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A Clutter Too Deep for Mere Bins and ShelvesExcessive clutter and disorganization are often symptoms of a bigger health problem. People who have suffered an emotional trauma or a brain injury often find housecleaning an insurmountable task. Attention deficit disorder, depression, chronic pain and grief can prevent people from getting organized or lead to a buildup of clutter. At its most extreme, chronic disorganization is called hoarding, a condition many experts believe is a mental illness in its own right, although psychiatrists have yet to formally recognize it.
Compulsive hoarding is defined, in part, by clutter that so overtakes living, dining and sleeping spaces that it harms the person’s quality of life. A compulsive hoarder finds it impossible, even painful, to part with possessions. It’s not clear how many people suffer from compulsive hoarding, but estimates start at about 1.5 million Americans.
Dr. Tolin recently studied compulsive hoarders using brain-scan technology. While in the scanner, hoarders looked at various possessions and made decisions about whether to keep them or throw them away. The items were shredded in front of them, so they knew the decision was irreversible. When a hoarder was making decisions about throwing away items, the researchers saw increased activity in the orbitofrontal cortex, a part of the brain involved in decision-making and planning.
“That part of the brain seemed to be stressed to the max,” Dr. Tolin said. By comparison, people who didn’t hoard showed no extra brain activity.