OK, I admit I was a big reluctant to start this book but couldn't stop listening once I started. The authors go through case studies of many adults and some children with various problems with hoarding and accumulation. The authors discuss the individual struggles, family struggles and public health issues with hoarding. They talk about how they got into the area of treating this disorder which had previously not been discussed much. They do talk primarily about how the disease arises from psychological factors, as opposed to neurotransmitters (for example), but do talk some about the biology and genetic factors around hoarding. This is not a "how-to" book with chapter by chapter approach to the illness but they also give advice on how they treat people with these issues and how to approach the issue on a community basis. They also give families and individuals advice on where to go for help. The main thing that fascinated me was how they could so eloquently describe the struggles that these people have with discarding their things which I never could have understood from watching a show like "Hoarders", for example. If you are at all interested in this topic, don't hesitate to get this book
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