1) Having a past history of disorganization in which self-help efforts to change have failed
2) An undermining of current quality of life due to disorganization
3) The expectation of future disorganization
1) Persistent difficulty discarding or parting with possessions, regardless of their actual
2) This difficulty is due to a perceived need to save the items and distress associated with
3) The difficulty discarding possessions results in the accumulation of possessions that
congest and clutter active living areas are uncluttered, it is only because of the
interventions of third parties (e.g., family members, cleaners, authorities).
4) The hoarding causes clinically significant distress or impairment in social, occupational, or
other important areas of functioning (including maintaining a safe environment for self and
5) The hoarding is not attributable to another medical condition (e.g., brain injury,
cerebrovascular disease, Prader-Willi syndrome).Syndrome).
6) The hoarding symptoms is not better accounted for by the symptoms of another DSM-5
disorder (e.g., obsessions in obsessive-compulsive disorder, decreased energy in major
depressive disorder, delusions in schizophrenia or another psychotic disorder, cognitive
deficits in major neurocognitive disorder, restricted interests in autism spectrum disorder).
With excessive acquisition: If difficulty discarding possessions is accompanied by
excessive acquisition of items that are not needed or for which there is no available space.
With good or fair insight: The individual recognizes that hoarding- related beliefs and
behaviors (pertaining to difficulty discarding items, clutter, or excessive acquisition) are
With poor insight: The individual is mostly convinced that hoarding- related beliefs and
behaviors (pertaining to difficulty discarding items, clutter, or excessive acquisition) are not
problematic despite evidence to the contrary.
With absent Insight (i.e. delusional beliefs about hoarding): The individual is completely
convinced that hoarding-related beliefs and behaviors (pertaining to difficulty discarding
items, clutter, or excessive acquisition) are not problematic despite evidence to the
Professional Organizers use a variety of tools when working with people that have chronic disorganization or hoarding issues.
The Clutter–Hoarding Scale™ is an assessment measurement tool, developed by the Institute for Challenging Disorganization (ICD) to give professional organizers and related professionals definitive parameters related to health and safety.
If you want fact sheets on the following - please send me an email:
Are You Chronically Disorganized?
Are You Situationally Disorganized?
Factors Associated With Disorganization
Less Clutter = Less Stress (sm) in your home, your business and your life
Member: National Association of Professional Organizers (NAPO)
Member: Institute For Challenging Disorganization (ICD)
Certificate of Study in Chronic Disorganization
Certificate of Study in Basic Hoarding Issues with the CD Client
Certificate of Study in Understanding the Needs of the Elderly CD Client
Certificate of Study in Basic ADD Issues with the CD Client
Certificate of Study in CD Client Administration
Certificate of Study in Life Transitions
Certificate of Study in Time Management and Productivity
Certificate of Study in Interpersonal Intelligence
Certificate of Study in Mental Health Conditions and Challenges Affecting the CD Client
CD Specialist - Level II Certificate