I felt sorry for Melissa, the daughter, and her husband. It was clear they were desperate to get Mom to clear out and clean up what is...or was...a beautiful home. As for the sister of Carmen's late husband, my heart broke watching her exasperation and pain seeing how her brother's memory was trashed in that bedroom, never mind his ashes lost in the hoard. It seems to always be the family members who suffer the most.
Despite a great crew (I liked Carolina) and Dr. Zasio trying everything in the book...and then some...I didn't see any resolution. In my opinion and observation, Carmen won't change and her immediate family will continue to suffer until they choose to walk away. Sometimes you reach the point where there's no choice but to get outside authority involved. Call Adult Protective Services, call code enforcement, call the fire department, whatever it takes. At least these people don't cuddle around.
As for Dr. Zasio, she finally admitted towards the end of the show (something most of us have already figured out) that 90% of hoarders go back to...you guessed it...hoarding.
