Ask ANY paramedic or ANYONE who deals with folks in their homes.. its real, it happens, and its horrible.
I just retired from the PA's office and within victims advocacy sometimes you have to go to their home, speak with them, go through the court
process, help them see you as a person in their corner and not some legal eagle jerk.. and these days you have to pick many up in your personal
vehicle and bring them to court. Ive been in some homes that I wanted to go to the CDC and get tested.. or at the very least decontaminated. Its
kinda hard to sit there, provide information and speak with them on deep personal and hurtful subjects while fighting gagging or the urge to run
out... and I was an RN in an ER for a decade.. so the stomach is strong.

Given the nature of my job, I can see how dysfunction in the family,
tragedy, stress, depression can really effect folks and prompt hoarding for a plethora of reasons. Blocking the outside world, foring a safe womb
around them of junk, saving everything as if they want to stop time, etc. It's the filth and trash hoarders that really are disturbing.
About 3 yrs ago I had the misfortune of working with a sexual assault victim. WHen you see this with your own eyes.... its a weird feeling.. like a
person drowning or burning alive and you cant stop it.. but youre forced to watch it. Its just a bad feeling. Sexual assault.. thats a nice clean
sterile word for some heinous crap this woman went through. Her home was the worst Id ever seen.. anywhere. It went as far as feminine hygiene
products stacked up around the side table like she has been saving them in an orderly way... ANYTHING that went along with bodily function maintenance
materials ( kwim.. not trying to get too gross here) was kept.. along with all trash and anything else she could order due to her not leaving the
house. She would save jars of urine and test them over and over for pregnancy, then save the tests ( negative) and somehow that made her feel
better.SHe knew that she couldnt still have a chance of pregnancy, but she was compelled to do it to relieve the anxiety I guess.The assault was
almost 2 years previously when I got involve in it.. and she had been doing it for that long. She didnt take the trash out because that would have
meant leaving the house. She was VERY embarrassed and apologetic... its not like she thought it was okay or was in denial concerning the filth. She
knew something was wrong, but couldnt leave to get help and was too embarssed to seek help in the first place. I think it gets so bad that they just
lose hope and it becomes a vicious cycle.
These shows that offer inhouse counseling and help are really doing wonderful things IMO.. I hope the show has a LONG life if the byproduct of
exploiting human suffering for ratings means certain folks get some needed assistance they wouldnt otherwise get.
WHen you watch this show.. just really realize you are getting a small glimpse into someone's own private hell.