. This often leaves seniors feeling lonely and separated from the outside world. Consequently, they may begin to engage in behaviors that seem to help them cope with isolation and depression. In some cases, these behaviors revolve around the accumulation of “things”—everything from clothes and knickknacks to food and even living, breathing animals.”

5 Steps to Help A Senior Who Hoards

1) Find Support

Supporting an elderly hoarder is a huge undertaking, and you will need support of your own. Look to a friend, a therapist, or an online support group to deal with the frustrations of tackling this mess. Although you know you are working with your loved one's best interests in mind, you may be treated as the “enemy.” Hoarders become very anxious and are often angered by the thought of parting with or disposing of their collections; you may become the target of that anger. It’s important that you have a safe place to vent and talk through the difficult emotions that can arise throughout this process.


2) Establishing Trust

You may think that your relationship with your loved one is already built on love and trust. After all, your concern for their well-being is why you’re trying to help them clean and organize their home in the first place. However, this trust does not always extend to family and close friends when one’s hoard is at stake. This is especially true if you have “helped” this person in the past by disposing of their possessions without asking permission or heeding their objections. Start slow and be patient. Verbalize your commitment to respecting your loved one’s decisions regarding the cleaning process and demonstrate this in your actions. Underhanded tactics may rid you of some hoarded items, but it will likely damage your relationship and hinder any long-term progress that might have been made.


3) Seek a Medical Evaluation

Although hoarding was once classified as part of the diagnostic criteria for obsessive-compulsive disorder, it is now recognized as a distinct issue with unknown causation. Many factors may play a role, including personality traits and stressful life events. It is important to rule out dementia, depression, and other mental health conditions that may be contributing to their hoarding behaviors.


4) Set Realistic Goals

A hoarder’s collection often overtakes a substantial amount of their house and may even overflow outside as well. Helping an extreme hoarder clean and organize their home is a herculean task, and efforts to take on the whole project will be overwhelming. One AgingCare member who was left with the job of cleaning out her parents’ home lamented in the Caregiver Forum that it took her a year to finish the house and 3 years to sort out the garage! Be sure to set realistic goals that factor in the pace at which your loved one is able to work through their hoard. Breaking the project into small, attainable objectives will keep a hoarder from feeling rushed or pressured and hopefully give them a sense of accomplishment as they are completed.


5) Celebrate Success

Even a small milestone like recycling stacks of old newspapers should be celebrated! Once a hoarder sets a comfortable goal and achieves it, they are more likely to realize that the parting process isn’t as distressing as they once thought. Positive reinforcement will build your loved one’s confidence and encourage them to continue strengthening their decision-making and organizing skills. Although it will be a long process, it is possible to help an elderly hoarder reclaim their home and make it a safe and healthy place to live.


(Source: AgingCare)


If you are a paid caregiver and not a family member, your approach will still be about establishing trust, making small gains, and celebrating all successes.


Agencies in the Bay Area that can help:

Susan Musicant, DPT

Injury Prevention Specialist at DayBreak

Staff Spotlight: Monique Hooks

1) What are 3 words that describe you?

Dedicated, Optimistic, Empathetic


2) How long have you been with DayBreak Adult Care, and what brought you here?

Almost 3 years. What brought me here was the mission and supporting a population that is often overlooked.


3) What do you enjoy most about your role?

Working with an incredible team, streamlining workflows, and advocating for elders & caregivers in our community.


4) What do you enjoy doing outside of work?

Hiking, going to the gym, swimming, and camping - being outdoors with my dog.

Thank you, Monique! Your support and encouragement make a difference not only in the lives of those we serve but also in the lives of everyone on our team. We appreciate you deeply and are grateful for all that you do!

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Your Support Brings Hope to Seniors

We are so grateful to everyone who has donated, shared the campaign, or encouraged others to get involved. Every gift helps provide vital services like fall prevention, housing stabilization, and compassionate care for seniors in Alameda County.

If you know an elder in need of our care and coordination services, or a caregiver seeking support, please encourage them to reach out to us at: 

510-834-8314

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