Our policy is that we do not work with hoarders unless they’re actively engaged in therapy for emotional support and there is a collaborative (three-way) relationship between the client, therapist and organizer. Even then, progress can be extremely laborious and slow. Various surveys have found that compulsive hoarders often have other mental illnesses such as obsessive-compulsive disorder, depression, anxiety and social phobias. We usually refer people with hoarding disorder to the Institute for Challenging Disorganization, Steri-Clean, or ServiceMaster ReStore. Professional counseling and free self-help support groups are available at The Anxiety & Stress Management Institute in Atlanta.