Oh man I have gotten sucked into Hoarders again after my sister showed me the Sandra episode last night (Greensboro, NC; 2017). Jesus H Crackers.
I have depression and anxiety, and I worry that I could very well wind up on Hoarders some day. But I get tired of Dr. Tonya et al being all "oh it's a mental illness, [the hoarder] needs to touch and feel every single thing as we carry it out" and then being annoyed/surprised when the hoarder wants to keep everything or gets cranky with the clean up process. I'm also tired of the "if So and So doesn't participate, I'll have to call Adult Protective Services" or whatever. Like, the time to call them was clearly long before the Hoarders TV crew showed up. Maybe stop giving the hoarder 5000000 chances to be a public health hazard???
Honestly, the best thing to do for all of these hoarders is to get them into some kind of a home-with-a-capital-H (pity that Reaganism killed all the psych institutions back in the '70s), raze the (ruined, biohazardous) buildings and salt the earth, and then build new, multi-family residential units for low-income families, homeless people, and other at-risk populations.