Invariably, people who suffer from hoarding problems fail to maintain even the most rudimentary organization of their stuff—but not from lack of effort. Like Irene, most have spent countless hours trying to organize their possessions, with little success. Deficits in executive functions such as planning, categorization, organization, and attention leave them lost amid a sea of things, unable to figure out what to do next.

-Gail Steketee

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